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对受心力衰竭影响的患者-伴侣二元组进行随机综合教育和心理社会干预后的长期随访。

Long Term Follow-Up after a Randomized Integrated Educational and Psychosocial Intervention in Patient-Partner Dyads Affected by Heart Failure.

作者信息

Liljeroos Maria, Ågren Susanna, Jaarsma Tiny, Årestedt Kristofer, Strömberg Anna

机构信息

Department of Medicine and Health Sciences, Linköping University, Linköping, Sweden; Centre for Clinical Research Sörmland, Uppsala University, Uppsala, Sweden.

Department of Medicine and Health Sciences, Linköping University, Linköping, Sweden; Department of Cardiothoracic Surgery, County Council of Östergötland, Linköping, Sweden.

出版信息

PLoS One. 2015 Sep 25;10(9):e0138058. doi: 10.1371/journal.pone.0138058. eCollection 2015.

Abstract

BACKGROUND

To date, contemporary heart failure care remains patient-focused, but awareness of the partners' and families' situation is increasing. Randomized studies have mainly evaluated the short-term effects of dyadic interventions. Therefore, the aim of this study was to determine the 24-month effects of an intervention with psych-educational support in dyads of heart failure patients and their partners.

METHODS

This study used a randomized study design and 155 patient-partner dyads were enrolled. The intervention included a nurse-led program of three sessions addressing psychoeducational support.

RESULTS

The intervention did not have any effect on health, depressive symptoms or perceived control among the patient-partner dyads after 24 months. Furthermore, time to first event did not differ significantly between the intervention group and the control patients.

CONCLUSION

This study may be regarded as a first step in trying to understand dyads' need for supportive care. Individualized and more targeted interventions seem necessary to achieve a higher impact on dyad outcomes.

TRIAL REGISTRATION

ClinicalTrials.gov NCT02398799.

摘要

背景

迄今为止,当代心力衰竭护理仍以患者为中心,但对伴侣和家庭状况的关注日益增加。随机研究主要评估了二元干预的短期效果。因此,本研究的目的是确定对心力衰竭患者及其伴侣进行心理教育支持干预的24个月效果。

方法

本研究采用随机研究设计,招募了155对患者-伴侣二元组。干预措施包括由护士主导的三次心理教育支持课程。

结果

24个月后,干预对患者-伴侣二元组的健康、抑郁症状或感知控制没有任何影响。此外,干预组和对照组患者首次发生事件的时间没有显著差异。

结论

本研究可被视为试图了解二元组对支持性护理需求的第一步。个体化和更有针对性的干预措施似乎是实现对二元组结果产生更大影响所必需的。

试验注册

ClinicalTrials.gov NCT02398799。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/75c1/4583392/67d17df438b2/pone.0138058.g001.jpg

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