手术前康复和教育计划 (PREPS):一个试点随机对照试验协议
Rochelle Furtado1,2,3, Joy C MacDermid1,2,4, Dianne Bryant1,2
1Department of Rehabilitation Sciences, Faculty of Health Science, Western University, London, ON, Canada.
Hand therapy
|June 23, 2025
概括
这项研究评估了为肩部置换患者的预康复和教育计划 (PREPS). 该计划旨在改善结果并降低成本,在试点试验中评估可行性和满意度.
科学领域:
- 整形外科手术 整形外科手术
- 康复医学是康复的医学.
- 医疗服务研究 医疗服务研究
背景情况:
- 为肩部置换手术开发了一种新的预康复和教育计划 (PREPS).
- 预备计划整合了运动,手术准备,激励面试和疼痛管理.
- 它旨在改善患者的治疗结果,减少阿片类药物使用,降低医疗保健成本.
研究的目的:
- 评估PREPS计划的可行性和患者满意度.
- 为未来的大规模多中心试验奠定基础.
主要方法:
- 一项试点随机对照试验,涉及90名接受肩部置换的参与者.
- 参与者被随机分为三个组:自主导的在线PREPS,治疗师监控的在线PREPS或标准护理.
- 预备计划在6周内几乎完成,包括在线模块和手册.
主要成果:
- 可行性结果包括招聘率,坚持,可接受性和治疗忠诚度.
- 患者的结果将在多个时间点进行评估:基线,手术前,以及手术后6周,3个月,6个月和12个月.
结论:
- 预备计划显示了改善术后疼痛,功能和患者报告结果的潜力.
- 这项试点研究对于为更大规模,全功率的肩部置换预康复试验提供信息至关重要.
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