...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>BMC Emergency Medicine >Patient education and follow-up as an intervention for hypertensive patients discharged from an emergency department: a randomized control trial study protocol
【24h】

Patient education and follow-up as an intervention for hypertensive patients discharged from an emergency department: a randomized control trial study protocol

机译：对急诊科出院的高血压患者进行患者教育和随访：一项随机对照试验研究方案

获取原文
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Persistently elevated blood pressure (BP) is a leading risk factor for cardiovascular disease development, making effective hypertension management an issue of considerable public health importance. Hypertension is particularly prominent among African Americans, who have higher disease prevalence and consistently lower BP control than Whites and Hispanics. Emergency departments (ED) have limited resources for chronic disease management, especially for under-served patients dependent upon the ED for primary care, and are not equipped to conduct follow-up. Kiosk-based patient education has been found to be effective in primary care settings, but little research has been done on the effectiveness of interactive patient education modules as ED enhanced discharge for an under-served urban minority population. Achieving Blood Pressure Control Through Enhanced Discharge (AchieveBP) is a behavioral RCT patient education intervention for patients with a history of hypertension who have uncontrolled BP at ED discharge. The project will recruit up to 200 eligible participants at the ED, primarily African-American, who will be asked to return to a nearby clinical research center for seven, thirty and ninety day visits, with a 180?day follow-up. Consenting participants will be randomized to either an attention-control or kiosk-based interactive patient education intervention. To control for potential medication effects, all participants will be prescribed similar, evidenced-based anti-hypertensive regimens and have their prescription filled onsite at the ED and during visits to the clinic. The primary target endpoint will be success in achieving BP control assessed at 180?days follow-up post-ED discharge. The secondary aim will be to assess the relationship between patient activation and self-care management. The AchieveBP trial will determine whether using interactive patient education delivered through health information technology as ED enhanced discharge with subsequent education sessions at a clinic is an effective strategy for achieving short-term patient management of BP. The project is innovative in that it uses the ED as an initial point of service for kiosk-based health education designed to increase BP self-management. It is anticipated findings from this translational research could also be used as a resource for patient education and follow-up with hypertensive patients in primary care settings. ClinicalTrials.gov Registration Number: NCT02069015 . Registered February 19, 2014.
机译：持续升高的血压（BP）是导致心血管疾病发展的主要危险因素，这使得有效的高血压管理成为对公共卫生非常重要的问题。与白人和西班牙裔美国人相比，高血压在非裔美国人中尤为突出，他们的疾病患病率更高，血压控制率始终较低。急诊科（ED）的慢性病管理资源有限，尤其是对于依靠ED进行初级保健的服务不足的患者，他们没有进行随访的能力。已发现在基层医疗机构中，以信息亭为基础的患者教育是有效的，但是由于ED增加了服务不足的城市少数民族人口的出院率，因此很少有关于交互式患者教育模块有效性的研究。通过增强放电来控制血压（AchieveBP）是针对患有高血压病史且在ED放电时血压不受控制的高血压患者的行为RCT患者教育干预措施。该项目将在ED中招募多达200名合格参与者，主要是非裔美国人，他们将被要求返回附近的临床研究中心进行7、30和90天的访问，并进行180天的随访。同意的参与者将被随机分配到注意力控制或基于信息亭的交互式患者教育干预措施。为了控制潜在的药物治疗效果，将为所有参与者开具相似的，循证的抗高血压方案，并在急诊室和就诊期间将其处方装满。主要目标终点是在ED出院后180天的随访中成功实现血压控制。次要目标是评估患者激活和自我护理管理之间的关系。 AchieveBP试验将确定通过健康信息技术提供的交互式患者教育作为ED提高出院率，并在诊所进行后续教育会议是否是实现BP患者短期管理的有效策略。该项目具有创新性，因为它使用ED作为基于信息亭的健康教育的初始服务点，旨在提高BP的自我管理能力。可以预期，这项转化研究的发现也可以用作患者教育和在初级保健机构中对高血压患者进行随访的资源。 ClinicalTrials.gov注册号：NCT02069015。 2014年2月19日注册。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号