Effects of Nurse-led Case Management Based on Multidisciplinary Collaboration in the Whole Course Prevention and Control of Acute Myocardial Infarction
试验速览
- 阶段
- 不适用
- 入组人数
- 148
- 试验地点
- 1
- 主要终点
- Coronary artery disease self-management scale for self-management behaviors
研究概览
简要总结
Acute Myocardial Infarction (AMI) is a major disease that endangers people's health China. At present, clinical emphasis is given to "treatment" rather than "prevention", and a large number of AMI patients are hospitalized repeatedly without systematic and standardized health management after acute stage, falling into a vicious circle of "treatment without recovery". Nurse-led case management based on multidisciplinary collaboration is a new mode of disease management. In 1994, the United States took the lead in applying case management to the acute and chronic care system, providing comprehensive care services and promoting comprehensive recovery through multidisciplinary collaboration led by case managers. At present, the case management model of cardiovascular disease in Europe and the United States has been mature, but it is still in the exploratory stage in China. Through the establishment and application of nurse-led AMI case management program based on multidisciplinary collaboration, this study wants to establish a novel, standardized, and easy to popularize AMI whole-course prevention and control mode, providing theoretical and research basis for AMI disease management.
详细描述
There are few domestic studies on cardiovascular disease case management in China, and the studies mainly aimed at the application of case management in out-of-hospital follow-up management. At present, there has been no reports on nurse-led the multidisciplinary whole course case management of AMI patients from admission to discharge, diagnosis and treatment, rehabilitation and secondary prevention. This study would apply case management to the whole course management of AMI patients from admission to 6 months after discharge. Pharmacists, nutritionists, rehabilitation specialists and psychiatrists coordinated by nurse would take the initiative to conduct individualized assessment and health guidance, and case managers would participate in the whole process of inpatient diagnosis and treatment. Coordinating multidisciplinary medical resources to jointly implement diagnosis and treatment and rehabilitation for patients can save medical costs and improve the quality of care.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 75 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •In line with the diagnosis of Chinese 2019 Guidelines for AMI. Age greater than or equal to 18 years old and less than or equal to 75 years old Patients have clear consciousness and agree to participate in this study.
排除标准
- •Verbal communication disorders. Patients have a clear history of allergic constitution, and have allergies or intolerance to the drugs recommended by the guidelines (including antiplatelet drugs, ẞ receptor blockers, statins, various antihypertensive and hypoglycemic drugs, etc.).
- •Patients have severe heart, brain, liver, kidney, motor dysfunction.
结局指标
主要结局
Coronary artery disease self-management scale for self-management behaviors
时间窗: from baseline to 6 months after discharge
Self-management behaviors
the number of deaths from cardiac causes
时间窗: Through study completion,within 6 months post discharge
Deaths from cardiac causes
The 36-item Short Form Health Survey for HRQoL
时间窗: from baseline to 6 months after discharge
Health-related quality of life
the numbers of unplanned readmission
时间窗: Through study completion, within 6 months post discharge
Unplanned readmission
次要结局
- Exercise time every week （min）(from baseline to 6 months after discharge)
- the numbers of no smoking(from baseline to 6 months after discharge)
- systolic and diastolic blood pressure （mmHg）(from baseline to 6 months after discharge)
- Glycated hemoglobin A1c （%）(from baseline to 6 months after discharge)
- Body mass index (BMI)，kg/m2(from baseline to 6 months after discharge)
- Low-density lipoprotein （mmol/L）(from baseline to 6 months after discharge)