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The impact of informal caregivers' preparedness on short-term outcomes of heart failure patients with insufficient self-care.
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- Author(s): Cheng, Ming; Zhu, Chenya; Ge, Yingying; Ke, Yufei; Shi, Yixing; Su, Yue; Ma, Tianyu; Chi, Meixuan; Wang, Naijuan; Lu, Bingqing; Hou, Yunying
- Source:
European Journal of Cardiovascular Nursing; Aug2023, Vol. 22 Issue 6, p628-637, 10p- Subject Terms:
CAREGIVERS; SCIENTIFIC observation; CONFIDENCE intervals; MANN Whitney U Test; REGRESSION analysis; TREATMENT effectiveness; DESCRIPTIVE statistics; STATISTICAL hypothesis testing; RESEARCH funding; ODDS ratio; STATISTICAL sampling; DATA analysis software; STATISTICAL models; HEART failure; HEALTH self-care; LONGITUDINAL method - Source:
- Additional Information
- Subject Terms:
- Abstract: Aims Even though self-care is essential in the long-term management of heart failure (HF), it is often not performed adequately in HF populations. Mobilizing informal caregivers may be one way to help patients perform self-care, support individual needs, and maintain health. However, informal caregivers often face insufficient preparation for providing long-term care. This insufficient caregiver preparedness may lead to a decline in caregiver contributions and affect the outcomes of care in patients with HF. This study aimed to explore whether informal caregivers' preparedness is a predictor that influences short-term outcomes of HF patients; to analyse whether caregiver contribution to self-care of HF (CC-SCHF) plays a mediating role between informal caregivers' preparedness and HF short-term outcomes. Methods and results A prospective observational study was conducted in China. After controlling for covariates, higher levels of informal caregivers' preparedness were significantly associated with lower 3-month mortality [odds ratio (OR) = 0.919, 95% confidence interval (CI) = (0.855–0.988), P = 0.022] and 3-month readmission rate [OR = 0.883, 95% CI = (0.811–0.961), P = 0.004] and shorter length of hospital stay (β = −0.071, P < 0.001). The informal caregiver's preparedness was positively associated with CC-SCHF maintenance (r = 0.708, P < 0.01), CC-SCHF management (r = 0.431, P < 0.01), and CC-SCHF confidence (r = 0.671, P < 0.01). The CC-SCHF management was a mediator in the relationship between informal caregivers' preparedness and 3-month readmission rate [effect 95% CI = (−0.054 to −0.001)] and length of hospital stay [effect 95% CI = (−0.235 to −0.042)]. Conclusion A higher level of informal caregivers' preparedness is associated with better short-term outcomes of HF patients with insufficient self-care. [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of European Journal of Cardiovascular Nursing is the property of Oxford University Press / USA and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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