Three or more comorbidities, including: coronary atherosclerotic heart disease, heart failure, stroke, peripheral artery disease, atrial fibrillation, and chronic renal failure.
Conditions
Interventions
Intervention group:Health priorities-aligned care
Sponsors
Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: 1.Age >= 18 years; 2.Seeking treatment at a health check-up center, cardiology, nephrology, or endocrinology department; 3.Diagnosed with CKM syndrome stage 4, which includes the presence of clinical cardiovascular diseases (e.g., coronary heart disease, heart failure, stroke, peripheral artery disease, atrial fibrillation, etc.), with or without kidney disease; 4.Voluntarily participating in the study and signing an informed consent form.
Exclusion criteria
Exclusion criteria: 1.Individuals with hearing and/or visual impairments; 2.Vulnerable groups, including individuals with mental illnesses, cognitive impairments, critically ill patients, pregnant women, illiterate individuals, etc.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The Patients AssessmentChronic nllness Care; | — |
Secondary
| Measure | Time frame |
|---|---|
| Patient Activation Measure;EuroQol Five-Dimension Five-Level scale; | — |
Countries
China
Contacts
Public ContactZhihong Ye
Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University
Outcome results
None listed