Effectiveness and Safety of the Nursing Prescription in Acute Health Problems of Low Complexity. Randomized Clinical Trial
试验速览
- 阶段
- 不适用
- 发起方
- 入组人数
- 374
- 主要终点
- no re-attendance during the following 72 hours
研究概览
简要总结
Objective: To compare the efficacy/effectiveness of pharmacological nurse prescription with medical prescription in patients attended in a primary care center for minor acute health problems.
Scope of the study: Multicenter study, with the participation of 8 primary care centers of Catalonia.
Methodology: Randomized blind clinical trial, with experimental group receiving pharmacological nurse prescription and a control group receiving medical prescription. Subjects are individuals who request a same day consultation for minor acute pathologies and meet the selection criteria, with random assignment of 374 subjects, 187 per group.
The efficacy/effectiveness of the prescribed treatment will be considered as a no re-attendance during the following 72h and will be completed with the variables: information and knowledge of the treatment, adverse effects, compliance, satisfaction level and resolution of the health problem. The data collection is done 10 days after the visit by an ad-hoc telephone questionnaire of 11 items, previously tested. The analysis is done using the SPSS software version 21.0, obtaining data of descriptive, multivariate and inferential statistics.
Implications for practice: To evidence the equivalence of pharmacological nurse prescription with medical prescription for minor acute health problems
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Contusion
- •Diarrhea / vomit
- •Fever without focality
- •Urinary distress
- •Odinophagy
- •Toothache
- •Skin Bite
- •Upper respiratory symptoms
- •Ankle twist
排除标准
- •Language barrier
- •Cognitive deterioration
- •Sensory deficit
- •Pregnancy
- •Immunosuppression
- •Neoplasia in the last 5 years
- •Does not participate / Does not sign consent
- •Breastfeeding period
- •Reconsult
- •Resides outside of Spain
- •Treatment with glucocorticoids in the last 6 months
研究组 & 干预措施
nurse prescription
experimental group receiving pharmacological nurse prescription
干预措施: Nurse prescription (Behavioral)
medical prescription
control group receiving medical prescription
干预措施: Medical prescription (Behavioral)
结局指标
主要结局
no re-attendance during the following 72 hours
时间窗: During next 72 hours
Options: Yes / No
次要结局
- satisfaction level(after 10 days)
- compliance(after 10 days)
- resolution of the health problem(after 10 days)
- Level of information and knowledge of the treatment(after 10 days)
- adverse effects(after 10 days)