在创伤后的次急性阶段提供自我管理支持计划,用于实用性随机对照试验的创伤研究协议
Mari S Rasmussen1,2, Nada Andelic3,4, Joanna Nordhagen Selj3,5
1Department of Physical Medicine and Rehabilitation, Oslo University Hospital, Oslo, Norway. masras@ous-hf.no.
Trials
|September 30, 2024
概括
这项研究评估了适度至重度创伤幸存者的自我管理计划. 该计划旨在提高自我效能和应对能力,解决创伤恢复中未满足的医疗保健需求.
科学领域:
- 创伤护理和康复治疗
- 健康心理学健康心理学
- 临床试验方法论 临床试验方法论
背景情况:
- 创伤伤害导致严重的痛苦和残疾,许多幸存者经历了持续的症状和未满足的医疗需求.
- 创伤后亚急性阶段的自我管理计划被低估了.
- 这项研究解决了对中度至重度创伤损伤的此类干预措施的评估需求.
研究的目的:
- 评估自理计划 (SEMPO) 对中度至重创伤后3-4个月的患者的有效性.
- 通过自选手臂评估患者治疗偏好的影响.
- 为改善创伤后护理和康复提供证据.
主要方法:
- 来自奥斯陆大学医院的实用随机对照试验 (RCT) 与220名参与者 (18-72岁).
- 纳入标准:中度至重度创伤伤害 (新伤害严重性得分> 9),住院时间≥2天,并在出院时报告症状.
- 参与者被随机分配到干预,控制或自我选择臂;主要结局是干预后6个月的自我有效性.
主要成果:
- 主要结局:干预后6个月的创伤应对过程中的自我有效性.
- 二次结果:症状负担,身体功能,残疾,恢复工作,医疗保健利用,生活质量和沟通.
- 探索患者喜欢的结果措施.
结论:
- 该RCT将确定针对中度至重度的身体创伤量身定制的自我管理计划的影响.
- 自选手臂将分析患者偏好对干预结果的影响.
- 调查结果将为临床医生和政策制定者提供有效的创伤恢复策略.
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