Nephrocare: Multidisciplinary Care for Patients With Chronic Kidney Disease: an Increase of Patient Empowerment and Self-management by Using Interactive and Communication Tools and Nursing Interventions.
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 101
- 试验地点
- 2
- 主要终点
- lipid control
研究概览
简要总结
The purpose of this study is to investigate the communication and data sharing between the primary care physician and the nephrologist about patients with chronic kidney disease. Also therapeutic interventions that change behavior and telemonitoring of the blood pressure will be explored and compared to the usual care. The most important aim of this study is to improve the quality of care for the patient with chronic kidney disease in cooperation with the primary care physician and the nephrologist.
详细描述
Through questionnaires with primary care physicians, nephrologists from the University Hospitals of Leuven and patients with chronic kidney disease, the problems will be known.
After the exploration there will be an intervention with patients who meet the in- and exclusion criteria. Around 150-200 patients will be included with a 1:2 randomisation in the control and intervention group. The relevant clinical data and the factors of lifestyle will be questioned at the baseline.
The intervention group will receive individualized therapy by a nurse, for example to quit smoking, to eat healthier and to do more physical activities. This therapy is based on the most important risk factors and will be determined before the start of the therapy. Further on, these patients will also be motivated to take their blood pressure more frequently by using a telemonitoring system.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Predialysis, hemodialysis, peritoneal dialysis, transplantation
- •Included in the care program of chronic kidney diseases
- •Dutch-speaking
- •Signed and approved informed consent
排除标准
- •No Dutch-speaking
- •Impaired cognitive condition or medically unstable
研究组 & 干预措施
Intervention group
Lifestyle counseling of modifiable risk factors of chronic kidney disease: telemonitoring of blood pressure, counseling for smoking cessation, losing weight and increasing the physical activity.
干预措施: Lifestyle counseling (Behavioral)
Control group
Usual care.
结局指标
主要结局
lipid control
时间窗: one year
LDL in mmol/l
smoking cessation
时间窗: one year
percentage of smoking cessation.
blood pressure under control
时间窗: one year
percentage of patients with blood pressure within target limits
BMI change
时间窗: one year
BMI change in kg/m²
change in Estimated Glomerular Filtration Rate (eGFR)
时间窗: one year
Estimated Glomerular Filtration Rate (eGFR) in mL/min/1.73m²
次要结局
- Relevant clinical data: systolic and diastolic blood pressure(one year)
- Communication between primary care physicians and the nephrologists.(6 months)
研究者
Kathleen Claes
Prof. Dr.
Universitaire Ziekenhuizen KU Leuven