Telenursing in Coronary Artery Disease: Randomized Clinical Trial and Patient Collaboration
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 150
- 试验地点
- 2
- 主要终点
- CADE-Q SV score
研究概览
简要总结
The aim of this research is to determine whether follow-up through telehealth consultations can enhance adherence to medication and increase knowledge about heart disease in patients with coronary artery disease (CAD) who have undergone coronary angioplasty. It can include individuals of any sex or gender, aged over 18, and with access to communication devices such as a cell phone, tablet, or internet-enabled computer. The main questions to be answered are:
- Does follow-up of patients with CAD through telenursing consultations improve adherence to the proposed treatment?
- Does the follow-up of patients with CAD, through telenursing consultations, improve knowledge about heart disease? The researchers will compare these patients with others who will be followed up as usual at the hospital to determine which group shows better adherence to drug treatment and greater knowledge about heart disease. The participants will have telenursing consultations at three intervals: one, three, and five months after the initial consultation. After six months from the first interview, both groups will be assessed. They will also be invited to participate in an activity to share their experiences and identify research priorities in the field, with the option to collaborate on future research.
详细描述
In the face of the global digital transformation, the leadership role of nurses is essential for developing digital health skills and implementing innovative strategies. In the context of coronary artery disease (CAD), telenursing has emerged as a crucial care strategy for monitoring patients, managing risk factors, promoting self-care, and enhancing quality of life.
The researchers will examine the prevalence of comorbidities and risk factors for cardiovascular disease (CVD) in the two study groups. They will also compare adherence to the proposed treatment and knowledge about CAD. Finally, they will draw up a protocol for telenursing consultations for patients with CAD undergoing coronary angioplasty. This protocol will be used at the institution.
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
- Double (Participant, Care Provider)
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
- •Patients undergoing coronary angioplasty who have access to communication devices (mobile phone, tablet or computer with internet access).
排除标准
- •Patients with serious comorbidities that prevent remote monitoring, those without access to the necessary technology for remote nursing, and those with a diagnosis that prevents communication.
结局指标
主要结局
CADE-Q SV score
时间窗: From the first appointment after coronary angioplasty until six months afterwards.
The knowledge score regarding coronary artery disease (CAD) will be calculated using the Coronary Artery Disease Education Questionnaire Short Version (CADE-Q SV). This consists of 20 questions divided into five categories: clinical condition, risk factors, exercise, nutrition, and psychosocial risk. One point is awarded for each correct answer, with a maximum score of 20 points. The questionnaire aims to identify areas of low knowledge.
MTA score
时间窗: From the first appointment after coronary angioplasty until six months afterwards.
Adherence to the proposed treatment will be calculated using the Measure of Treatment Adherence (MTA) instrument. This consists of seven questions, with answers obtained using a six-point Likert scale. Adherence to treatment is determined by adding the values of each answer and dividing by the total number of items. Patients with an arithmetic mean score between one and four are considered non-adherent. Those with a score between five and six are considered adherent.
次要结局
- Blood pressure(At the first consultation after coronary angioplasty, and six months later.)
- Heart rate(At the first consultation after coronary angioplasty, and six months later)
- Respiratory rate(At the first consultation after coronary angioplasty, and six months later)
- Temperature(At the first consultation after coronary angioplasty, and six months later)
- Capillary blood glucose(At the first consultation after coronary angioplasty, and six months later)
- Weight(At the first consultation after coronary angioplasty, and six months later)
- Height(At the first consultation after coronary angioplasty, and six months later)
- Body Mass Index(At the first consultation after coronary angioplasty, and six months later)
- Waist(At the first consultation after coronary angioplasty, and six months later)
- Hip(At the first consultation after coronary angioplasty, and six months later)
- Waist-to-Hip Ratio(At the first consultation after coronary angioplasty, and six months later)
研究者
Fernanda Maria Alves Lima
Collaborating professor
UPECLIN HC FM Botucatu Unesp