Intimate Partner Adjustment After Sudden Cardiac Arrest

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心脏骤停（ICD）植入后的关键结局随时间的变化模式，其中幸存者参与了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需求对亲密伴侣健康的影响以及SCA和ICD植入后的亲密关系。3)描述SCA幸存者与亲密伴侣健康之间结果的共变。“心脏骤停后的护理干预”是一项针对SCA幸存者的护理干预的随机临床试验，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幸存者的亲密伴侣接触，因为幸存者参加了临床试验。在“心脏骤停后的护理干预”研究中，我们并没有得到资助，从SCA幸存者的亲密伴侣那里收集数据，也没有进行干预。在SCA幸存者参与试验期间，我们利用华盛顿大学护理学院校内研究基金的小额赠款，收集了亲密伴侣的纵向描述性数据。需要资金来完成对亲密伴侣的数据分析。本研究采用纵向重复测量设计，考察SCA幸存者参加父母研究时，亲密伴侣的身体功能（一般健康状况、疾病需求、重返工作）、心理调整（焦虑和抑郁）、医疗保健利用（急诊室和门诊就诊、住院）和关系影响（相互性和人际敏感性、照顾者负担、二元适应）。本研究的所有数据都是在出院、1、3、6和12个月时与亲密伴侣一起收集的。我们有120位亲密伴侣的完整数据。分析将比较ICD植入后前12个月内SCA幸存者及其亲密伴侣的5个时间点。本研究支持NINR的研究目标，即寻找有效的方法来实现和维持患者、家属和护理人员所遇到的良好健康。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，可能会给ICD后的患者带来重要的健康益处。

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.