相关实验视频
心力衰竭患者的自我管理咨询:心力衰竭的坚持和保留随机行为试验
Lynda H Powell1, James E Calvin, Dejuran Richardson
1Department of Preventive Medicine, Rush University Medical Center, 1700 W Van Buren St, Chicago, IL 60612, USA. lpowell@rush.edu
JAMA
|September 23, 2010
概括
自主管理咨询没有改善心力衰竭患者的结果. 与单独的教育相比,将自我管理技能添加到教育中并没有减少死亡或住院.
科学领域:
- 心脏病学 心脏病学
- 行为科学 行为科学
- 公共卫生 公共卫生
背景情况:
- 激励心力衰竭患者遵守医疗建议的临床益处有限.
- 之前调查依从性干预的试验面临着方法学上的局限性.
研究的目的:
- 评估自我管理咨询与心力衰竭教育相结合的有效性.
- 为了比较这种综合干预与单独的心力衰竭教育.
- 评估死亡或心力衰竭住院的主要终点.
主要方法:
- 一项随机对照试验,涉及902名患有轻度至中度心力衰竭的患者.
- 干预包括18个教育联系和1年多的提示表.
- 一组通过邮件和电话接受教育;另一组接受团体教育和自我管理技能培训.
主要成果:
- 主要终点率 (死亡或心力衰竭住院) 在两组之间相似 (40.1%与41.2%).
- 在二次终点 (包括死亡,住院率或生活质量) 中没有发现显著差异.
结论:
- 在加强心力衰竭教育中增加自我管理咨询并没有显著减少死亡或心力衰竭住院.
- 目前的证据表明,单独加强教育干预措施可能与为这种患者群体增加自我管理咨询一样有效.
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