一项随机对照试验,针对退院后护理干预,针对缺乏补偿的肝硬化患者进行
Malene Barfod O'Connell1, Anne Brødsgaard2,3,4, Maria Matthè1
1Gastro Unit, Medical Division, Copenhagen University Hospital Amager-Hvidovre, Hvidovre, Denmark.
Hepatology communications
|April 26, 2024
概括
对肝硬化患者进行护士主导的干预并没有显著降低再入院或死亡率. 然而,在探索性分析中,它确实降低了酒精消费和12个月再录取率.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 护理干预 护理干预
- 临床试验 临床试验
背景情况:
- 有限的随机试验存在于肝硬化病的出院后干预.
- 这项研究评估了退院后干预措施对非补偿性肝硬化患者的再入院和死亡率的影响.
研究的目的:
- 评估以家庭为中心,由护士领导的退院后干预措施的有效性.
- 确定干预措施对肝硬化患者再入院率和死亡率的影响.
主要方法:
- 一项随机对照试验与成年肝硬化患者进行.
- 参与者接受了标准护理或为期6个月的护士主导干预 (小册子,家庭访问,电话).
- 主要结局是肝硬化再入院;次要结局包括死亡率和生活质量.
主要成果:
- 两组之间在初级或二级结果中没有发现显著差异.
- 后期分析显示,干预组的缺席率和酒精消费量有所减少.
- 探索性分析显示,干预组12个月后,总和肝脏相关的再入院减少.
结论:
- 以家庭为中心的出院后护理干预并没有显著改善主要或次要结果.
- 探索性发现表明,减少缺席,酒精消费和12个月再入院的潜在好处.
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