Intimate Partner Adjustment After Sudden Cardiac Arrest

心脏骤停后亲密伴侣的调整

基本信息

批准号：
6919037
负责人：
CYNTHIA M DOUGHERTY
金额：
$ 7.58万
依托单位：
UNIVERSITY OF WASHINGTON
依托单位国家：
美国
项目类别：
财政年份：
2005
资助国家：
美国
起止时间：
2005-09-01 至 2007-08-31
项目状态：
已结题

项目摘要

DESCRIPTION (provided by applicant): The purpose of this study is to analyze existing data in order to: 1) describe patterns of change in key outcomes across time of intimate partners of sudden cardiac arrest (SCA) survivors after internal cardioverter defibrillator (ICD) implantation, where the survivor participated in the NINR funded study "Nursing Interventions Following Sudden Cardiac Arrest", 2) examine for the effects of caregiver background characteristics and caregiver demands on intimate partner health and the intimate relationship following SCA and ICD implantation, and 3) describe co-variation in outcomes between SCA survivor and intimate partner health. "Nursing Interventions Following Sudden Cardiac Arrest" was a randomized clinical trial of a nursing intervention that focused on the SCA survivor only, with recruitment and longitudinal data collection ending on 12/17/03. We were in a unique position to be in contact with the intimate partner of SCA survivors because the survivor participated in the clinical trial. We were not funded in "Nursing Interventions Following Sudden Cardiac Arrest" to collect data from, nor intervene with, intimate partners of SCA survivors. We were able to collect longitudinal descriptive data with intimate partners while the SCA survivor was participating in the trial using a small grant from intramural research funds at the University of Washington, School of Nursing. Funding is needed to complete the data analysis for intimate partners. This study uses a longitudinal repeated measures design to examine: 1) physical functioning (general health, demands of illness, return to work), 2) psychological adjustment (anxiety and depression), 3) health care utilization (ER and outpatient visits, hospitalizations), and 4) relationship impact (mutuality & interpersonal sensitivity, caregiver burden, dyadic adjustment) of the intimate partners, when the SCA survivor participated in the parent study. All data for this study has been collected with intimate partners at hospital discharge, and 1, 3, 6, and 12 months. We have complete data on 120 intimate partners. Analyses will compare SCA survivors and their intimate partners over 5 time points in the first 12 months after ICD implantation. This study supports the NINR research objectives to find effective approaches to achieving and sustaining good health encountered by patients, families, and caregivers. The data in this study will serve as the background needed to design intervention studies that focus on improving the health outcomes of caregivers, perhaps conveying important health benefits to the patient after an ICD.

描述（由申请人提供）：本研究的目的是分析现有数据，以便：1) 描述心脏骤停 (SCA) 幸存者的亲密伴侣在使用心律转复除颤器 (ICD) 后，关键结果随时间变化的模式植入，幸存者参加了 NINR 资助的研究“心脏骤停后的护理干预”，2) 检查照顾者背景特征和照顾者要求对亲密伴侣健康和SCA 和 ICD 植入后的亲密关系，3) 描述 SCA 幸存者和亲密伴侣健康之间结果的共同变化。 “心脏骤停后的护理干预”是一项护理干预的随机临床试验，仅针对 SCA 幸存者，招募和纵向数据收集于 2003 年 12 月 17 日结束。我们处于一个独特的位置，可以与 SCA 幸存者的亲密伴侣保持联系，因为幸存者参加了临床试验。我们没有获得“心脏骤停后护理干预”的资助来收集 SCA 幸存者亲密伴侣的数据，也没有对其进行干预。当 SCA 幸存者使用华盛顿大学护理学院校内研究基金的小额资助参与试验时，我们能够收集亲密伴侣的纵向描述性数据。需要资金来完成亲密伴侣的数据分析。本研究采用纵向重复测量设计来检查：1）身体功能（总体健康状况、疾病要求、重返工作岗位），2）心理调整（焦虑和抑郁），3）医疗保健利用（急诊室和门诊就诊、住院治疗）），以及 4）当 SCA 幸存者参加家长研究时，亲密伴侣的关系影响（相互性和人际敏感性、照顾者负担、二元调整）。本研究的所有数据均是在出院时以及出院后 1、3、6 和 12 个月时与亲密伴侣收集的。我们拥有120位亲密伴侣的完整数据。分析将比较 SCA 幸存者及其亲密伴侣在 ICD 植入后前 12 个月内 5 个时间点的情况。这项研究支持 NINR 的研究目标，即寻找有效的方法来实现和维持患者、家庭和护理人员的良好健康。本研究中的数据将作为设计干预研究所需的背景，这些研究的重点是改善护理人员的健康结果，或许可以为 ICD 后的患者带来重要的健康益处。