scholarly journals Factors associated with caring behaviors of family caregivers for patients receiving home mechanical ventilation with tracheostomy: A cross-sectional study

PLoS ONE ◽  
2021 ◽  
Vol 16 (7) ◽  
pp. e0254987
Author(s):  
Hyang Sook Kim ◽  
Chung Eun Lee ◽  
Yong Sook Yang
Keyword(s):  
Mechanical Ventilation ◽  
Family Caregivers ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Home Mechanical Ventilation ◽  
Cross Sectional ◽  
Caring Behaviors ◽  
Factors Associated ◽  
Caring Behavior ◽  
Number Of Patients

Background The number of patients on home mechanical ventilation (HMV) worldwide has been steadily rising as medical technological advanced. To ensure the safety and quality care of the patients receiving HMV with tracheostomy, caring behavior of family caregivers is critical. However, studies on caring behavior of family caregivers and its associated factors were remained unexplored. This study aimed to describe the caring behaviors of family caregivers for patients receiving home mechanical ventilation with tracheostomy and to identify factors associated with their caring behaviors. Methods This was a cross-sectional study for 95 family caregivers for patients with invasive home mechanical ventilation in South Korea. Caring behaviors were assessed by the Caring Behavior Scale with 74 items with 5-point Likert scale. Data were analyzed using multiple regression analysis. Results Caring behaviors score of caregivers was 304.68±31.05 out of 370. They were significantly associated with knowledge on emergency care (β = 0.22, p = .011), number of required instruments for care (β = 0.21, p = .010), frequency of home visit care (β = 0.19, p = .017), experience of emergency situation for the last six months (β = 0.19, p = .009) and activities of daily living of patient (β = 0.27, p = .002). Conclusion Development of standardized multidisciplinary discharge education for improving the caring capacity of caregivers is required for successful and healthy application of home mechanical ventilation.

scholarly journals Factors associated with the burden of family caregivers of patients with mental disorders: a cross-sectional study

2017 ◽  
Vol 17 (1) ◽  
Author(s):  
Ana Lúcia Rezende Souza ◽  
Rafael Alves Guimarães ◽  
Daisy de Araújo Vilela ◽  
Renata Machado de Assis ◽  
Lizete Malagoni de Almeida Cavalcante Oliveira ◽  
...  
Keyword(s):  
Mental Disorders ◽  
Family Caregivers ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Factors Associated

Caregiver Burden and Compassion Fatigue Among Arab Family Caregivers of Older Relatives

2020 ◽  
pp. 073346482092010
Author(s):  
Rabia Khalaila
Keyword(s):  
Family Caregivers ◽  
Compassion Fatigue ◽  
Caregiver Burden ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Face To Face ◽  
Stress Scale ◽  
Factors Associated ◽  
Multiple Mediator Model

Objectives: To examine the associations and the mechanisms between caregiver burden and compassion fatigue among family caregivers. Method: A cross-sectional study comprising 300 family caregivers of older relatives in Arab communities in Israel was conducted. Data were collected via face-to-face interviews in Arabic using structured questionnaires to identify factors associated with compassion fatigue (using a secondary traumatization stress scale). Bootstrapping with resampling strategies tested the multiple mediator model. Main findings: The results show a significant total effect of caregiver burden on compassion fatigue ( b = 3.79, t(300) = 3.47, p < .001; R2 =.50). This association was found to be partially mediated by family support ( B = .81, 95% confidence interval [CI] = 0.23, 1.85) and disengagement coping ( B = .97, 95% CI = 0.19, 2.14), but was not mediated by engagement coping strategies. Conclusion: Compassion fatigue is prevalent among family caregivers and requires more attention from professionals and policymakers.

scholarly journals Management Outcome, Mortality and Factors Associated with Mortality Amongst Hospitalized Patients with Stroke. A Cross Sectional Study.

2020 ◽  
Author(s):  
Solomon Weldegebreal ◽  
Kiday Gidey ◽  
Kidu Gidey ◽  
Yirga Legesse Nirayo ◽  
Desilu Mahari Desta ◽  
...  
Keyword(s):  
Aspiration Pneumonia ◽  
Cross Sectional Study ◽  
P Value ◽  
Northern Ethiopia ◽  
Sectional Study ◽  
Cross Sectional ◽  
Time To Death ◽  
Factors Associated ◽  
Number Of Patients ◽  
Outcome Mortality

Abstract Background Outcomes, mortality due to stroke and factors related with mortality are not profoundly known in the northern Ethiopia. Hence, the main purpose of the study was to assess management outcome, mortality and factors associated with mortality amongst stroke patients.Methods A cross sectional study design was used to conduct the study. Patients medical chart were utilized to collect patient information. Patients medical registries who were diagnosed with stroke and treated in Ayder Comprehensive Specialized Hospital over the years were retrospectively seen. Sample size was estimated using single population formula. Medical charts have been assigned a number and patients were selected using systematic random sampling technique. The findings were analyzed using SPSS version 22. Using logistic regression analysis factors associated with mortality in hospital were identified. A P value less than 0.05 were deemed to be significant in all types of analyses.Results About 216 patients with the diagnosis of stroke were studied. Of the total patients studied, 126(58.3%) were females. From the total stroke patients analyzed, 102(47.2%) were discharged with improvement, 44(20.4%) left against medical advice, and 22(10.2%) patients discharged with no change. Moreover, about 48(22.2%) patients died in the hospital. The median time to death was 3 days ranging from 1 to 48 days and the average mean time to death was 6.2±8.7 days. One hundred thirty-six (62.9%) patients had affirmed to have at least one complication during their hospital stay. The total frequency of complication detected was 234 in number and aspiration pneumonia (n=92, 39.4%) was the frequently identified complication. Sever (3-8) record of Glasgow coma scale (GCS) at admission (Adjusted Odds Ratio=15.33, 95%CI:3.77-62.40, p=0.001) and being unconscious (AOR=2.61, 95%CI:1.06-6.40, p=0.037) during admission were positively associated with mortality.Conclusion Substantially higher number of patients died at the hospital. Majority of the patients admitted to the hospital developed complication, aspiration pneumonia being the most frequently affirmed complication during their stay in the wards. Patients with severe GCS and who were unconscious during admission were more likely to die at the hospital. Sketching out strategies to solve the problem will be conducive for the patients with stroke.

scholarly journals Factors associated with quality of life of adult patients with acute leukemia and their family caregivers in China: a cross-sectional study

2020 ◽  
Vol 18 (1) ◽  
Author(s):  
Chunfeng Wang ◽  
Jie Yan ◽  
Jingyi Chen ◽  
Ying Wang ◽  
Ying Chun Lin ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Acute Leukemia ◽  
Family Caregivers ◽  
Short Form ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Factors Associated ◽  
Sf 36

Abstract Background Acute leukemia (AL) not only impairs the quality of life (QOL) of patients, but also affects that of their family caregivers (FCs). Studies on QOL of AL patients and their FCs are limited. This study aimed to evaluate the QOL of AL patients and their FCs, and to explore the factors associated with QOL of patients and of FCs. Methods A multicenter cross-sectional study was conducted. The QOL of 196 patient–FC dyads was assessed. The Functional Assessment of Cancer Therapy-Leukemia (FACT-Leu) was used for patients, and the 36-item Short-Form Health Survey (SF-36) was used for FCs. Independent-samples t-tests or one-way analysis of variance were used to compare QOL subscale scores between groups with different sociodemographic/clinical characteristics. Multiple regression analysis was conducted to identify the factors associated with QOL of AL patients and their FCs. Results The total FACT-Leu score for AL patients was 76.80 ± 16.44, and the physical component summary (PCS) and mental component summary (MCS) scores for FCs were 64.67 ± 15.44 and 52.50 ± 13.49, respectively. All QOL subscales for patients (t = 12.96–34.73, p < 0.001) and FCs (t = 2.55–14.36, p < 0.05), except role emotional (t = − 0.01, p = 0.993), were lower than those reported in previous studies. Sex, employment, and chemotherapy were significantly associated with total FACT-Leu score in AL patients (p < 0.05). Age, sex, marital status, education, employment, and relationship to patients were significantly associated with SF-36 PCS or MCS (p < 0.05). Conclusions AL patients and their FCs both have lower QOL than the population in previous studies. These findings suggest that not only AL patients’ physical and mental health but also overall family QOL should be assessed. Interventions supporting patient–FC dyads should be developed to improve their QOL.

Etiologies, Clinical Manifestations, and Factors Associated with Severe Symptomatic Hyponatremia among Hospitalized Hyponatremia Patients

2020 ◽  
Vol 103 (5) ◽  
pp. 465-471
Keyword(s):  
Clinical Manifestations ◽  
Cross Sectional Study ◽  
Hospitalized Patients ◽  
Sectional Study ◽  
Close Attention ◽  
Cross Sectional ◽  
Factors Associated ◽  
Present Cross Sectional Study ◽  
Important Health ◽  
Baseline Characteristics

Background: Hyponatremia is associated with unfavorable outcomes in many cases. The mainstay of hyponatremia treatment depends on its symptoms and etiology. However, etiologies, clinical manifestations, and factors associated with severe symptomatic hyponatremia have been rarely reported. Objective: To analyze and report etiologies, clinical manifestations, and factors associated with severe symptomatic hyponatremia. Materials and Methods: In the present cross-sectional study, the authors enrolled hospitalized patients with hyponatremia who had consulted a nephrologist between October 1, 2017, and October 31, 2018. Their baseline characteristics and clinical manifestations were recorded. Etiologies were confirmed by the attending nephrology staff. Factors associated with severe symptomatic hyponatremia were evaluated using logistic regression analysis. Results: One hundred patients were included in this study. The syndrome of inappropriate antidiuresis (SIAD), hypovolemia, and hydrochlorothiazide use were the leading hyponatremia etiologies. Hyponatremia etiologies differed between patients with community-acquired hyponatremia (n=50) and those with hospital-associated hyponatremia (n=50). Patients with communityacquired hyponatremia were older, presented with a higher frequency of severe symptomatic hyponatremia, and showed lower SNa-levels. Low SNa-levels were significantly associated with severe symptomatic hyponatremia (p=0.014). Conclusion: Hyponatremia remains an important health problem. SIAD, hypovolemia, and hydrochlorothiazide use are among the leading etiologies of hyponatremia. Low SNa-levels are associated with severe symptomatic hyponatremia; thus, physicians should pay close attention to low SNa-levels in hospitalized patients. Keywords: Hyponatremia, Symptomatic Hyponatremia, Community-acquired hyponatremia, Hospital-associated hyponatremia

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