A Cluster Randomised Controlled Trial of Nurse and General Practitioner partnership for care of COPD

护士和全科医生合作治疗慢性阻塞性肺病的整群随机对照试验

• 批准号: nhmrc : 400915
• 负责人: A/Pr Elizabeth Comino
• 金额: $ 29.96万
• 依托单位: The University of New South Wales
• 依托单位国家: 澳大利亚
• 项目类别: NHMRC Project Grants
• 财政年份: 2006
• 资助国家: 澳大利亚
• 起止时间: 2006-01-01 至 2008-12-31
• 项目状态: 已结题
• 来源: https://researchdata.edu.au/cluster-randomised-controlled-care-copd/83010
• 关键词: Cluster; Randomised; Controlled; Trial; Nurse

Chronic Obstructive Pulmonary Disease (COPD) is a chronic disease that can progress to severe disability and use of hospital services. It is an important cause of both death and disability in Australia. Specifically it is the third leading cause of disease burden after heart disease and stroke. Smoking is the most important cause of the disease and there is strong evidence that smoking cessation will largely prevent progression of COPD. National evidence based guidelines for management of COPD were published in 2003 but these need to be implemented in the community. General practice is well placed to have a key role in early intervention and evidence based management of COPD. There is evidence that specialised nurses working in collaboration with GPs can improve the care the chronic illnesses including COPD. Care Plans with input from health professionals from a range of disciplines have been recommended for COPD but there are barriers to implementing these in general practice. This project brings together nurse assistance and care planning in a model of care designed to deliver best practice management of COPD in the community. The aim of this research is to evaluate the impact of anurse and GP partnership for care of COPD. We will examine the effect on quality of care and health outcomes at 6 and 12 months follow up. Our hypothesis is that the use of a nurse to work as a team with the patient and GP to develop and implement a care plan based on clinical practice guidelines will improve the quality of care received and have a beneficial effect on the patients' respiratory and overall health. This research will be of major significance for improving COPD care in the community and will have far reaching implications for both policy and practice. It will also define a new role for nurses and GPs working in partnership.

慢性阻塞性肺疾病（COPD）是一种慢性疾病，可发展为严重残疾和使用医院服务。在澳大利亚，它是造成死亡和残疾的一个重要原因。具体来说，它是仅次于心脏病和中风的第三大疾病负担原因。吸烟是该疾病的最重要原因，有强有力的证据表明，戒烟将在很大程度上预防慢性阻塞性肺病的进展。2003年发布了国家COPD循证管理指南，但这些指南需要在社区中实施。一般实践在COPD的早期干预和循证管理中发挥着关键作用。有证据表明，与全科医生合作的专业护士可以改善对包括慢性阻塞性肺病在内的慢性疾病的护理。已经推荐了由来自不同学科的卫生专业人员提供意见的慢性阻塞性肺病护理计划，但在一般实践中实施这些计划存在障碍。该项目将护士协助和护理规划结合起来，形成一种护理模式，旨在为社区提供COPD的最佳实践管理。本研究的目的是评估护士和全科医生合作对慢性阻塞性肺病护理的影响。我们将在随访6个月和12个月时检查对护理质量和健康结果的影响。我们的假设是，使用护士与患者和全科医生合作，根据临床实践指南制定和实施护理计划，将提高所接受护理的质量，并对患者的呼吸和整体健康产生有益的影响。本研究将对改善社区慢性阻塞性肺病护理具有重要意义，并将对政策和实践产生深远的影响。它还将为护士和全科医生的合作定义一个新的角色。