将初级-第三级多学科协作护理与心房的社区患者的常规护理进行比较:集群随机对照试验的协议
Yongqi Wang1, Jun Huang2, Dexing Zhang3
1School of Public Health, Guangdong Pharmaceutical University, Guangzhou 510310, China.
Contemporary clinical trials
|May 21, 2025
概括
一个新的初级-三级多学科协作护理 (PTCC) 模型可以在社区卫生机构内改善老年心房患者的抗凝率. 这种方法旨在提高AF管理和初级保健中的患者结果.
科学领域:
- 心脏病学 心脏病学
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 中国的社区卫生服务中心 (CHC) 越来越多地负责管理慢性心血管疾病,包括心房动 (AF).
- 在社区环境中为AF患者制定有效的管理策略对于改善健康结果至关重要.
研究的目的:
- 评估标准化初级-三级多学科协作护理 (PTCC) 模型与社区环境中心房患者的通常护理相比的有效性.
- 评估PTCC模型对老年AF患者抗凝率和二次结果的影响.
主要方法:
- 一个双臂,前性,多中心,集群随机对照,非劣势性试验,涉及来自中国广州16家医疗保健中心的65岁或以上的220名AF患者.
- 从随机分配到PTCC干预组或通常护理组的CHC中招募患者,干预期为两年.
- 数据收集包括基线采访,检索医疗记录,并在3,6,12和24个月后通过电话或面对面采访进行后续调查.
主要成果:
- 主要终点是AF患者的抗凝率.
- 二次结果包括与AF相关的不良事件,与健康有关的生活质量和成本效益.
结论:
- 该PTCC计划有可能为社区卫生服务中管理AF患者提供有价值的证据.
- 这种协作护理模式的实施可能会改善社区环境中AF患者的预后.
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