在初级保健中对膝关节关节炎的风险评估和管理计划 (RAMP) - 一年实用性随机对照试验
Regina Wing-Shan Sit1, Benjamin Hon-Kei Yip2, Shirley Yue-Kwan Choi2,3
1The Jockey Club School of Public Health and Primary Care, The Chinese University of Hong Kong, Sha Tin, New Territories, Hong Kong. reginasit@cuhk.edu.hk.
Trials
|February 3, 2026
概括
这项研究评估了香港的膝关节骨关节炎评估和管理计划 (RAMP-Knee OA). 该计划是一种慢性护理模式,在治疗膝关节骨关节炎疼痛和改善患者治疗结果方面表现出有效性,与通常护理相比.
科学领域:
- 类风湿病学 类风湿病学
- 老年学是一门学科.
- 公共卫生 公共卫生
背景情况:
- 膝关节关节炎 (OA) 是慢性疼痛和残疾的一个普遍原因.
- 慢性护理模式 (CCM) 在香港的初级保健中取得了成功.
- 开发了一种新的CCM,RAMP-Knee OA,以解决OA管理问题.
研究的目的:
- 评估RAMP-膝关节OA计划的临床有效性.
- 为了比较RAMP-膝关节OA与膝关节OA患者的通常护理.
- 评估RAMP-膝关节OA对疼痛,功能和生物心理社会因素的影响.
主要方法:
- 这是一项为期52周的开放式随机临床试验,涉及228名膝关节OA的成年人.
- 参与者被分配到RAMP-膝关节OA (n=114) 或通常的护理 (n=114).
- 主要结局:西部安大略省和麦克马斯特大学骨关节炎指数 (WOMAC) 疼痛评分在52周. 其次结果包括身体功能,肌肉质量,身体活动,自我效能,焦虑,抑郁,失眠,孤独和生活质量.
主要成果:
- 这项研究正在进行中;结果正在等待.
- 主要和次要结果将使用协差分析进行分析,并根据基线值进行调整.
- 二次分析将探索潜在的混因素和相互作用效应.
结论:
- 调查结果将为香港膝关节OA中CCM的实施提供信息.
- 该研究旨在弥合OA管理的证据和实践之间的差距.
- 结果将强调全面的CCM方法对膝关节OA患者的好处.
相关概念视频
Peptic Ulcer Disease V: Surgical Management and Nursing Care
920
Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease
Surgical Interventions for Peptic Ulcer Disease
920
Design Example: Analyzing Capacity Contours for Flood Risk Assessment
326
Flood risk assessment involves careful planning and analysis to ensure the safety of communities near water retention structures. Capacity contours are a vital tool in this process, as they illustrate the potential spread of water at specific levels in a given area. In the context of building a bund across a small valley, these contours play a critical role in evaluating the safety of nearby residential areas.In this example, the bund is intended to store stormwater in the valley. The engineers...
326
Knee Joint
3.2K
The knee joint is the most complicated joint in the body. It consists of three articulations– two tibiofemoral and one patellofemoral. As is characteristic of synovial joints, the knee joint has a thin articular capsule that partially surrounds this joint cavity. Additionally, several ligaments, muscles, and cartilaginous structures support the movement of the knee.
A total of seven ligaments support the knee joint. The patellar ligament, which is also attached to the quadriceps femoris...
A total of seven ligaments support the knee joint. The patellar ligament, which is also attached to the quadriceps femoris...
3.2K
Mitral Valve Prolapse II: Assessment and Management
582
IntroductionA range of clinical features characterizes Mitral Valve Prolapse (MVP), but it is important to note that many individuals with MVP are asymptomatic and may remain so throughout their lives. For those who do exhibit symptoms, the following are the key clinical features:Palpitations: This is a common symptom where individuals feel an irregular or rapid heartbeat. Palpitations in MVP are often due to arrhythmias such as premature ventricular contractions or supraventricular...
582
Clinical Trials: Overview
5.0K
Clinical development focuses on how the drug will interact with the human body and encompasses four key phases of clinical trials, each serving a specific purpose in assessing the safety and effectiveness of new drugs. These phases overlap and build upon one another. Phase I involves a small group of healthy volunteers (typically 20-80 individuals) or, in cases where significant toxicity is expected, patients with the targeted disease, such as cancer or AIDS. The volunteers are tested for...
5.0K
Trial and Error and Algorithm
420
A problem-solving strategy is a plan of action used to find a solution. Different strategies have distinct action plans. Trial and error involves trying different solutions until one works. For instance, to fix a broken printer, you might check ink levels, ensure the paper tray isn't jammed, and verify the printer's connection to your laptop. This method can be time-consuming but is commonly used. Thomas Edison, for example, used trial and error to find a suitable filament for the light...
420


