Family member accompaniment to routine medical visits is associated with better self-care in heart failure patients.
Family member accompaniment to routine medical visits is associated with better self-care in heart failure patients.
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DOI：
10.1177/1742395314532142
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发表时间：
2015-03
期刊：
影响因子：
1.3
通讯作者：
Corbie-Smith G
中科院分区：
文献类型：
--
作者：
Cené CW;Haymore LB;Lin FC;Laux J;Jones CD;Wu JR;DeWalt D;Pignone M;Corbie-Smith G
研究家庭成员陪同就诊的频率与心力衰竭(HF)自我护理维护和管理之间的联系，并确定这种联系是否通过对提供者沟通的满意度来调节。门诊150例心衰患者的横断面调查。用心力衰竭自理指数评价心力衰竭患者的心力衰竭自理维持和管理。使用最初包括在美国内科委员会患者满意度问卷中的一个问题来评估提供者沟通的满意度。家庭成员陪同探视的频率使用单项问题进行评估。我们进行了回归分析，以检验伴奏频率和结果之间的关系。采用麦金农的标准进行调解分析。总体而言，61%的人报告在一些/大多数/每次探视时都有家人陪同。伴随部分/多数/每次就诊与较高的自理维持(β=6.4，SE2.5；p=0.0 1)和管理(β=12.7，SE 4.9；p=0.0 1)得分相关。对服务提供者沟通的满意度可能会在陪伴就诊频率较高和自我照顾维持(1.092；p=0.06)与自我照顾管理(1.428；p=0.13)之间起中介作用。伴随就诊与更好的心衰自我护理维护和管理相关，这一效果可能通过对提供者沟通的满意度来调节。
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. 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. 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 (β=6.4, SE 2.5; p=0.01) and management (β=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). 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.