一个全面的自我管理干预炎症性肠病 (CSM-IBD):试点随机对照试验的协议
Kendra Kamp1, Kindra Clark-Snustad2, Linda Yoo1
1Department of Biobehavioral Nursing and Health Informatics, School of Nursing, University of Washington, Seattle, WA, United States.
这项试点研究评估了炎症性肠病 (IBD) 患者的新自我管理计划,旨在通过护士指导的会议改善生活质量和减少症状.
科学领域:
- 胃肠病学和肝病学 胃肠学和肝病学
- 护理研究 护理研究
- 数字健康数字健康
背景情况:
- 炎症性肠病 (IBD) 呈现出显著的症状负担,尽管药物治疗.
- 对于IBD患者,存在有限的非药物自我管理选择.
- 已经开发了一种修改的综合自我管理 (CSM-IBD) 干预措施,从易怒肠综合征协议中改编出来.
研究的目的:
- 确定CSM-IBD干预和研究程序的可行性和可接受性.
- 评估CSM-IBD对生活质量和日常症状的初步疗效.
- 探索社会生态,临床和生物因素与症状反应之间的关联.
主要方法:
- 一项试点随机对照试验 (RCT) 涉及54名年龄在18-75岁的参与者,他们至少有两个症状.
- 参与者被随机分为2:1 CSM-IBD (8-12周的8次会议与RN检查) 或常规护理.
- 在基线,干预后和3个月后期评估结果,重点关注可行性,可接受性,生活质量和症状.
主要成果:
- 招聘于2023年2月启动,到2023年4月将有4名参与者注册.
- 该研究由国家护理研究院资助,IRB批准.
- 预计到2025年3月,该研究将全面完成.
结论:
- 这项试点研究将确定基于网络的护士支持的自我管理干预措施的可行性和初步有效性,以改善IBD症状.
- 长期目标包括验证干预措施以提高患者的生活质量和降低医疗保健成本.
- 该干预旨在确保文化适应性和可访问性,特别是对于农村和服务不足的人群.
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