在心脏骤停后进行虚拟心理教育干预的随机可行性研究的V-CARE (复苏后的虚拟护理) 协议-A STEPCARE子研究
Marco Mion1,2, Gisela Lilja3,4, Mattias Bohm3
1Essex Cardiothoracic Centre, Mid and South Essex NHS Foundation Trust, Basildon SS16 5NL, UK.
Journal of clinical medicine
|July 12, 2025
概括
这项试点研究测试了一个虚拟的精神教育小组干预,用于医院外心脏骤停 (OHCA) 幸存者及其亲属. V-CARE试验发现干预是可行的和可接受的,为更大规模的OHCA恢复支持研究铺平了道路.
科学领域:
- 心脏病学 心脏病学
- 心理学 心理学 心理学
- 康复医学 康复医学 康复医学
背景情况:
- 医院外心脏骤停 (OHCA) 幸存者在出院后面临重大挑战,包括情绪障碍,认知缺陷和难以恢复日常活动.
- 在确定有效的干预措施以支持OHCA幸存者及其亲属在康复过程中存在一个关键的研究缺口.
- 该V-CARE研究通过评估一种新的虚拟精神教育小组干预来解决这一差距.
研究的目的:
- 评估V-CARE虚拟心理教育小组干预对OHCA幸存者及其照顾者的可行性和患者接受度.
- 将V-CARE干预与接受数字信息小册子的对照组进行比较.
- 收集关于满意度,自我管理技能和与健康有关的结果的初步数据.
主要方法:
- 一个比较的,单盲随机试验试验 (V-CARE) 涉及OHCA幸存者 (修改的兰金尺度≤3) 和可选的他们的护理人员.
- 干预组每周接受四次远程心理教育课程,重点关注心脏骤停恢复,应对策略和恢复日常生活.
- 对照组获得了一本数字信息小册子;结果包括可行性,可接受性,满意度,自我管理和与健康相关的措施.
主要成果:
- 主要结果集中在V-CARE干预的可行性 (同意率) 和可接受性 (保留率).
- 二次结果包括患者满意度,自我管理技能和与健康相关的措施,如认知,情绪和生活质量.
- 数据收集发生在医院出院后2-3个月.
结论:
- 从V-CARE试验的初步发现将表明干预的可行性和可接受性.
- 积极的结果将支持设计一个更大的,最终的试验.
- 最终目标是为未来的干预提供信息,以加强OHCA幸存者及其家人的康复和支持.
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