护士带领的多组分行为激活干预对于心房患者:一个随机对照试验
Polly W C Li1, Doris S F Yu1, Bryan P Yan2
1School of Nursing, LKS Faculty of Medicine, The University of Hong Kong (P.W.C.L., D.S.F.Y.).
Circulation. Arrhythmia and electrophysiology
|December 19, 2024
概括
护士主导的干预显著改善了心房患者的健康相关生活质量,心房知识和药物坚持. 这种方法也增加了口服抗凝剂 (OAC) 处方率,改善了患者的治疗结果.
科学领域:
- 心脏病学 心脏病学
- 患者赋权是患者赋权的一种方式.
- 行为科学 行为科学
背景情况:
- 心房动 (AF) 患者往往没有为共享决策做好准备.
- 有效的患者参与对于管理AF及其相关治疗至关重要.
研究的目的:
- 调查患者赋权护理模式对AF患者健康结果的影响.
- 评估该模型对治疗决策过程的影响.
主要方法:
- 这是一项随机对照试验,涉及392名AF患者.
- 干预组接受了为期13周的护士领导的行为激活计划.
- 该计划包括风险评估,口服抗凝剂 (OAC) 的共同决策,自我管理支持和专业咨询.
主要成果:
- 干预组在与健康有关的生活质量,AF知识和药物坚持方面表现出显著改善.
- 在干预后6个月观察到持续改善.
- 6个月后,更高比例的干预患者被处方为OAC (OR,5.870).
结论:
- 由护士领导的多组分行为激活干预有效地提高了患者在AF中报告的结果.
- 该干预导致OAC处方率增加,表明治疗坚持和管理得到改善.
- 虽然决策一致性,焦虑和抑郁症没有受到显著影响,但患者的整体幸福感和治疗接受度有所改善.
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