ホシノ　ジュンイチ   Hoshino Junichi   星野　純一    所属   医学部 医学科（東京女子医科大学病院）    職種   教授・基幹分野長
論文種別	原著
言語種別	英語
査読の有無	査読なし
表題	慢性腎臓病患者に対する看護師を含む医療従事者による包括的療養支援の有効性　システマティックレビューとメタアナリシス(Effectiveness of comprehensive medical care support by healthcare professionals, including nurses, in patients with chronic kidney disease: a systematic review and meta-analysis)
掲載誌名	正式名：Renal Replacement Therapy ISSNコード：20591381
掲載区分	国外
出版社	BioMed Central
巻・号・頁	12,pp.s41100-026-00704-4
著者・共著者	Hitoshi Kotaro, Ikeda Naotaka, Kutsuna Toshiki, Kugai Haruna, Ohashi Takahiro, Kunitsu Yuki, Sofue Tadashi, Fujii Naohiko, Saitoh Masakazu, Narita Ichiei, Yamagata Kunihiro, Hoshino Junichi, Kosaka Shiho
発行年月	2026/01/21
概要	Background This study aimed to evaluate the effectiveness of comprehensive medical care support (CMCS) by healthcare professionals, including nurses, for patients with chronic kidney disease (CKD) in the preservation phase. Methods All relevant studies were identified through comprehensive literature searches conducted in PubMed (MEDLINE) and Ichushi-Web. Randomized controlled trials involving patients aged ≥ 18 years with dialysis-independent CKD were included. The trials had to include nurses in the intervention details and provide CMCS by two or more healthcare professionals. Results A total of 20 studies were included in the systematic review, of which 14 were eligible for meta-analysis. A significant positive effect of CMCS was observed in terms of physical function, quality of life (QOL), and self-management ability. However, in the pooled analysis, no significant differences regarding renal function and blood pressure were found between the groups. Conclusions The findings suggest that multidisciplinary team-based CMCS, including nursing involvement, may be associated with improvements in physical function, quality of life, and self-management in patients with CKD; however, substantial heterogeneity across studies warrants cautious interpretation and generalization.
DOI	10.1186/s41100-026-00704-4
文献番号	A204480004<Pre 医中誌>