荷兰养老院中心心力衰竭的患病率和管理：一项多中心横断面研究的设计。
The prevalence and management of heart failure in Dutch nursing homes; design of a multi-centre cross-sectional study.
机构信息
Department of Health Services Research, School for Public Health and Primary Care, Maastricht University, Maastricht, The Netherlands.
出版信息
BMC Geriatr. 2012 Jun 11;12:29. doi: 10.1186/1471-2318-12-29.
BACKGROUND
Heart failure is likely to be particularly prevalent in the nursing home population, but reliable data about the prevalence of heart failure in nursing homes are lacking. Therefore the aims of this study are to investigate (a) the prevalence and management of heart failure in nursing home residents and (b) the relation between heart failure and care dependency as well as heart failure and quality of life in nursing home residents.
METHODS/DESIGN: Nursing home residents in the southern part of the Netherlands, aged over 65 years and receiving long-term somatic or psychogeriatric care will be included in the study. A panel of two cardiologists and a geriatrician will diagnose heart failure based on data collected from actual clinical examinations (including history, physical examination, ECG, cardiac markers and echocardiography), patient records and questionnaires. Care dependency will be measured using the Care Dependency Scale. To measure the quality of life of the participating residents, the Qualidem will be used for psychogeriatric residents and the SF-12 and VAS for somatic residents.
CONCLUSION
The study will provide an insight into the actual prevalence and management of heart failure in nursing home residents as well as their quality of life and care dependency.
TRIAL REGISTRATION
Dutch trial register NTR2663.
背景
心力衰竭在养老院人群中可能尤为普遍，但有关养老院心力衰竭患病率的可靠数据却很缺乏。因此，本研究的目的是调查：(a)养老院居民中心力衰竭的患病率和管理情况；(b)心力衰竭与护理依赖的关系，以及心力衰竭与养老院居民生活质量的关系。
方法/设计：荷兰南部的养老院居民，年龄在 65 岁以上，接受长期躯体或精神老年护理，将被纳入研究。一个由两名心脏病专家和一名老年病专家组成的专家组将根据实际临床检查（包括病史、体格检查、心电图、心脏标志物和超声心动图）、患者记录和问卷调查中收集的数据来诊断心力衰竭。使用护理依赖量表来衡量护理依赖程度。为了衡量参与居民的生活质量，将使用 Qualidem 量表来评估精神科老年居民，使用 SF-12 和 VAS 量表来评估躯体老年居民。
结论
该研究将深入了解养老院居民心力衰竭的实际患病率和管理情况，以及他们的生活质量和护理依赖程度。
试验注册
荷兰试验注册 NTR2663。
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