Suppr超能文献

心力衰竭治疗依从性的出院指导与电话随访:随机临床试验

Discharge guidance and telephone follow-up in the therapeutic adherence of heart failure: randomized clinical trial.

作者信息

Oscalices Monica Isabelle Lopes, Okuno Meiry Fernanda Pinto, Lopes Maria Carolina Barbosa Teixeira, Campanharo Cassia Regina Vancini, Batista Ruth Ester Assayag

机构信息

Universidade Federal de São Paulo, Escola Paulista de Enfermagem, São Paulo, SP, Brasil.

Instituto Dante Pazzanese de Cardiologia, Pronto Socorro, São Paulo, SP, Brasil.

出版信息

Rev Lat Am Enfermagem. 2019 Aug 19;27:e3159. doi: 10.1590/1518-8345.2484.3159.

Abstract

OBJECTIVE

to evaluate the effectiveness of the behavioral intervention of discharge guidance and telephone follow-up in the therapeutic adherence, re-hospitalization and mortality of patients with heart failure.

METHOD

randomized clinical trial without blinding, including 201 patients diagnosed with heart failure admitted to the emergency room, who were randomized in Control Group and Intervention Group. Intervention was carried out with specific discharge guidance in the Intervention Group, who were contacted for solving doubts via phone calls after 7 and 30 days, and the adherence to treatment was evaluated after 90 days with the Morisky test, the Brief Medical Questionnaire and the non-drug adherence test in both groups. The Generalized Estimating Equations Model was used (p<0.05%).

RESULTS

One-hundred and one patients were randomly sorted in the Control Group and in the Intervention Group, their average age being 62.6±15.2. The Intervention Group had higher drug and non-drug therapeutic adherence compared to the Control Group (p<0.001) and there were lower re-hospitalization and death rates in the Intervention Group after 90 days.

CONCLUSION

discharge guidance with telephone follow-up was effective and resulted in greater therapeutic adherence, as well as in decrease of re-hospitalization and death rates in patients with heart failure. Clinical Trial Registration (REBEC): RBR- 37n859.

摘要

目的

评估出院指导及电话随访的行为干预对心力衰竭患者治疗依从性、再住院率及死亡率的效果。

方法

非盲随机临床试验,纳入201例因心力衰竭入住急诊室的患者,随机分为对照组和干预组。干预组实施特定的出院指导,并在7天和30天后通过电话联系以解决疑问,90天后使用Morisky测试、简明医学问卷和非药物依从性测试评估两组的治疗依从性。采用广义估计方程模型(p<0.05%)。

结果

101例患者被随机分到对照组和干预组,平均年龄为62.6±15.2岁。与对照组相比,干预组的药物和非药物治疗依从性更高(p<0.001),90天后干预组的再住院率和死亡率更低。

结论

出院指导结合电话随访有效,可提高治疗依从性,并降低心力衰竭患者的再住院率和死亡率。临床试验注册(REBEC):RBR-37n859。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c8e/6703101/0bdb46b785ef/0104-1169-rlae-27-e3159-gf01.jpg

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验