印度的结构化半交互性中风预防套餐的二次预防 (SPRINT INDIA):随机对照试验的过程评估结果
Shweta Jain Verma1, Puja Gulati2, Ranjit J Injety1
1Department of Neurology, Christian Medical College, Ludhiana, Punjab, India.
European stroke journal
|August 16, 2023
概括
这项研究评估了印度的一项中风预防干预措施. 干预是可以接受的,但没有减少血管事件,可能是由于实施挑战和患者参与问题.
科学领域:
- 神经学 神经学
- 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:
- 二次性中风预防对于减少复发和改善患者的治疗结果至关重要.
- 结构化干预可以提高患者的意识和遵守预防措施.
- 印度试验中的结构化半交互性中风预防套餐的二次预防旨在改善二次中风预防.
研究的目的:
- 评估二次中风预防干预措施的实施情况和参与者的观点.
- 了解试验关于血管事件的徒劳结果的原因.
- 评估干预措施的可接受性和社区调整的可能性.
主要方法:
- 采用混合方法方法,结合定性访谈和定量数据分析.
- 在11个中心采访了115名患者护理人员和卫生专业人员.
- 在RE-AIM和现实模型的基础上,对定性数据进行了代主题分析.
主要成果:
- 干预表明了良好的忠诚度和遵守协议.
- 挑战包括稀释的纳入标准和中心协调员提供咨询的无意偏见.
- 观察到患者动机下降和查看干预材料,归因于重复的内容和设备访问.
结论:
- 这种干预对患者和护理人员来说是可以接受的.
- 干预措施并没有导致血管事件的减少.
- 适应以社区为基础的计划是可行的,建议对内容和交付方法进行修改.
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