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- Publisher Website: 10.1111/jan.14164
- Scopus: eid_2-s2.0-85071305744
- PMID: 31350778
- WOS: WOS:000499755100050
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Article: A nurse-coordinated integrated care model to support decision-making and self-care in patients with atrial fibrillation: A study protocol
Title | A nurse-coordinated integrated care model to support decision-making and self-care in patients with atrial fibrillation: A study protocol 支持房颤患者决策和自我护理的护士协调综合护理模式:一项研究方案 |
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Authors | |
Keywords | model of care atrial fibrillation self-management self-care empowerment nursing patient participation |
Issue Date | 2019 |
Citation | Journal of Advanced Nursing, 2019, v. 75, n. 12, p. 3749-3757 How to Cite? |
Abstract | © 2019 John Wiley & Sons Ltd Aim: This study aims to evaluate the effects of a nurse-coordinated, empowerment-based integrated care model on self-care behaviours and psychosocial outcomes in patients with atrial fibrillation and to explore how this intervention affects patients’ self-care behaviours and quality of life. Design: This mixed-methods study comprises a randomized controlled trial and an exploratory qualitative study. Methods: A total of 392 community-dwelling patients aged ≥65 years with a confirmed diagnosis of atrial fibrillation, a high stroke risk and no oral anticoagulants treatment will be recruited from the medical outpatient clinics of a university-affiliated hospital. The patients will be randomly allocated to intervention or control groups, which will receive treatment via the nurse-coordinated integrated care model or standard care, respectively. We hypothesize that compared with patients receiving standard care, atrial fibrillation patients exposed to the nurse-coordinated care model will be more likely to achieve compatible patient and physician decisions regarding the use of oral anticoagulants, better changes in medication adherence, anxiety, depression and health-related quality of life after the intervention. A subsample of 30 participants in the intervention group will also participate in a qualitative interview to provide their views and perceptions about the intervention. The ethical approval has obtained on 5 July 2018. This study is supported by a grant from the Research Grants Council of the Hong Kong Special Administrative Region on 29 June 2018. Discussion: This study will uniquely adopt an empowerment-based approach to equip patients as active agents in atrial fibrillation management through a nurse-coordinated integrated care model that comprehensively addresses their needs. Impact: Patients with atrial fibrillation are currently receiving inadequate guideline-recommended care. This study will address this important evidence-practice gap by optimizing oral anticoagulant prescription and therapeutic effects and promotes effective patient self-care, so as to achieve worldwide reductions in atrial fibrillation-related morbidity, mortality, and healthcare burdens. Clinical Trial Registration: This study has been registered at ClinicalTrials.gov (NCT03924739). |
Persistent Identifier | http://hdl.handle.net/10722/280498 |
ISSN | 2023 Impact Factor: 3.8 2023 SCImago Journal Rankings: 1.218 |
ISI Accession Number ID |
DC Field | Value | Language |
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dc.contributor.author | Li, Polly W.C. | - |
dc.contributor.author | Yu, Doris S.F. | - |
dc.contributor.author | Yan, Bryan B.Y. | - |
dc.date.accessioned | 2020-02-17T14:34:10Z | - |
dc.date.available | 2020-02-17T14:34:10Z | - |
dc.date.issued | 2019 | - |
dc.identifier.citation | Journal of Advanced Nursing, 2019, v. 75, n. 12, p. 3749-3757 | - |
dc.identifier.issn | 0309-2402 | - |
dc.identifier.uri | http://hdl.handle.net/10722/280498 | - |
dc.description.abstract | © 2019 John Wiley & Sons Ltd Aim: This study aims to evaluate the effects of a nurse-coordinated, empowerment-based integrated care model on self-care behaviours and psychosocial outcomes in patients with atrial fibrillation and to explore how this intervention affects patients’ self-care behaviours and quality of life. Design: This mixed-methods study comprises a randomized controlled trial and an exploratory qualitative study. Methods: A total of 392 community-dwelling patients aged ≥65 years with a confirmed diagnosis of atrial fibrillation, a high stroke risk and no oral anticoagulants treatment will be recruited from the medical outpatient clinics of a university-affiliated hospital. The patients will be randomly allocated to intervention or control groups, which will receive treatment via the nurse-coordinated integrated care model or standard care, respectively. We hypothesize that compared with patients receiving standard care, atrial fibrillation patients exposed to the nurse-coordinated care model will be more likely to achieve compatible patient and physician decisions regarding the use of oral anticoagulants, better changes in medication adherence, anxiety, depression and health-related quality of life after the intervention. A subsample of 30 participants in the intervention group will also participate in a qualitative interview to provide their views and perceptions about the intervention. The ethical approval has obtained on 5 July 2018. This study is supported by a grant from the Research Grants Council of the Hong Kong Special Administrative Region on 29 June 2018. Discussion: This study will uniquely adopt an empowerment-based approach to equip patients as active agents in atrial fibrillation management through a nurse-coordinated integrated care model that comprehensively addresses their needs. Impact: Patients with atrial fibrillation are currently receiving inadequate guideline-recommended care. This study will address this important evidence-practice gap by optimizing oral anticoagulant prescription and therapeutic effects and promotes effective patient self-care, so as to achieve worldwide reductions in atrial fibrillation-related morbidity, mortality, and healthcare burdens. Clinical Trial Registration: This study has been registered at ClinicalTrials.gov (NCT03924739). | - |
dc.language | eng | - |
dc.relation.ispartof | Journal of Advanced Nursing | - |
dc.subject | model of care | - |
dc.subject | atrial fibrillation | - |
dc.subject | self-management | - |
dc.subject | self-care | - |
dc.subject | empowerment | - |
dc.subject | nursing | - |
dc.subject | patient participation | - |
dc.title | A nurse-coordinated integrated care model to support decision-making and self-care in patients with atrial fibrillation: A study protocol | - |
dc.title | 支持房颤患者决策和自我护理的护士协调综合护理模式:一项研究方案 | - |
dc.type | Article | - |
dc.description.nature | link_to_subscribed_fulltext | - |
dc.identifier.doi | 10.1111/jan.14164 | - |
dc.identifier.pmid | 31350778 | - |
dc.identifier.scopus | eid_2-s2.0-85071305744 | - |
dc.identifier.volume | 75 | - |
dc.identifier.issue | 12 | - |
dc.identifier.spage | 3749 | - |
dc.identifier.epage | 3757 | - |
dc.identifier.eissn | 1365-2648 | - |
dc.identifier.isi | WOS:000499755100050 | - |
dc.identifier.issnl | 0309-2402 | - |