NCT02957253

Effects on Liver Cirrhotic Patients' by a Nurse-led Clinic

Effects on Liver Cirrhotic Patient's Health Related Quality of Life by a Nurse-led Clinic: A Multicenter Randomized Controlled Trial

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 167 (actual)
• Sponsor: Uppsala University · Academic / Other
• Sex: All
• Age: 18 Years – 85 Years
• Healthy volunteers: Not accepted

Summary

This study compare the effects of traditional follow-up by physician with a combined follow-up alternately by physician and nurse-led clinic. The main variable is; health related quality of Life. Participants are randomized into control group or intervention group.

Detailed description

The incidence of liver cirrhosis in Sweden increase mostly due to life style factors. A large need of care is common in the end stage of the disease. Nurse-led clinics for other groups of patients, e.g. coronary heart disease, have shown high quality which has resulted in an established part of the follow-up. This study is a randomized controlled study at six Swedish hospitals to study the effect of a changed follow-up process for liver cirrhotic patients by adding a nurse-led clinic to follow up by physician. The intervention implies a larger extend of nursing interventions at the outpatient clinic to increase the patient's quality of life, quality of care and reduce the need of inpatient care. A few hospitals in Sweden offers a nurse-led clinic for liver cirrhotic patients, the interest in other hospitals are raising. Though there is a lack of evidence in nursing intervention within this population and it is still unknown what the effects are for the individual or on the health economy.

Conditions

• Liver Cirrhosis

Interventions

Type	Name	Description
OTHER	risk factors	monitoring risk factors due to deterioration of the liver disease
OTHER	self-care	information and motivation to adherence to self-care instructions and medical treatment
OTHER	nutrition	nutritional assessment and activities to prevent malnutrition
OTHER	lifestyle	motivation of lifestyle changes essential for disease progress and
OTHER	psychosocial needs	psychosocial care.
OTHER	Nurse-led clinic	compensated disease once yearly, decompensated disease twice a month to every third month

Timeline

• Start date: 2016-11-17
• Primary completion: 2022-12-31
• Completion: 2022-12-31
• First posted: 2016-11-07
• Last updated: 2023-03-30

Locations

6 sites across 1 country: Sweden