心力衰竭伴低钠血症患者易损期容量状态精准画像平台构建及应用

注册号:

Registration number:

ChiCTR2400089084 

最近更新日期:

Date of Last Refreshed on:

2024-09-02 08:28:09 

注册时间:

Date of Registration:

2024-09-02 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

心力衰竭伴低钠血症患者易损期容量状态精准画像平台构建及应用

Public title:

Construction and application of accurate portrait platform for volume status in vulnerable stage of heart failure patients with hyponatremia

注册题目简写:

English Acronym:

研究课题的正式科学名称:

心力衰竭伴低钠血症患者易损期容量状态精准画像平台构建及应用

Scientific title:

Construction and application of accurate portrait platform for volume status in vulnerable stage of heart failure patients with hyponatremia

研究课题代号(代码):

Study subject ID:

ZHKY202321

在二级注册机构或其它机构的注册号:

The registration number of the Partner Registry or other register:

申请注册联系人:

陈华 

研究负责人:

熊晓云 

Applicant:

Chen hua  

Study leader:

Xiong xiaoyun 

申请注册联系人电话:

Applicant telephone:

+86 188 7253 5689

研究负责人电话:

Study leader's
telephone:

+86 138 7097 8710

申请注册联系人传真 :

Applicant Fax:

研究负责人传真:

Study leader's fax:

申请注册联系人电子邮件:

Applicant E-mail:

2545974494@qq.com

研究负责人电子邮件:

Study leader's E-mail:

xxy6692@163.com

申请单位网址(自愿提供):

Applicant website(voluntary supply):

研究负责人网址(自愿提供):

Study leader's website(voluntary supply):

申请注册联系人通讯地址:

江西省南昌市东湖区明德路1号

研究负责人通讯地址:

江西省南昌市东湖区明德路1号

Applicant address:

No.1, Mingde Road, Donghu District, Nanchang City, Jiangxi Province

Study leader's address:

No.1, Mingde Road, Donghu District, Nanchang City, Jiangxi Province

申请注册联系人邮政编码:

Applicant postcode:

33000

研究负责人邮政编码:

Study leader's postcode:

33000

申请人所在单位:

南昌大学

Applicant's institution:

Nanchang University

研究负责人所在单位:

南昌大学第二附属医院

Affiliation of the Leader:

The Second Affiliated Hospital of Nanchang University

是否获伦理委员会批准:

Approved by ethic committee:

Yes

伦理委员会批件文号:

Approved No. of ethic committee:

I-医研伦审[2024]第(13)号

伦理委员会批件附件:

Approved file of Ethical Committee:

查看附件View

批准本研究的伦理委员会名称:

南昌大学第二附属医院医学研究伦理委员会

Name of the ethic committee:

The Medical Research Ethics Committee of the Second Affiliated Hospital of Nanchang University

伦理委员会批准日期:

Date of approved by ethic committee:

2024-03-28 00:00:00

伦理委员会联系人:

徐丽

Contact Name of the ethic committee:

Xv li

伦理委员会联系地址:

江西省南昌市东湖区明德路1号

Contact Address of the ethic committee:

No.1, Mingde Road, Donghu District, Nanchang City, Jiangxi Province

伦理委员会联系人电话:

Contact phone of the ethic committee:

+86 791 8629 2695

伦理委员会联系人邮箱:

Contact email of the ethic committee:

efyiec_lit@163.com

研究实施负责(组长)单位:

南昌大学第二附属医院

Primary sponsor:

The Second Affiliated Hospital of Nanchang University

研究实施负责(组长)单位地址:

江西省南昌市东湖区明德路1号

Primary sponsor's address:

No.1, Mingde Road, Donghu District, Nanchang City, Jiangxi Province

试验主办单位(项目批准或申办者):

Secondary sponsor:

国家:

中国

省(直辖市):

江西

市(区县):

南昌

Country:

China

Province:

Jiangxi

City:

Nanchang

单位(医院):

南昌大学第二附属医院

具体地址:

江西省南昌市东湖区明德路1号

Institution
hospital:

The Second Affiliated Hospital of Nanchang University

Address:

No.1, Mingde Road, Donghu District, Nanchang City, Jiangxi Province

经费或物资来源:

中华护理学会2024年度科研课题项目

Source(s) of funding:

2024 scientific research project of Chinese Nursing Society

研究疾病:

心力衰竭  

Target disease:

Heart failure

研究疾病代码:

Target disease code:

研究类型:

干预性研究

Study type:

Interventional study

研究所处阶段:

探索性研究/预试验 

Study phase:

0

研究设计:

非随机对照试验 

Study design:

Non randomized control 

研究目的:

本研究旨在构建心力衰竭伴低钠血症患者易损期容量状态精准画像平台并应用,以期精准评估患者易损期容量状态,及时准确发现并提示患者容量问题,改善患者容量管理现状,降低再住院率和死亡率,节省医疗成本,为慢病数字健康护理提供借鉴。  

Objectives of Study:

The purpose of this study is to construct and apply an accurate portrait platform for the volume status of patients with heart failure and hyponatremia in the vulnerable stage.Accurately assess the capacity status of patients in the vulnerable period, timely and accurately detect and prompt patient capacity problems, and improve patient capacity management.It can reduce the rate of re-hospitalization and mortality, save medical costs, and provide reference for digital health care of chronic diseases.

药物成份或治疗方案详述:

 

Description for medicine or protocol of treatment in detail:

 

纳入标准:

Inclusion criteria

排除标准:

(1)难治性终末期心力衰竭; (2)心力衰竭合并其他系统严重疾病

Exclusion criteria:

(1) Refractory end-stage heart failure; (2) Heart failure combined with other systemic severe diseases

研究实施时间:

Study execute time:

From 2024-01-01 00:00:00 To 2025-12-31 00:00:00  

征募观察对象时间:

Recruiting time:

From 2024-09-02 00:00:00 To 2025-06-30 00:00:00

干预措施:

Interventions:

组别:

试验组

样本量:

108

Group:

Experimental group

Sample size:

干预措施:

基于心力衰竭伴低钠血症患者易损期容量状态精准画像平台

干预措施代码:

1

Intervention:

Accurate mapping platform based on volume status of patients with heart failure and hyponatremia at vulnerable stage

Intervention code:

组别:

对照组

样本量:

108

Group:

Control group

Sample size:

干预措施:

常规护理

干预措施代码:

2

Intervention:

Routine care

Intervention code:

研究实施地点:

Countries of recruitment and research settings:

国家:

中国

省(直辖市):

南昌 

市(区县):

 

Country:

China

Province:

Jiangxi

City:

单位(医院):

南昌大学第二附属医院 

单位级别:

三甲 

Institution
hospital:

The Second Affiliated Hospital of Nanchang University

Level of the institution:

Tertiary A

测量指标:

Outcomes:

指标中文名:

24小时尿钠

指标类型:

主要指标

Outcome:

24h urine sodium concentration

Type:

Primary indicator

测量时间点:

易损期内每个月门诊复查

测量方法:

易损期内每个月门诊复查

Measure time point of outcome:

1, 2, 3 months after discharge

Measure method:

Outpatient review every month during the vulnerable period

指标中文名:

易损期再入院率

指标类型:

主要指标

Outcome:

readmission rates in the vulnerable phase

Type:

Primary indicator

测量时间点:

易损期结束

测量方法:

查询电子病历及电话回访

Measure time point of outcome:

The vulnerable period is over

Measure method:

Query electronic medical records and telephone return visits

指标中文名:

体重管理能力

指标类型:

主要指标

Outcome:

weight management capacity

Type:

Primary indicator

测量时间点:

出院后1、2、 3 个月

测量方法:

收集两组患者入院时和3 个月的体重管理量表,评价试验组患者干预前后的容量管理效果。

Measure time point of outcome:

1, 2, 3 months after discharge

Measure method:

Weight management scales at admission and at 1,2 and 3 months were collected to evaluate the effect of volume management before and after intervention in the trial group.

指标中文名:

干体质量达标率

指标类型:

主要指标

Outcome:

Dry body quality reaches the standard rate

Type:

Primary indicator

测量时间点:

出院后 3 个月

测量方法:

干出院后 3 个月内,根据患者上传的健康乐 APP 居家容控日记, 判断患者是否存在液体潴留。干体质量达标率 = 试验组(对照组)干体质量达 标人数 /试验组(对照组)总人数*100%。

Measure time point of outcome:

3 months after hospital discharge

Measure method:

Within 3 months after discharge, according to the home volume control diary of the Health Music APP uploaded by the patient, Determine the presence of fluid retention. Dry body mass standard rate = dry body mass in the test group (control group) Number of participants / total number of test group (control group) * 100%.

指标中文名:

自我护理能力

指标类型:

主要指标

Outcome:

Self-care ability

Type:

Primary indicator

测量时间点:

出院后 3 个月

测量方法:

通过健康乐 APP 推送自我护理能力量表, 分析两组患者的自我护理评分差异。未填写量表的患者通过电话随访提醒患者填 写,对于依从性差的患者,通过电话随访了解患者自我护理能力现状,帮助其填 写问卷。

Measure time point of outcome:

3 months after hospital discharge

Measure method:

Push the self-care ability checklist through the health music APP, Differences in self-care scores between the two groups were analyzed. Patients who did not complete the scale were reminded to fill in by telephone follow-up Write, for patients with poor compliance, through telephone follow-up to understand the status of patients' self-care ability, help them fill in Write a questionnaire.

指标中文名:

生存质量

指标类型:

主要指标

Outcome:

Quality of life

Type:

Primary indicator

测量时间点:

出院后 3 个月

测量方法:

通过健康乐 APP 推送明尼苏达生命质量量表, 分析两组患者的生存质量评分差异。未填写量表的患者通过电话随访提醒患者填 写,对于依从性差的患者,通过电话随访了解患者生存质量,帮助其填写问卷。

Measure time point of outcome:

3 months after hospital discharge

Measure method:

Push the Minnesota Quality of Life Scale through the Health Music APP, Differences in QOL scores between the two groups were analyzed. Patients who did not complete the scale were reminded to fill in by telephone follow-up Write, for patients with poor compliance, through telephone follow-up to understand the quality of life and help them to fill out the questionnaire.

指标中文名:

健康乐 APP 平台患者使用情况

指标类型:

次要指标

Outcome:

Patient use of the Health Music APP platform

Type:

Secondary indicator

测量时间点:

出院后 3 个月

测量方法:

出院后 ,统计两组患者登录健康乐APP 端次数、上传健康数据个数及咨询互动频次。

Measure time point of outcome:

3 months after hospital discharge

Measure method:

Three months after discharge, the number of patients logging in to the health music APP, the number of health data uploaded and the frequency of consultation and interaction of the two groups were counted.

指标中文名:

左心室射血分数

指标类型:

主要指标

Outcome:

LVEF

Type:

Primary indicator

测量时间点:

出院后 3 个月

测量方法:

出院后1、2、3个月定期门诊复查

Measure time point of outcome:

3 months after hospital discharge

Measure method:

Regular outpatient review after discharge

指标中文名:

血钠浓度

指标类型:

主要指标

Outcome:

Blood sodium concentration

Type:

Primary indicator

测量时间点:

出院后 3 个月

测量方法:

出院后1、2、3个月定期门诊复查

Measure time point of outcome:

3 months after hospital discharge

Measure method:

Regular outpatient review after discharge

采集人体标本:

Collecting sample(s)
from participants:

标本中文名:

血液

组织:

Sample Name:

Blood

Tissue:

人体标本去向

使用后销毁  

说明

Fate of sample:

Destruction after use  

Note:

标本中文名:

24h尿液

组织:

Sample Name:

24h urine

Tissue:

人体标本去向

使用后销毁  

说明

Fate of sample:

Destruction after use  

Note:

征募研究对象情况:

Recruiting status:

正在进行

Recruiting

年龄范围:

Participant age:

最小 Min age 18 years
最大 Max age NA years

性别:

男女均可

Gender:

Both

随机方法(请说明由何人用什么方法产生随机序列):

Randomization Procedure (please state who generates the random number sequence and by what method):

No

是否公开试验完成后的统计结果:

Calculated Results after the Study Completed public access:

不公开/Private

盲法:

Blinding:

none

是否共享原始数据:

IPD sharing

否No

共享原始数据的方式(说明:请填入公开原始数据日期和方式,如采用网络平台,需填该网络平台名称和网址):

The way of sharing IPD”(include metadata and protocol, If use web-based public database, please provide the url):

no

数据采集和管理(说明:数据采集和管理由两部分组成,一为病例记录表(Case Record Form, CRF),二为电子采集和管理系统(Electronic Data Capture, EDC),如ResMan即为一种基于互联网的EDC:

Data collection and Management (A standard data collection and management system include a CRF and an electronic data capture:

no

数据与安全监察委员会:

Data and Safety Monitoring Committee:

暂未确定/Not yet

注册人:

Name of Registration:

 2024-09-02 08:28:05