期刊
CHRONIC ILLNESS
卷 11, 期 1, 页码 21-32出版社
SAGE PUBLICATIONS LTD
DOI: 10.1177/1742395314532142
关键词
Family; heart failure; self-care; patient-provider communication; social support
类别
资金
- National Center for Research Resources [KL2RR025746, UL1RR025747]
- National Heart, Lung, and Blood Institute [K23HL107614]
- Midcareer Investigator Award in Patient-Oriented Research [K24 HL105493]
- National Cancer Institute [5K05CA129166]
- National Center for Advancing Translational Sciences (NCATS), National Institutes of Health [1UL1TR001111]
- NIH/HRSA [T32HP14001]
Objectives: To examine the association between frequency of family member accompaniment to medical visits and heart failure (HF) self-care maintenance and management and to determine whether associations are mediated through satisfaction with provider communication. Methods: Cross-sectional survey of 150 HF patients seen in outpatient clinics. HF self-care maintenance and management were assessed using the Self-Care of Heart Failure Index. Satisfaction with provider communication was assessed using a single question originally included in the American Board of Internal Medicine Patient Satisfaction Questionnaire. Frequency of family member accompaniment to visits was assessed using a single-item question. We performed regression analyses to examine associations between frequency of accompaniment and outcomes. Mediation analysis was conducted using MacKinnon's criteria. Results: Overall, 61% reported accompaniment by family members to some/most/every visit. Accompaniment to some/most/every visit was associated with higher self-care maintenance (beta = 6.4, SE 2.5; p = 0.01) and management (beta = 12.7, SE 4.9; p = 0.01) scores. Satisfaction with provider communication may mediate the association between greater frequency of accompaniment to visits and self-care maintenance (1.092; p = 0.06) and self-care management (1.428; p = 0.13). Discussion: Accompaniment to medical visits is associated with better HF self-care maintenance and management, and this effect may be mediated through satisfaction with provider communication.
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