Establishment and empirical study of management model of liver transplantation recipients based on health system theory from upstream perspective

注册号:

Registration number:

ChiCTR2400094157 

最近更新日期:

Date of Last Refreshed on:

2024-12-17 17:08:04 

注册时间:

Date of Registration:

2024-12-17 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

上游视角下基于健康系统理论的肝移植受者管理模式构建与实证研究

Public title:

Establishment and empirical study of management model of liver transplantation recipients based on health system theory from upstream perspective

注册题目简写:

English Acronym:

研究课题的正式科学名称:

上游视角下基于健康系统理论的肝移植受者管理模式构建与实证研究

Scientific title:

Establishment and empirical study of management model of liver transplantation recipients based on health system theory from upstream perspective

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:

李思琴 

研究负责人:

吴孟航 

Applicant:

Siqin Li 

Study leader:

Menghang Wu 

申请注册联系人电话:

Applicant telephone:

+86 181 8007 2354

研究负责人电话:

Study leader's telephone:

+86 189 8060 2145

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:

1805398941@qq.com

研究负责人电子邮件:

Study leader's E-mail:

wumh1126@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:

成都市外南国学巷37号

研究负责人通讯地址:

成都市外南国学巷37号

Applicant address:

No. 37, Guoxue Road, South East of Sichuan, Chengdu

Study leader's address:

No. 37, Guoxue Road, South East of Sichuan, Chengdu

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:

四川大学华西医院

Applicant's institution:

West China Hospital,Sichuan University

研究负责人所在单位:

四川大学华西医院

Affiliation of the Leader:

West China Hospital,Sichuan University

是否获伦理委员会批准:

是/Yes

Approved by ethic committee:

Yes

伦理委员会批件文号:

Approved No. of ethic committee:

2024年审(223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:

四川大学华西医院生物伦理委员会

Name of the ethic committee:

Bioethics Committee of West China Hospital, Sichuan University

伦理委员会批准日期:

Date of approved by ethic committee:

2024-03-05 00:00:00

伦理委员会联系人:

彭淑贤

Contact Name of the ethic committee:

Peng Shuxian

伦理委员会联系地址:

成都市武侯区外南国学巷37号老八教412

Contact Address of the ethic committee:

No. 37, Guoxue Road, South East of Sichuan, Chengdu

伦理委员会联系人电话:

Contact phone of the ethic committee:

+86 28 8542 3237

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:

四川大学华西医院

Primary sponsor:

West China Hospital,Sichuan University

研究实施负责(组长)单位地址:

成都市外南国学巷37号

Primary sponsor's address:

No. 37, Guoxue Road, South East of Sichuan, Chengdu

试验主办单位(项目批准或申办者):

Secondary sponsor:

国家:

中国

省(直辖市):

四川

市(区县):

Country:

China

Province:

Sichuan

City:

单位(医院):

四川大学华西医院

具体地址:

成都市外南国学巷37号

Institution
hospital:

West China Hospital,Sichuan University

Address:

No. 37, Guoxue Road, South East of Sichuan, Chengdu

经费或物资来源:

国家自然科学基金

Source(s) of funding:

Natural Science Foundation of China

Target disease:

Liver transpuran

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:

单臂 

Study design:

Single arm 

研究目的:

(1)在Neuman系统理论和Lazarus压力与应对理论的指导下对肝移植患者健康管理现状进行定量与定性评估分析后,筛选可能影响健康管理过程的影响因素。 (2)在Neuman系统理论、Lazarus压力与应对理论以及上游思维的要素指导下,构建基于Neuman系统理论的肝移植患者全程健康管理理论框架。 (3)在量性与质性研究结果基础上并结合现有文献和理论框架的指导下,确定肝移植患者全阶段健康管理的要点和路径,构建“上游视角”下肝移植患者全程健康管理模式。 (4)根据纵向随访数据,评价“上游视角”下肝移植患者全程健康管理模式的应用效果,并对该模式进行进一步的完善和提高。  

Objectives of Study:

(1) under the guidance of Neuman system theory and Lazarus Stress and coping theory, we evaluated the status quo of health management of liver transplantation patients quantitatively and qualitatively, and then screened the influencing factors that might affect the health management process. (2) under the guidance of Neuman system theory, Lazarus Stress and coping theory and upstream thinking, the theoretical framework of whole course health management of liver transplantation patients based on Neuman system theory was constructed. (3) on the basis of quantitative and qualitative research results, and under the guidance of the existing literature and theoretical framework, to determine the key points and paths of the whole-stage health management of liver transplantation patients, to construct the whole course health management model of liver transplantation patients under"Upstream view". (4) according to the longitudinal follow-up data, to evaluate the effect of the whole course health management model of liver transplantation patients under the"Upstream view", and further improve the model

药物成份或治疗方案详述:

 

Description for medicine or protocol of treatment in detail:

 

纳入标准:

1、同意实施肝移植手术并签署手术知情同意书的患者;2、年龄>=18岁;3、无精神、语言障碍等方面的疾病;4、自愿参与本研究。

Inclusion criteria

1. Patients who agree to undergo liver transplantation and sign the informed consent form for surgery; 2. Age>=18 years old; 3. No mental and language disorders; 4. Voluntarily participate in this study.

排除标准:

1、预计短期内可能发生无法避免的死亡的肝移植患者;2、存在严重基础疾病或重要脏器存在严重病变未能进行手术的患者;3、自动出院的肝移植受者;5、接受过其他部位器官移植的肝移植受者。

Exclusion criteria:

1. Liver transplant patients who are expected to die unavoidably in the short term; 2. Patients with serious underlying diseases or serious lesions of important organs that fail to undergo surgery; 3. Liver transplant recipients who are automatically discharged; 5. Liver transplant recipients who have received organ transplantation from other sites.

研究实施时间:

Study execute time:

From 2024-12-30 00:00:00 To 2027-12-31 00:00:00  

征募观察对象时间:

Recruiting time:

From 2024-12-30 00:00:00 To 2026-12-31 00:00:00  

干预措施:

Interventions:

组别:

肝移植受试者组

样本量:

200

Group:

Liver transplant group

Sample size:

干预措施:

根据多学科团队制定的全程管理方案对所纳入肝移植患者进行应用

干预措施代码:

Intervention:

All the patients were treated according to the whole course management plan developed by the multidisciplinary team

Intervention code:

研究实施地点:

Countries of recruitment and research settings:

国家:

中国

省(直辖市):

四川 

市(区县):

 

Country:

China 

Province:

sichuan 

City:

 

单位(医院):

四川大学华西医院 

单位级别:

三级 

Institution
hospital:

West China Hospital,Sichuan University

Level of the institution:

Tertiary A

测量指标:

Outcomes:

指标中文名:

移植受者移植术生存率

指标类型:

主要指标

Outcome:

Survival rate of transplant recipients

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

生活质量

指标类型:

主要指标

Outcome:

Quality of life

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

ICU 住院时长

指标类型:

次要指标

Outcome:

Length of ICU stay

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

心理状态相关指标

指标类型:

次要指标

Outcome:

Indicators related to psychological state

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

生理功能相关指标

指标类型:

主要指标

Outcome:

Indicators related to physiological functions

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

总体住院时长

指标类型:

次要指标

Outcome:

length of stay

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

再入院率

指标类型:

次要指标

Outcome:

readmission rate

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

健康结局相关指标

指标类型:

附加指标

Outcome:

Health outcome-related indicators

Type:

Additional 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:

组织:

Sample Name:

none

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:

尚未开始

Not yet recruiting

年龄范围:

Participant age:

最小 Min age 18 years
最大 Max age 70 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:

是否共享原始数据:

IPD sharing

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):

None

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

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

Case Record Form

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:

 2024-12-17 17:07:59