家庭心脏康复:巴基斯坦拉合尔冠状动脉疾病患者的开发,实施和结果评估 - 混合方法研究协议
Adnan Yaqoob1,2, Rubina Barolia3, Laila Ladak3
1School of Nursing and Midwifery, The Aga Khan University, Karachi, Pakistan adnan.yaqoob@scholar.aku.edu.
BMJ open
|June 8, 2023
概括
这项研究开发并评估了巴基斯坦冠状动脉疾病患者的家庭心脏康复 (HBCR) 计划. 该HBCR干预措施对生活质量和健康行为产生了积极影响,为以中心为基础的计划提供了可行的替代方案.
科学领域:
- 心脏病学 心脏病学
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 心脏康复 (CR) 对于心肌梗塞等心脏事件后的二次预防至关重要.
- 家庭CR (HBCR) 在生活质量,健康结果和体力活动方面表现出与中心CR相比或更好的结果.
- 需要适应特定环境,以优化HBCR在各种医疗保健环境中的有效性.
研究的目的:
- 为巴基斯坦拉合尔的冠状动脉疾病患者开发一种文化相关的家庭心脏康复 (HBCR) 干预.
- 评估这种上下文HBCR干预对生活质量,健康行为,生物生理学参数和急诊医院访问的影响.
- 评估HBCR在南亚环境中的可行性和影响.
主要方法:
- 采用混合方法的探索性顺序设计,从与患者和医疗保健提供者的定性访谈开始.
- 进行了一项单盲随机对照试验 (RCT),涉及118名急性冠状动脉综合征患者 (每组59人).
- 使用描述和推断统计 (SPSS) 分析了定量数据,而定性数据则进行了主题分析.
主要成果:
- 开发的HBCR干预措施通过定性反来验证.
- 随机试验阶段评估了干预对关键患者结果的影响.
- 初步发现表明,量身定制的HBCR计划可能有好处.
结论:
- 可以有效地开发和实施适应环境的HBCR干预措施,用于巴基斯坦拉合尔的心脏病患者.
- HBCR显示出作为改善心血管健康和患者结果的可访问和有效策略的承诺.
- 进一步的研究和HBCR的更广泛的实施是有必要的,以改善类似环境中的二次预防.
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