一个新的共享决策 (SDM) 工具用于心房的抗凝管理:一个前性,集群随机对照试验的协议
Mang-Mang Pan1, Chi Zhang1,2, Long Shen3
1Department of Pharmacy, Ren Ji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200127, China.
Trials
|October 1, 2023
概括
共享决策 (SDM) 改善了中国心房患者的口服抗凝疗 (OAC). 这种方法增强了中风的预防,减少了出血风险,优化了OAC的使用.
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:
- 前庭动 (AF) 需要抗凝药来预防中风,但当前的治疗方法在最佳的中风风险管理方面面临挑战.
- 与口服抗凝疗 (OAC) 相关的患者坚持和出血风险是重要的临床问题.
- 共享决策 (SDM) 提供了患者和医疗保健提供者之间治疗选择的协作方法.
研究的目的:
- 评估一种新的SDM工具在治疗AF患者的抗凝血治疗中的有效性.
- 评估SDM对中风预防适当性和AF管理中的出血事件的影响.
- 调查SDM对患者知识,坚持和对OAC治疗的满意度的影响.
主要方法:
- 一项前性,集群随机对照试验,涉及8个社区卫生中心的440名AF患者在中国上海.
- 使用新型SDM工具的干预组与接受标准护理的对照组之间的比较.
- 至少2年的随访期,以评估主要结果 (任何出血事件) 和次要结果 (遵循指导方针,治疗范围内的时间,血栓,患者报告的结果).
主要成果:
- 这项研究旨在提供证据,证明SDM在优化中国AF患者OAC使用方面的有效性.
- 预期的结果包括改善粘附性,减少出血和血栓事件,以及增强患者的理解和满意度.
- 结果将量化SDM对关键抗凝血管理指标的影响.
结论:
- 这项研究预计将证明SDM在提高中国AF患者OAC治疗适当性的价值.
- 这些结果可以指导AF和抗凝血管理的临床指导方针和健康政策的制定.
- 该研究的发现对改善全球抗凝固治疗有潜在的影响.
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