Advanced Care Management in Patients With Advanced Heart Failure
试验速览
- 阶段
- 不适用
- 入组人数
- 227
- 试验地点
- 1
- 主要终点
- advanced care management
研究概览
简要总结
The purpose of this study is to explore the trajectory of advanced management care in patients with heart failure over a period of 9 months, then comparing the medical treatment accepted by patients after 2 years later and compliance with the preferences of patients and their families.
详细描述
this study is to observe the trajectory of the advanced care management on patients with advanced heart failure and follow the difference between the actual medical treatment accepted by patients on 2years later and the preference of the patient and their families.
the advance care management in this study is mean the patients who know about the preference of medical treatment, communication, and prognosis of illness. we also measure the sense of coherence, self-efficacy and their quality of life to compare their relationship of the advanced care management.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 20 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •diagnosed with AHA stage D, or NYHA class function 4, or LVEF<=30%.
- •has one or more than one symptoms such as dyspnea, lower legs edema, weakness.
- •ever admission to the hospital (include emergency room or the general room)
排除标准
- •with other end-stage diseases such cancer, dementia, COPD, ESRD...etc.
- •had other physical, cognitive, or psychological condition which may influence their answer.
结局指标
主要结局
advanced care management
时间窗: 3 months for each interval and 4 times on each patient (total 9 months on this study)
we use a modified questionnaire "assessment the medical needs and preference on terminal patients and their families (Tang, et al., 2004) by literature review and named "The prognosis and message status on patients with advanced Heart failure. the questionnaire include 3 parts: medical preference in their advanced status, communication between physician and patients and physician and their families ( the definition of families in this study is the major medical decision for the patients), and the knowledge of disease prognosis. The questionnaire include 17 items with continue and category variables. Before study we use expert validity from 5 experts who works in group at least 10 years. Each items is scored on a five-point Likert scale range from 0(not at all) to 4 (very appropriate to this study). The overall score was calculated as the average of all items and finally we got 3.67-points.
次要结局
未报告次要终点