基于医疗照护过渡期的连续性药学服务模式的实践研究

注册号:

Registration number:

ChiCTR2400086416 

最近更新日期:

Date of Last Refreshed on:

2025-07-04 17:35:25 

注册时间:

Date of Registration:

2024-07-01 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

基于医疗照护过渡期的连续性药学服务模式的实践研究

Public title:

A practical study of continuous pharmaceutical care model during care transitions

注册题目简写:

English Acronym:

研究课题的正式科学名称:

基于医疗照护过渡期的连续性药学服务模式的实践研究

Scientific title:

A practical study of continuous pharmaceutical care model during care transitions

研究课题代号(代码):

Study subject ID:

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:

高玲燕 

研究负责人:

刘桦 

Applicant:

Gao Lingyan 

Study leader:

Liu Hua 

申请注册联系人电话:

Applicant telephone:

+86 188 1053 2779

研究负责人电话:

Study leader's
telephone:

+86 138 1098 5170

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:

gaolingyansky@163.com

研究负责人电子邮件:

Study leader's E-mail:

zflhzflh@sina.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:

北京市海淀区玉泉路15号

研究负责人通讯地址:

北京市海淀区玉泉路15号

Applicant address:

15 Yuquan Road, Haidian District, Beijing, China

Study leader's address:

15 Yuquan Road, Haidian District, Beijing, China

申请注册联系人邮政编码:

Applicant postcode:

100049

研究负责人邮政编码:

Study leader's postcode:

100049

申请人所在单位:

航天中心医院

Applicant's institution:

Aerospace Center Hospital

研究负责人所在单位:

航天中心医院

Affiliation of the Leader:

Aerospace Center Hospital

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:

京航医伦审2024第(031)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:

航天中心医院医学伦理委员会

Name of the ethic committee:

Medical Ethics Committee of Aerospace Center Hospital

伦理委员会批准日期:

Date of approved by ethic committee:

2024-05-14 00:00:00

伦理委员会联系人:

丁明超

Contact Name of the ethic committee:

Ding Mingchao

伦理委员会联系地址:

北京市海淀区玉泉路15号

Contact Address of the ethic committee:

15 Yuquan Road, Haidian District, Beijing, China

伦理委员会联系人电话:

Contact phone of the ethic committee:

+86 10 5997 2383

伦理委员会联系人邮箱:

Contact email of the ethic committee:

研究实施负责(组长)单位:

航天中心医院

Primary sponsor:

Aerospace Center Hospital

研究实施负责(组长)单位地址:

北京市海淀区玉泉路15号

Primary sponsor's address:

15 Yuquan Road, Haidian District, Beijing, China

试验主办单位(项目批准或申办者):

Secondary sponsor:

国家:

中国

省(直辖市):

北京市

市(区县):

Country:

China

Province:

Beijing

City:

单位(医院):

国家卫生健康委医院管理研究所

具体地址:

北京市海淀区首体南路6号院3号楼

Institution
hospital:

Institute of Hospital Management, National Health and Wellness Commission

Address:

Building 3, No.6 Shouti South Road, Haidian District, Beijing, China

经费或物资来源:

国家卫生健康委医院管理研究所

Source(s) of funding:

Institute of Hospital Management, National Health and Wellness Commission

研究疾病:

冠状动脉粥样硬化性心脏病  

Target disease:

coronary atherosclerotic heart disease

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:

随机平行对照 

Study design:

Parallel 

研究目的:

1.探索构建“3+2+1”医疗照护过渡期的连续性药学服务模式; 2.探索基层药师慢病药学服务临床路径,为药学联合体的建立提供实践经验; 3.实现药学服务下沉,提升社区药师慢病管理能力。  

Objectives of Study:

1. Explore a "3+2+1" continuous pharmaceutical care model during care transitions. 2. Explore the clinical pathway of chronic disease pharmaceutical services provided by grassroots pharmacists, and provide practical experience for the establishment of pharmaceutical consortia. 3. Achieve the sinking of pharmaceutical services and enhance the chronic disease management capabilities of community pharmacists.

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合并严重肝、肾功能异常患者;②恶性肿瘤患者;③意识、精神和交流障碍者;④未能签署知情同意者。

Exclusion criteria:

1 Patients combined with severe hepatic and renal function abnormalities. 2 Patients with malignant tumors. 3 People with consciousness, mental and communication disorders. 4 People who failed to sign the informed content.

研究实施时间:

Study execute time:

From 2023-10-01 00:00:00 To 2024-11-30 00:00:00  

征募观察对象时间:

Recruiting time:

From 2024-07-05 00:00:00 To 2024-11-30 00:00:00

干预措施:

Interventions:

组别:

干预组

样本量:

30

Group:

intervention group

Sample size:

干预措施:

临床药师和社区药师为患者提供从入院到出院1个月的连续性药学服务

干预措施代码:

Intervention:

Clinical pharmacists and community pharmacists provide continuous pharmaceutical services to patients from admission to discharge for 1 month

Intervention code:

组别:

对照组

样本量:

30

Group:

usual group

Sample size:

干预措施:

常规药学服务

干预措施代码:

Intervention:

Routine service by pharmacists

Intervention code:

研究实施地点:

Countries of recruitment and research settings:

国家:

中国

省(直辖市):

北京 

市(区县):

 

Country:

China

Province:

Beijing

City:

单位(医院):

航天中心医院 

单位级别:

三级 

Institution
hospital:

Aerospace Center Hospital

Level of the institution:

Tertiary

测量指标:

Outcomes:

指标中文名:

药物相关问题数量(依据欧洲PCNE标准)

指标类型:

主要指标

Outcome:

Number of drug-related problems (based on Pharmaceutical Care Network Europe standards)

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

药学付费意愿

指标类型:

次要指标

Outcome:

Willingness to pay for pharmaceutical services

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

低密度脂蛋白胆固醇达标率

指标类型:

次要指标

Outcome:

Control rate of low-density lipoprotein cholesterol (LDL-C)

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

用药依从性评分好的比例(MARS-5用药依从性量表,≥23分则表示具有良好的药物依从性水平)

指标类型:

次要指标

Outcome:

Proportion of good medication adherence (MARS-5 medication adherence scale, with a score of >= 23 indicating a good level of medication adherence)

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

服务时间

指标类型:

次要指标

Outcome:

Service time

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

血压达标率

指标类型:

次要指标

Outcome:

Control rate of blood pressure (BP)

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

糖化血红蛋白达标率

指标类型:

次要指标

Outcome:

Control rate of glycated hemoglobin (HbA1c)

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

满意度评分

指标类型:

次要指标

Outcome:

Satisfaction score

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

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:

征募研究对象情况:

Recruiting status:

结束

/Completed

年龄范围:

Participant age:

最小 Min age 18 years
最大 Max age 80 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):

由非研究者采用Excel 2017软件生成包含60个数字的随机数字表,并将写有60个随机数字的纸条装入不透明信封,按照随机数字表的顺序在信封上标注序号。由研究者对符合纳入和排除标准的患者按住院顺序依次拆开信封,根据信封内的数字分为干预组(奇数)和对照组(偶数)

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

The non-researcher used Excel 2017 software to generate a random number table containing 60 numbers, and put a paper strip with 60 random numbers into an opaque envelope, and marked the serial number on the envelope in the order of the random number table. The investigator opened the envelopes for patients who met the inclusion and exclusion criteria in the order of hospitalization, and divided them into intervention group (odd number) and control group (even number) according to the number in the envelope.

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:

由非干预人员对患者进行出院后随访,保证结果测量人员不知晓分组情况。

Blinding:

The patients were followed up after discharge by non-interventionist personnel to ensure that the outcome measurement personnel were not aware of the grouping.

是否共享原始数据:

IPD sharing

是Yes

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):

2025-6-1,向研究者索取

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

June 1, 2025, Contact the investigator for request

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:

病例记录表(CRF)

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

Case Record Form, CRF

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:

 2024-07-01 14:58:15