高级实践护士干预与高血压控制的常规护理:对开放标签随机对照试验的研究协议
Juliette Vay-Demouy1, Alexandre Cinaud1, Nathan Malka1
1Diagnosis and Therapeutic Center, Hôtel-Dieu University Hospital, Assistance Publique-Hôpitaux de Paris, Paris Cité University, Paris, 75004, France.
Trials
|July 3, 2023
概括
高级实践护士 (APN) 可以改善法国的高血压控制. 这项研究评估了APN干预与常规护理,以加强高血压患者的血压管理和治疗坚持.
科学领域:
- 心脏病学 心脏病学
- 公共卫生 公共卫生
- 护理科学 护理科学
背景情况:
- 高血压是全球普遍存在的慢性疾病,也是主要可修改的心血管风险因素.
- 在法国,大量接受治疗的高血压患者的血压不受控制,通常是由于不良的抗高血压药物的坚持.
- 自2018年以来,在法国医疗保健系统中引入高级实践护士 (APN) 为患者管理提供了新的方法.
研究的目的:
- 评估高级实践护士 (APN) 干预对高血压控制的影响.
- 为了比较APN主导护理与常规护理在管理高血压方面的有效性.
- 评估APN在改善治疗坚持和血压控制方面的作用.
主要方法:
- 一个前性的,随机的,受控的,单心的优越性试验,在巴黎的Hôtel-Dieu大学医院进行.
- 在日间住院治疗高血压管理期间招募的参与者将随机分为两组:常规护理和APN干预.
- 干预组将在住院和医生咨询之间获得APN支持,结果将在12个月内进行监测.
主要成果:
- 主要结果是两组血压控制率 (血压<140/90 mmHg) 的比率.
- 该研究假设,与通常护理相比,APN干预将导致更好的高血压控制.
- 血压测量和治疗坚持将是评估的关键指标.
结论:
- 这项研究是对法国高血压管理中APN的首次评估.
- 结果将为APN在改善高血压控制和患者坚持治疗方面的有效性提供客观见解.
- 结果将为APN在高血压管理的更广泛背景中的整合和作用提供信息.
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