审计,反和实施支持对准则遵守和心脏康复患者结果的影响:一个开放标签集群随机化有效性实施混合试验的研究协议
Halldóra Ögmundsdóttir Michelsen1,2, Matthias Lidin3,4, Maria Bäck5,6
1Department of Clinical Sciences Malmö, Lund University, Malmö, Sweden. halldora.ogmundsdottir_michelsen@med.lu.se.
Implementation science : IS
|May 24, 2024
概括
这项研究研究了通过审计,反和实施支持来改善心肌梗塞 (MI) 患者的心脏康复. 目标是提高准则的遵守和患者的结果,降低死亡率和发病率.
科学领域:
- 心脏病学 心脏病学
- 公共卫生 公共卫生
- 实施科学 实施科学
背景情况:
- 心脏康复计划对于心肌梗塞 (MI) 后的二次预防,降低死亡率和改善生活质量至关重要.
- 尽管高指导方针建议,在瑞典心脏康复中心之间,服务提供和患者结果存在显著差异.
- 这项研究解决了改善心脏康复指南遵守和患者水平结果的需要.
研究的目的:
- 评估审计和反的有效性,结合实施支持,以提高中央层面对MI后二次预防的指导方针的遵守.
- 评估这些干预措施对患者水平风险因子达到和主要冠状动脉不良结果的影响.
- 分析实施过程,成本和干预措施的成本效益.
主要方法:
- 一个开放的标签,集群随机化有效性实施混合试验,涉及所有78个瑞典心脏康复中心.
- 这些中心被随机分为三个部门: 1) 审计和反与实施支持, 2) 仅审计和反,或 3) 没有干预.
- 主要结局:对二次预防指导方针的中心级坚持得分. 二次结果:患者风险因子目标的实现,主要的冠状动脉不良结果,实施障碍/促进因素和成本.
主要成果:
- 关于坚持得分的初级结果数据正在等待收集和分析.
- 关于患者风险因子目标实现和主要冠状动脉不良结果的二次结果数据正在收集和分析中.
- 目前正在评估实施结果,包括障碍,促进者,成本和成本效益.
结论:
- 通过遵守指导方针,优化心脏康复治疗预计将改善心血管风险因素,并减少心脏病发作后的发病率和死亡率.
- 这些发现将为提高国家心脏康复计划的有效性和实施策略提供信息.
- 这项试验将为心脏康复中心的结构化干预措施的成本和益处提供宝贵的见解.
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