控制高血压通过教育和教练在病 (CHECK-D):一个集群随机对照试验的协议
Julie A Wright Nunes1,2, Ken Resnicow3,4, Caroline Richardson5
1Department of Internal Medicine, Division of Nephrology, University of Michigan, Ann Arbor, Michigan, USA juwright@med.umich.edu.
BMJ open
|August 1, 2023
概括
这项研究测试了早期教育和动机面试健康指导是否可以改善慢性病患者的血压控制. 目标是提高患者的知识和自我效能,以获得更好的健康结果.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 公共卫生 公共卫生
- 卫生教育卫生教育教育
背景情况:
- 慢性病 (CKD) 影响数以百万计的人,低于最佳的血压 (BP) 控制是心血管疾病发病率和死亡率的主要贡献者.
- 不到40%的CKD患者达到推的BP目标,原因是障碍,比如对病情的理解不足和自我管理.
- 需要有效的干预措施来改善患者的参与度和对CKD中BP管理策略的坚持.
研究的目的:
- 评估基于初级保健的早期CKD教育与基于激励面试 (MI) 的健康指导相结合对患者与BP控制相关行为的影响.
- 评估干预措施对提高患者知识,自我效能和管理CKD和BP的动机的影响.
- 为开发可持续的,以患者为中心的干预措施提供数据,以改善CKD阶段3-5患者的生活质量和结果.
主要方法:
- 一个集群随机对照试验,涉及350名在初级保健机构中患有CKD 3-5期的患者.
- 干预组接受临床医生提供的教育,随后进行12个月的基于MI的健康指导.
- 干预和控制组之间的结果将被比较,使用持续质量改进 (CQI) 和系统方法.
主要成果:
- 在研究完成和数据分析后,填写本部分.
- 该研究旨在在干预组内证明BP控制指标的显著改善.
- 预期的结果包括增强患者知识,提高自我效能和更高的动机水平,影响健康行为.
结论:
- 早期的CKD教育与基于MI的健康指导相结合,有望改善BP控制和患者的结果.
- 这种多学科的,患者辅导的方法可以在CKD护理连续的早期整合.
- 结果将为未来传播有效的,以技术支持的CKD管理干预措施提供信息.
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