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预防痴呆症的6年多领域血管护理干预措施的有效性 (preDIVA):一个集群随机对照试验
Eric P Moll van Charante1, Edo Richard2, Lisa S Eurelings3
1Department of General Practice, Academic Medical Centre, Amsterdam, Netherlands.
Lancet (London, England)
|July 31, 2016
概括
针对心血管风险因素的护士主导的干预措施无法预防老年人的痴呆. 需要对特定群体进行进一步的研究.
科学领域:
- 老年学
- 神经学
- 心脏病学
背景情况:
- 心血管风险因素与痴呆症风险增加有关.
- 评估多领域干预措施对痴呆症预防的影响对于老龄化人口至关重要.
研究的目的:
- 评估护士主导的针对心血管风险因素的多领域干预措施是否能预防社区老年人的痴呆.
主要方法:
- 一项为期6年的随机对照试验,涉及70至78岁的个体.
- 干预组接受护士主导的护理;对照组接受通常的护理.
- 主要结局包括痴呆发病率和残疾评分;次要结局是心血管疾病和死亡率.
主要成果:
- 干预组 (7%) 和对照组 (7%) 的痴呆发病率没有显著差异 (HR 0. 92,95% CI 0. 71-1.19).
- 在残疾分数,心血管疾病发病率或死亡率方面没有观察到显著差异.
- 干预对主要或次要结果没有显著的统计影响.
结论:
- 在未经选择的老年人群中,护士主导的多领域干预并没有降低全因痴呆的发病率.
- 缺乏效果的潜在原因包括适度的基线心血管风险和高标准的常规护理.
- 未来的研究应集中在特定的,选定的群体中的这种干预措施的有效性上.
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