生活方式咨询作为轻度中风或短暂缺血性发作患者的二次预防:一项随机对照试点研究
Jacob Liljehult1,2,3, Stig Molsted4,5, Tom Møller6,7
1Department of Neurology, Nordsjællands Hospital, Dyrehavevej 29, Hillerød, 3400, Denmark. jlil0004@regionh.dk.
Pilot and feasibility studies
|March 23, 2024
概括
这项试点研究发现,以患者为中心的行为干预对轻微中风患者来说是可行的,以改善健康习惯. 早期干预和随访支持坚持并降低未来中风风险.
科学领域:
- 神经学 神经学
- 预防医学 预防医学
- 行为科学 行为科学
背景情况:
- 轻微的中风和暂时性缺血性发作 (TIA) 会增加未来中风的风险.
- 许多患者经历了事件后的认知缺陷,但对生活方式的改变的坚持很差.
- 目前的生活方式建议是不够的;需要全面的干预行为适应.
研究的目的:
- 评估早期以患者为中心的干预措施的可行性和潜在影响.
- 该干预措施的目标是戒烟,体力活动和药物坚持.
- 采用了一种随机控制的试点试验设计.
主要方法:
- 入院患者被随机分配到通常的护理或干预组.
- 干预包括5A的模型咨询和电话随访 (4 & 8周).
- 在12周的随访期间,对身体活动进行了监测.
主要成果:
- 确定了84名可能符合条件的患者;40人随机分配 (每组20人).
- 32名参与者完成了12周的随访;8人丢失或被排除在外.
- 这种干预证明是可行的,只需对协议进行轻微的调整.
结论:
- 从行为干预中受益的相关患者可以很早地被识别和招募.
- 获得了高保留率,为更大的试验提供了数据.
- 这项研究成功地得出了指导未来大规模随机对照试验的估计值.
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