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Development and Implementation of a Community Nurse-Led Registry-Guided Integrated Care Model for Totally Disabled Persons

Development and Implementation of a Community Nurse-Led Registry-Guided Integrated Care Model for Totally Disabled Persons

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
ChiCTR
Registry ID
ChiCTR2600122152
Enrollment
Unknown
Registered
2026-04-09
Start date
2026-05-30
Completion date
Unknown
Last updated
2026-04-14

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

total disability characterized by substantial loss of function due to any cause

Interventions

Collaborative Care Group:This collaborative care model can be summarized as the "135" Framework, with the overall workflow illustrated in Figure 5. 1 represents the core platf.
Control Group:Conventional nursing model

Sponsors

Shenzhen Dapeng New District Nanao People's Hospital
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: 1. Inclusion criteria for disabled individuals: (1) Evaluated by the Long Scale as having bed-bound functional impairment with a score between 4 to 9 (corresponding to a Barthel Index score =40 [35]); (2) The subject's condition is stable, and immediate family members agree to voluntarily participate in this study. 2. Inclusion criteria for caregivers: (1) Have a stable caregiving relationship with the disabled individual for more than one year; (2) Age =18 years; (3) Have an educational level of primary school or above; (4) Good moral and professional ethics and able to perform physical activities; (5) Participate in caregiver training throughout and pass the training assessment.

Exclusion criteria

Exclusion criteria: 1. Exclusion criteria for disabled individuals: (1) Disabled individuals with severe organ diseases or severe mental disorders; (2) Other situations where the participant cannot cooperate with researchers to complete the survey. 2. Exclusion criteria for caregivers: Caregivers who, for various reasons, do not cooperate with this study.

Design outcomes

Primary

MeasureTime frame
Pressure ulcer risk, BI index, incidence of complications;BI index;incidence of complications;degree of muscle atrophy in disabled individuals;

Countries

China

Contacts

Public ContactHan Biyuan

Shenzhen Dapeng New District Nanao People's Hospital

455787608@qq.com+86 755 8440 0313

Outcome results

None listed

Source: ChiCTR (via WHO ICTRP) · Data processed: Apr 17, 2026