基于循证的心脏瓣膜病患者院内预康复方案的构建及初步应用

注册号:

Registration number:

ChiCTR2500114945 

最近更新日期:

Date of Last Refreshed on:

2025-12-19 11:18:03 

注册时间:

Date of Registration:

2025-12-19 00:00:00 

注册号状态:

补注册

Registration Status:

Retrospective registration

注册题目:

基于循证的心脏瓣膜病患者院内预康复方案的构建及初步应用

Public title:

Development and Preliminary Application of an Evidence-Based In-Hospital Prehabilitation Program for Patients with Valvular Heart Disease

注册题目简写:

English Acronym:

研究课题的正式科学名称:

基于循证的心脏瓣膜病患者院内预康复方案的构建及初步应用

Scientific title:

An Evidence-Based Prehabilitation Protocol for Hospitalized Patients with Valvular Heart Disease: Development and Pilot Study

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:

黄月鑫 

研究负责人:

廖秋英 

Applicant:

Huang Yuexin 

Study leader:

Liao Qiuying  

申请注册联系人电话:

Applicant telephone:

+86 15875288956

研究负责人电话:

Study leader's
telephone:

+86 20 38688660

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:

1162048474@qq.com

研究负责人电子邮件:

Study leader's E-mail:

18928903872@126.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:

中国广东省广州市天河区黄埔大道601号

研究负责人通讯地址:

中国广东省广州市天河区黄埔大道601号

Applicant address:

601 Huangpu Avenue, Tianhe District, Guangzhou, Guangdong, China

Study leader's address:

The First Affiliated Hospital, Jinan University, Guangzhou

申请注册联系人邮政编码:

Applicant postcode:

研究负责人邮政编码:

Study leader's postcode:

申请人所在单位:

暨南大学

Applicant's institution:

Jinan university

研究负责人所在单位:

暨南大学附属第一医院(广州华侨医院)

Affiliation of the Leader:

The First Affiliated Hospital, Jinan 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:

KY-2025-127

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:

暨南大学附属第一医院涉人的科学研究伦理审查委员会

Name of the ethic committee:

Scientific Research Ethics Committee of the First Affiliated Hospital of Jinan University

伦理委员会批准日期:

Date of approved by ethic committee:

2025-05-29 00:00:00

伦理委员会联系人:

黄瑶

Contact Name of the ethic committee:

Huang Yao

伦理委员会联系地址:

中国广东省广州市天河区黄埔大道601号

Contact Address of the ethic committee:

The First Affiliated Hospital, Jinan University, Guangzhou

伦理委员会联系人电话:

Contact phone of the ethic committee:

+86 20 38688077

伦理委员会联系人邮箱:

Contact email of the ethic committee:

1522479395@qq.com

研究实施负责(组长)单位:

暨南大学附属第一医院(广州华侨医院)

Primary sponsor:

The First Affiliated Hospital, Jinan University

研究实施负责(组长)单位地址:

中国广东省广州市天河区黄埔大道601号

Primary sponsor's address:

The First Affiliated Hospital, Jinan University, Guangzhou

试验主办单位(项目批准或申办者):

Secondary sponsor:

国家:

中国

省(直辖市):

广东

市(区县):

Country:

China

Province:

Guangdong

City:

单位(医院):

暨南大学附属第一医院(广州华侨医院)

具体地址:

中国广东省广州市天河区黄埔大道601号

Institution
hospital:

The First Affiliated Hospital, Jinan University

Address:

The First Affiliated Hospital, Jinan University, Guangzhou

经费或物资来源:

自选课题(自筹)

Source(s) of funding:

Self-funded

研究疾病:

心脏瓣膜病  

Target disease:

Valvular 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:

其它 

Study phase:

N/A

研究设计:

非随机对照试验 

Study design:

Non randomized control 

研究目的:

1. 提取心脏瓣膜病患者术前预康复的最佳证据综合。 2. 构建心脏瓣膜病患者院内预康复方案,为临床实践提供理论依据。 3. 开展类实验研究,评价院内预康复方案在心脏瓣膜病患者中的应用效果,为临床院内预康复的实施提供实践指导。  

Objectives of Study:

1. Synthesize the best available evidence for prehabilitation in patients undergoing cardiac valve surgery. 2. Develop an in-hospital prehabilitation program for these patients, thereby establishing a theoretical foundation for clinical practice. 3. Conduct a quasi-experimental study to evaluate the application effects of this in-hospital program, providing practical guidance for its clinical implementation.

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.心功能为Ⅳ级;
2.意识障碍及血流动力学不稳定者;
3.术前合并肿瘤、脑卒中、严重肺部疾病或有重大手术史;
4.患有骨骼或肌肉疾病,影响正常运动;

Exclusion criteria:

1.NYHA Functional Class IV;
2.Patients with impaired consciousness or hemodynamic instability;
3.Preoperative comorbidities including tumors, stroke, severe pulmonary diseases, or a history of major surgery;
4.Presence of skeletal or muscular disorders affecting normal movement;

研究实施时间:

Study execute time:

From 2024-12-01 00:00:00 To 2026-07-01 00:00:00  

征募观察对象时间:

Recruiting time:

From 2025-06-01 00:00:00 To 2026-07-01 00:00:00

干预措施:

Interventions:

组别:

对照组

样本量:

88

Group:

Control Group

Sample size:

干预措施:

常规围手术期术前护理

干预措施代码:

Intervention:

Standard preoperative care

Intervention code:

组别:

试验组

样本量:

88

Group:

Intervention Group

Sample size:

干预措施:

基于循证的院内预康复干预方案

干预措施代码:

Intervention:

An evidence-based protocol for in-hospital prehabilitation

Intervention code:

研究实施地点:

Countries of recruitment and research settings:

国家:

中国

省(直辖市):

广东 

市(区县):

 

Country:

China

Province:

Guangdong

City:

单位(医院):

暨南大学附属第一医院(广州华侨医院) 

单位级别:

三级甲等 

Institution
hospital:

The First Affiliated Hospital, Jinan University

Level of the institution:

Tertiary A

测量指标:

Outcomes:

指标中文名:

六分钟步行距离

指标类型:

主要指标

Outcome:

Six-Minute Walk Test

Type:

Primary indicator

测量时间点:

入院时、术前1天、出院前1天、出院后30天

测量方法:

六分钟步行实验法

Measure time point of outcome:

At admission, the day before surgery, the day before discharge, and 30 days after discharge

Measure method:

Six-Minute Walk Test

指标中文名:

生活质量调查 12 条简表第 2 版

指标类型:

次要指标

Outcome:

12-Item Short Form Health Survey Version 2 (SF-12v2)

Type:

Secondary indicator

测量时间点:

入院时、出院后30天

测量方法:

进行量表的填写

Measure time point of outcome:

At admission and 30 days after discharge

Measure method:

Complete the scale

指标中文名:

预康复效果评估(手术时长、术中出血情况、术后离床活动时间、术后呼吸机使用时间、术后并发症发生情况、术后是否二次使用呼吸机、白蛋白、总蛋白、LVEF、LVEDD)

指标类型:

次要指标

Outcome:

Prehabilitation Effect Evaluation (surgical duration, intraoperative blood loss, time to ambulation postoperatively, duration of postoperative mechanical ventilation, incidence of postoperative complications, need for re-intubation with mechanical ventilation, albumin, total protein, LVEF, LVEDD)

Type:

Secondary indicator

测量时间点:

入院时、出院前1天、出院后30天

测量方法:

病历数据提取法

Measure time point of outcome:

At admission, the day before discharge, and 30 days after discharge

Measure method:

Medical chart review

指标中文名:

医院焦虑抑郁量表

指标类型:

次要指标

Outcome:

Hospital Anxiety and Depression Scale

Type:

Secondary indicator

测量时间点:

入院时、术前1天、出院前1天、出院后30天

测量方法:

进行量表的填写

Measure time point of outcome:

At admission, the day before surgery, the day before discharge, and 30 days after discharge

Measure method:

Complete the scale

指标中文名:

术后恢复质量量表

指标类型:

次要指标

Outcome:

Postoperative Recovery Quality Scale (QoR-9)

Type:

Secondary indicator

测量时间点:

术后连续3天

测量方法:

进行量表的填写

Measure time point of outcome:

Postoperative days 1 through 3

Measure method:

Complete the scale

采集人体标本:

Collecting sample(s)
from participants:

标本中文名:

组织:

Sample Name:

NA

Tissue:

人体标本去向

其它  

说明

Fate of sample:

0thers  

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 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):

None

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

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):

研究结束后6个月内上传原始数据至国家生物信息中心

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

Upload the raw data to the National Center for Bioinformation within 6 months after the completion of the research.

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:

不适用

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

Not applicable

数据与安全监察委员会:

Data and Safety Monitoring Committee:

无/No

注册人:

Name of Registration:

 2025-12-19 11:18:03