对于慢性病二元体的决策支持培训:ImPart研究协议
Shena Gazaway1,2,3, Rachel Wells4,5, Orlando M Gutierrez6,7
1School of Nursing, University of Alabama at Birmingham, 1720 2nd Avenue South, NB 485C, Birmingham, AL, 35294, USA. gazaways@uab.edu.
Pilot and feasibility studies
|December 25, 2025
概括
这项研究测试了ImPart干预措施,以改善第四阶段慢性病 (CKD) 患者及其护理人员的共享决策. 目标是提高CKD护理中的支持技能和患者结果.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 医疗保健服务研究 医疗服务研究
- 行为科学 行为科学
背景情况:
- 第4期慢性病 (CKD) 对患者和护理人员来说提出了重大决策挑战.
- 有效的决策支持对于管理CKD进展和改善以患者为中心的护理至关重要.
- "ImPart"的干预是为了加强CKD二代的决策伙伴关系而开发的.
研究的目的:
- 评估ImPart决策支持干预措施的可行性,可接受性和初步有效性.
- 评估不同干预组件对患者和护理人员结果的影响.
- 为开发一种全功率的随机对照试验提供信息,用于CKD决策支持.
主要方法:
- 一个单站式的2^3因子试验试验,涉及64名患有第四阶段CKD的患者和64名护理人员.
- 随机分配给三个干预组件的8个组合:护理人员指导,沟通培训和患者心理教育.
- 主要结果:可行性和可接受性. 二次结果:决策冲突,生活质量,痛苦和双向应对.
主要成果:
- 研究协议概述了社区参与,共同开发的决策支持干预措施的评估.
- 结果将为未来的大规模试验的ImPart干预改进提供指导.
- 可行性和可接受性数据对于优化干预组件至关重要.
结论:
- 本试点因子试验协议详细介绍了社区知情干预措施,用于第四阶段的CKD二.
- 多阶段优化策略指导了决策支持组件的评估.
- 这些发现将有助于改善慢性病护理的共享决策.
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