ChiCTR-IOR-17011258已完成不适用
社康護士主導之離院後延續家居護理計劃對改善患有慢性疾病的長者健康質素及醫療使用之成效
Princess Margaret Hospital Clinical Research Center Mini Research Grant1 个研究点 分布在 1 个国家目标入组 142 人开始时间: 1990年1月1日最近更新:
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 142
- 试验地点
- 1
- 主要终点
- the number of hospitalization, emergency room visits and length of hospital stay
研究概览
简要总结
社康護士主導之離院後延續家居護理計劃對改善患有慢性疾病的長者健康質素及醫療使用之成效
研究设计
- 研究类型
- 干预性研究
- 主要目的
- 随机平行对照
入排标准
- 年龄范围
- 65 至 —（—）
- 性别
- All
入选标准
- •Aged 65 or older; 2) with current hospitalization through A&E or at risk of frequent hospital readmissions as indicated by Hospital Admission Risk Reduction Program for the Elderly score equal or greater that 0.2
- •have been diagnosis with one or more chronic Obstruction Pulmonary Disease, Diabetes Mellitus, Hypertension, Congestive Heart Failure
- •Chinese and able to communicate with Cantonese
- •cognitively intact as indicated by Abbreviated Mental Test score ( Hong Kong version) of 6 or more out of 10
- •living within the hospital service area and discharge to home
- •willing to accept community nursing service
排除标准
- •Paticipants who are discharged to institutionalized care or followed by a designated disease -specific management program
- •being under care by Hospital Authority Integrated Care Model Program, Virtual Ward Program or non-governmental organization enhanced home care program, will be excluded
研究组 & 干预措施
Two groups
the community nurse will conduct patient pre-discharge comprehensive assessments within 48 hours after admission versus community nursing service as usual with 8 times home visits and without structural home care protocol interventions, 8 times home visits within 8 weeks
结局指标
主要结局
the number of hospitalization, emergency room visits and length of hospital stay
时间窗: T0 ( at discharge), T1 ( 4 weeks after discharge), T2 ( 8 weeks after discharge and when the program is completed), T3 ( 12 weeks after discharge)
次要结局
- psychological status by using the Hospital Anxiety and Depression Scale, quality of life(T0( at discharge), T2 ( 8 weeks after discharge and when the program completed))
研究者
研究点 (1)
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