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促进以团队为基础的护理,以改善HTN的管理和结果:一个随机阶段形试验的协议

Donna R Shelley¹, Dominique Brown², Charles M Cleland³

¹New York University School of Global Public Health, New York, NY, USA. donna.shelley@nyu.edu.

BMC health services research

|May 31, 2023

概括

基于团队的护理 (TBC) 改善了小型实践中的高血压管理. 实践促进 (PF) 有助于实施TBC,增强血压 (BP) 控制和可持续性在初级保健机构.

科学领域:

实施科学实施科学
初级保健研究研究初级保健研究
医疗保健服务研究医疗服务研究

背景情况:

高血压 (HTN) 影响了许多患者,只有一半的患者达到目标血压 (BP) <140/90.
基于团队的护理 (TBC) 是改善BP管理和控制的经过验证的策略.
小型独立实践 (SIP) 面临着实施TBC的重大障碍.

研究的目的:

测试实践便利化 (PF) 对SIP中TBC采用的影响.
评估PF支持的TBC对高血压管理和血压控制的影响.
在SIP中探索影响PF有效性的因素.

主要方法:

一个渐进的形随机控制试验设计,在纽约市招收了90名SIP.
干预涉及实践促进者,他们支持12个月的TBC实施.
主要结果:TBC采用;次要结果:BP控制率和18个月后的可持续性. 使用的混合方法方法.

主要成果:

(研究结果尚未提供,因为这是一个协议.)
(预期的结果将为TBC的采用和初级保健中的可持续性提供信息.)
(这项研究将提供关于PF在改善HTN管理方面的有效性数据.)

结论:

这项研究将指导优化TBC采用和可持续性在独立的初级保健.
它旨在减少不受控制的高血压的负担.
这项研究将促进人们对促进如何改善基于证据的干预实施的理解.

关键词:

心血管疾病的心血管疾病.在高血压的高血压.实施实施实施实践便利化促进活动主要的护理是初级保健.基于团队的护理团队.

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