护士主导的健康教练干预在重庆医院到家庭过渡护理中用于脑卒中幸存者及其家庭照顾者：一项随机对照试验的研究方案。
A nurse-led health coaching intervention for stroke survivors and their family caregivers in hospital to home transition care in Chongqing, China: a study protocol for a randomized controlled trial.
机构信息
College of Nursing and Health Sciences, Flinders University, GPO Box 2100, Adelaide, SA, 5001, Australia.
出版信息
Trials. 2020 Mar 4;21(1):240. doi: 10.1186/s13063-020-4156-z.
BACKGROUND
Hospital to home transition care is a most stressful period for stroke survivors and their caregivers to learn self-management of stroke-related health conditions and to engage in rehabilitation. Health coaching has been identified as a strategy to enhance self-management of poststroke care at home. However, interventions in this field that are informed by a health coaching framework are scarce. This study will address a gap in research by testing the hypothesis that a nurse-led health coaching intervention can improve health outcomes for stroke survivors and their family caregivers in hospital to home transition care.
METHODS
This is a single-blind, two-arm parallel randomized controlled trial of a nurse-led health coaching program versus routine care situated in two tertiary hospitals in Chongqing, China. Stroke survivors and their primary family caregivers will be recruited together as "participant dyads", and the estimated sample size is 140 (70 in each group). The intervention includes a 12-week nurse-led health coaching program in hospital to home transition care commencing at discharge from the hospital. The primary outcome is changes in self-efficacy of stroke survivors at 12 weeks from the baseline. The secondary outcomes are changes in stroke survivors' and quality of life, functional ability, stroke-related knowledge, the number of adverse events, and unplanned hospital admissions, and caregivers' self-efficacy and caregiver-related burden at 12 weeks from the baseline. The outcomes will be measured at 12 weeks and 24 weeks from the baseline.
DISCUSSION
This study will examine the effect of nurse-led health coaching on hospital to home transition care for stroke survivors and their caregivers. It is anticipated that findings from this trial will provide research evidence to inform policy, and resource and practice development to improve hospital to home transition care for stroke survivors and their caregivers.
TRIAL REGISTRATION
The Australian New Zealand Clinical Trials Registry (ANZCTR): ACTRN12619000321145. Registered on 1 March 2019.
背景
医院到家庭的过渡护理是中风幸存者及其照顾者学习自我管理与中风相关健康状况并参与康复的最具压力的时期。健康指导已被确定为增强家庭中风后护理自我管理的策略。然而，在这一领域，基于健康指导框架的干预措施却很少。本研究将通过测试以下假设来解决研究中的空白，即护士主导的健康指导干预可以改善中风幸存者及其家庭照顾者在医院到家庭过渡护理期间的健康结果：
方法
这是一项在中国重庆两家三级医院进行的、针对护士主导的健康指导方案与常规护理的单盲、两臂平行随机对照试验。中风幸存者及其主要家庭照顾者将作为“参与者对子”一起招募，预计样本量为 140 人（每组 70 人）。干预措施包括在出院时开始的 12 周医院到家庭过渡护理中的护士主导的健康指导计划。主要结果是从基线开始的 12 周内中风幸存者自我效能的变化。次要结果是中风幸存者和生活质量、功能能力、中风相关知识、不良事件数量和非计划性住院的变化，以及从基线开始的 12 周内照顾者自我效能和照顾者相关负担的变化。结果将在基线后 12 周和 24 周进行测量。
讨论
本研究将检验护士主导的健康指导对中风幸存者及其照顾者的医院到家庭过渡护理的效果。预计这项试验的结果将为政策、资源和实践发展提供研究证据，以改善中风幸存者及其照顾者的医院到家庭过渡护理。
试验注册
澳大利亚新西兰临床试验注册中心（ANZCTR）：ACTRN12619000321145。注册于 2019 年 3 月 1 日。
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