Intimate Partner Adjustment After Sudden Cardiac Arrest

描述（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）幸存者在植入内部心律转复除颤器（ICD）后，其亲密伴侣的关键结局随时间的变化模式，其中幸存者参加了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需求对亲密伴侣健康和SCA和ICD植入后亲密关系的影响; 3）描述SCA幸存者和亲密伴侣健康之间结局的协变。“心脏骤停后的护理干预”是一项护理干预的随机临床试验，仅关注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幸存者的亲密伴侣接触，因为幸存者参加了临床试验。我们没有在“心脏骤停后的护理干预”中获得资助，以收集SCA幸存者的亲密伴侣的数据，也没有对他们进行干预。我们能够收集与亲密伴侣的纵向描述性数据，而SCA幸存者参加试验使用的是一个小笔赠款，从校内研究基金在华盛顿大学，护理学院。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（一般健康状况、疾病需求、重返工作岗位），2）心理调整（焦虑和抑郁），3）卫生保健利用（急诊室和门诊就诊，住院）和4）关系影响（相互性和人际敏感性，照顾者负担，二元调整）的亲密伙伴，当SCA幸存者参加了父母的研究。本研究的所有数据均在出院时以及1、3、6和12个月时与亲密伴侣一起收集。我们有120个亲密伴侣的完整数据。分析将比较ICD植入后前12个月内5个时间点的SCA幸存者及其亲密伴侣。这项研究支持NINR的研究目标，即找到有效的方法来实现和维持患者，家属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，可能会在ICD后为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.