• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>BMC Family Practice >The TrueBlue study: Is practice nurse-led collaborative care effective in the management of depression for patients with heart disease or diabetes?
【24h】

The TrueBlue study: Is practice nurse-led collaborative care effective in the management of depression for patients with heart disease or diabetes?

机译：TrueBlue研究：以护士为主导的协作护理对心脏病或糖尿病患者的抑郁症有效吗？

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

摘要

Background In the presence of type 2 diabetes (T2DM) or coronary heart disease (CHD), depression is under diagnosed and under treated despite being associated with worse clinical outcomes. Our earlier pilot study demonstrated that it was feasible, acceptable and affordable for practice nurses to extend their role to include screening for and monitoring of depression alongside biological and lifestyle risk factors. The current study will compare the clinical outcomes of our model of practice nurse-led collaborative care with usual care for patients with depression and T2DM or CHD. Methods This is a cluster-randomised intervention trial. Eighteen general practices from regional and metropolitan areas agreed to join this study, and were allocated randomly to an intervention or control group. We aim to recruit 50 patients with co-morbid depression and diabetes or heart disease from each of these practices. In the intervention group, practice nurses (PNs) will be trained for their enhanced roles in this nurse-led collaborative care study. Patients will be invited to attend a practice nurse consultation every 3 months prior to seeing their usual general practitioner. The PN will assess psychological, physiological and lifestyle parameters then work with the patient to set management goals. The outcome of this assessment will form the basis of a GP Management Plan document. In the control group, the patients will continue to receive their usual care for the first six months of the study before the PNs undergo the training and switch to the intervention protocol. The primary clinical outcome will be a reduction in the depression score. The study will also measure the impact on physiological measures, quality of life and on patient attitude to health care delivered by practice nurses. Conclusion The strength of this programme is that it provides a sustainable model of chronic disease management with monitoring and self-management assistance for physiological, lifestyle and psychological risk factors for high-risk patients with co-morbid depression, diabetes or heart disease. The study will demonstrate whether nurse-led collaborative care achieves better outcomes than usual care.
机译：背景技术在存在2型糖尿病（T2DM）或冠心病（CHD）的情况下，尽管与较差的临床结果相关，但抑郁症的诊断和治疗仍不足。我们较早的先导研究表明，对于执业护士而言，将其作用扩展到包括筛查和监测抑郁症以及生物学和生活方式风险因素，是可行，可接受且负担得起的。本研究将比较我们的实践模式，由护士主导的合作医疗与抑郁症和T2DM或CHD患者的常规护理的临床结果。方法这是一项集群随机干预试验。来自区域和大都市地区的18种常规做法同意参加这项研究，并随机分配给干预组或对照组。我们的目标是从上述每种做法中招募50名患有合并症的抑郁症，糖尿病或心脏病的患者。在干预组中，将对执业护士（PNs）在此护士主导的协作式护理研究中的作用进行培训。将邀请患者每3个月参加一次执业护士咨询，然后再去看普通的全科医生。 PN将评估心理，生理和生活方式参数，然后与患者一起制定管理目标。评估结果将构成GP管理计划文件的基础。在对照组中，患者将在研究的前六个月中继续接受常规护理，然后再接受PN的培训并转向干预方案。主要的临床结果将是抑郁评分的降低。该研究还将衡量对执业护士提供的生理指标，生活质量以及患者对医疗保健态度的影响。结论该计划的优势在于，它为慢性病管理，可持续管理的模型提供了监测和自我管理的辅助功能，可针对患有合并症，糖尿病或心脏病的高危患者提供生理，生活方式和心理风险因素。该研究将证明护士主导的合作医疗是否比常规医疗取得更好的结果。

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