对CRISP干预的可行性研究;在患有腹腔大动脉动脉瘤的患者中进行心血管风险降低干预
Tom M Withers1, Colin J Greaves1, Matt J Bown2
1School of Sport, Exercise and Rehabilitation Sciences, University of Birmingham, Birmingham, England, UK.
NIHR open research
|October 21, 2024
概括
在腹腔大动脉动脉瘤监测中,用于降低心血管风险的CRISP干预表明由于培训不足,输送忠实度低. 在更广泛实施之前,需要进行改进和测试.
科学领域:
- 心血管健康 心血管健康
- 公共卫生干预 公共卫生干预
- 血管外科 血管外科监测
背景情况:
- 接受腹腔大动脉动脉瘤 (AAA) 监测的个人存在高心血管事件的风险.
- 开发了一种由护士主导的干预 (CRISP),以减轻这一群体的心血管风险.
- 在常规AAA查和监测计划中测试了CRISP干预措施.
研究的目的:
- 评估CRISP干预在AAA监测患者的常规临床护理中的可行性和交付忠实性.
- 评估CRISP干预措施在高风险人群中降低心血管风险因素的潜力.
主要方法:
- 该CRISP干预涉及护士领导的心血管风险评估和使用工作簿和护士输入的生活方式支持.
- 参与者 (n=40) 进行了心血管评估的随访,采访了小组 (n=25名患者,n=9名医疗保健专家).
- 干预交付忠实性被定量和定性地评估.
主要成果:
- 观察到干预交付忠实度较低,特别是在探索生活方式行为的重要性时 (平均得分为0.5/5).
- 患者专注于两个风险因素的中位数,体育活动是最受欢迎的.
- 虽然被患者和医疗保健专业人员 (HCP) 喜欢,但低保真率是由于干预培训不足造成的.
结论:
- CRISP干预可以在AAA监控设置中进行,但需要显著提高保真度.
- 在更广泛实施之前,需要进一步完善干预措施及其相关培训.
- 未来的研究应该专注于加强培训协议,以提高干预交付和有效性.
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