Abstract:
BACKGROUND:Multiple chronic conditions (MCC) are highly prevalent worldwide, especially among older populations. Patient self-care and care partner (or caregiver) contributions to self-care are recommended to reduce the impact of MCC and improve patients' outcomes. OBJECTIVES:To describe patient self-care and care partner contributions to self-care and to identify determinants of patient self-care and care partner contributions to self-care at the patient and care partner level. DESIGN:Multicentre cross-sectional study. SETTING:Outpatient and community settings in Italy. PARTICIPANTS:A sample of 340 patients with MCC and care partner dyads was recruited between 2017 and 2018. METHODS:We measured patient's self-care and care partner contributions to self-care in dyads using the Self-care of Chronic Illness Inventory and the Caregiver Contribution to Self-care of Chronic Illness Inventory. To control for dyadic interdependence, we performed a multilevel modelling analysis. RESULTS:Patients' and care partners' mean ages were 76.65 (± 7.27) and 54.32 (± 15.25), respectively. Most care partners were female and adult children or grandchildren. The most prevalent chronic conditions in patients were diabetes (74%) and heart failure (34%). Patients and care partners reported higher levels of self-care monitoring than self-care maintenance and management behaviours. Important patient clinical determinants of self-care included cognitive status, number of medications and type of chronic condition. Care partner determinants of self-care contributions included age, gender, education, perceived income, care partner burden, caregiving hours per week and the presence of a secondary care partner. CONCLUSIONS:Our findings support the importance of taking a dyadic approach when focusing on patients with MCC and their care partners. More dyadic longitudinal research is recommended to reveal the modifiable determinants of self-care and the complex relationships between patients and care partners in the context of MCC.
journal_name
Int J Nurs Studjournal_title
International journal of nursing studiesauthors
Iovino P,Lyons KS,De Maria M,Vellone E,Ausili D,Lee CS,Riegel B,Matarese Mdoi
10.1016/j.ijnurstu.2020.103574subject
Has Abstractpub_date
2020-03-14 00:00:00pages
103574eissn
0020-7489issn
1873-491Xpii
S0020-7489(20)30059-6pub_type
杂志文章abstract::Risk assessment scales (RASs) intended to identify patients most at risk of developing pressure ulcers have been widely used for many years. Numerous studies have evaluated their predictive validity but potential bias has been inherent in the design of all. To overcome these problems a simulation study was conducted i...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2003.10.005
更新日期:2004-03-01 00:00:00
abstract::The use of restraints in hospitalised elderly people is a contentious but poorly-documented issue and many gaps remain in the literature. Despite the growth of the elderly population, there has been little attempt to safeguard their rights in relation to appropriate care whilst in hospital. Furthermore, little is know...
journal_title:International journal of nursing studies
pub_type: 杂志文章,多中心研究
doi:10.1016/0020-7489(95)00046-1
更新日期:1996-04-01 00:00:00
abstract:BACKGROUND:Peripherally inserted central catheters (PICCs) are a common vascular access device used in clinical practice. Their use may be complicated by adverse events such as venous thromboembolism (VTE). The size of the vein used for PICC insertion and thus the catheter to vein ratio is thought to be a controllable ...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2014.12.002
更新日期:2015-03-01 00:00:00
abstract::The purpose of this descriptive study was to elicit salient beliefs regarding breastfeeding in low-income, primigravidae. Open-ended questions were used in taped interviews with 41 pregnant women who intended to breastfeed. Basic content analysis was used to identify recurrent beliefs. Infant health benefits and impro...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/s0020-7489(96)00041-7
更新日期:1997-04-01 00:00:00
abstract:BACKGROUND:Hip surgery is associated with the risk of postoperative urinary retention. To avoid urinary retention hip surgery patients undergo urinary catheterisation. Urinary catheterisation, however, is associated with increased risk for urinary tract infection (UTI). At present, there is limited evidence for whether...
journal_title:International journal of nursing studies
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.ijnurstu.2013.05.007
更新日期:2013-12-01 00:00:00
abstract::Those providing nursing services have been at the forefront in responding to the AIDS epidemic. This paper poses the question as to what extent AIDS work makes unique demands of nursing staff. It explores the implications of AIDS-related nursing work and considers these within the broader context of the role of nurses...
journal_title:International journal of nursing studies
pub_type: 杂志文章,多中心研究
doi:10.1016/0020-7489(95)00003-g
更新日期:1995-06-01 00:00:00
abstract::This paper reports on the findings of a pilot study that collated and categorised a range of Welsh-medium chronic pain descriptors and their conceptually equivalent English translations in order to provide a preliminary basis for chronic pain assessment amongst patients in the bilingual community of North West Wales. ...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/s0020-7489(03)00055-5
更新日期:2003-11-01 00:00:00
abstract:BACKGROUND:Apparent overconfidence and underconfidence in clinicians making clinical judgements could be a feature of evaluative research designs that fail to accurately represent clinical environments. OBJECTIVES:To test the effect of improved realism of clinical judgement tasks on confidence calibration performance ...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2012.08.005
更新日期:2012-12-01 00:00:00
abstract:BACKGROUND:Previous studies about the prevalence and impact of lower urinary tract symptoms (LUTS) were focused on urinary incontinence or overactive bladder in the general population. Little research has been focused on the role that the workplace has in employed women's experiences with LUTS or the impact of LUTS on ...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2008.12.001
更新日期:2009-05-01 00:00:00
abstract::The incidence of violence within the National Health Service is rising and attention to the issue is increasing. Due to the ramifications in terms of physical, psychological and economic cost, the need to understand all the dynamics and variables involved in violence becomes evident. If nurses can provide care that re...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/s0020-7489(99)00013-9
更新日期:1999-04-01 00:00:00
abstract:AIM:This paper reports a study that examined the extent to which nurse researchers internationally disproportionately include females as participants in their research. BACKGROUND:A bias toward predominantly male samples has been well-documented in medical research, but recently a gender bias favoring women in nursing...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2009.02.002
更新日期:2009-08-01 00:00:00
abstract:BACKGROUND:Fatigue in hospital nurses is associated with decreased nurse satisfaction, increased turnover and negative patient outcomes. Addressing fatigue in nurses has been identified as a priority by many organizations worldwide in an effort to promote both a culture of patient safety and a healthy nursing workforce...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2016.11.014
更新日期:2017-02-01 00:00:00
abstract::Attitudes of psychiatric nursing personnel towards patients who had attempted suicide were examined before and after a training program in psychiatric suicide prevention. The attitudinal changes were measured by a newly constructed scale, the understanding of suicide attempt patients scale (USP-scale), and responses t...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/s0020-7489(00)00110-3
更新日期:2002-01-01 00:00:00
abstract:BACKGROUND:To adequately describe the advanced psychiatric nursing roles and to distinguish them from the other roles of psychiatric and general nursing care, it is necessary to explore the concrete tasks and activities and the scope of practice of Psychiatric Mental Health Advanced Practice Nurses (APN). OBJECTIVE:to...
journal_title:International journal of nursing studies
pub_type: 杂志文章,评审
doi:10.1016/j.ijnurstu.2020.103759
更新日期:2020-08-26 00:00:00
abstract:OBJECTIVE:The aim of this study was to identify predictors of parental post-traumatic stress symptoms following child hospitalization. METHODS:In this prospective cohort study, a sample of 107 parents completed questionnaires during their child's hospitalization on pediatric (non-intensive care) wards and again three ...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2014.06.011
更新日期:2015-01-01 00:00:00
abstract:BACKGROUND:Hospital discharge of older people receiving care at home offers a salient opportunity to identify and address their family caregivers' self-identified support needs. OBJECTIVES:This study tested the hypothesis that the extent to which family caregivers of older people discharged home from hospital felt pre...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2016.09.012
更新日期:2016-12-01 00:00:00
abstract:BACKGROUND:The significant drop in child mortality due to diarrhea has been primarily attributed to the use of oral rehydration solutions, continuous feeding and zinc supplementation. Nevertheless uptake of these interventions have been slow in developing countries and many children suffering from diarrhea are not rece...
journal_title:International journal of nursing studies
pub_type: 杂志文章,评审
doi:10.1016/j.ijnurstu.2016.08.014
更新日期:2017-01-01 00:00:00
abstract::Critical care nursing is an area of policy concern with respect to staffing projections, skill mix and educational preparation in both Canada and Australia. Despite many similarities between the health systems of these two countries, differences exist in both undergraduate and graduate specialty nursing education. In ...
journal_title:International journal of nursing studies
pub_type: 杂志文章,评审
doi:10.1016/j.ijnurstu.2007.06.006
更新日期:2008-07-01 00:00:00
abstract:BACKGROUND:Incorporating consumers' voices in tertiary education curricula is an ongoing initiative of educators of health professions in order to facilitate students' readiness for consumer-based practice and to meet accreditation standards. Consequently, educators within these professions use a range of different str...
journal_title:International journal of nursing studies
pub_type: 杂志文章,评审
doi:10.1016/j.ijnurstu.2020.103619
更新日期:2020-09-01 00:00:00
abstract:BACKGROUND:Previous research from Western and Eastern countries shows that parents of a sick child want to be involved and to participate during a child's hospitalisation. However, the stay can be stressful and parents have their own needs. Conditions and cultural constructs are different among countries. No published ...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2008.06.008
更新日期:2008-12-01 00:00:00
abstract::Skin (self-)care is part of human life from birth until death. Today many different skin care practices, preferences, traditions and routines exist in parallel. In addition, preventive and therapeutic skin care is delivered in nursing and healthcare by formal and informal caregivers. The aim of this contribution is a ...
journal_title:International journal of nursing studies
pub_type: 杂志文章,评审
doi:10.1016/j.ijnurstu.2016.05.002
更新日期:2016-09-01 00:00:00
abstract:BACKGROUND:The past decade has seen increased patient acuity and shortened lengths of stays in acute care hospitals resulting in an intensification of the work undertaken by nursing staff in hospitals. This has ultimately led to a reconsideration of how nursing staff manage their work. AIM:The aim of this study was to...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2011.03.004
更新日期:2011-10-01 00:00:00
abstract:OBJECTIVE:The objective of this study was to explore Indigenous people's experiences and perceptions of hospitalisation and acute care. METHODS:Systematic procedures were used for the literature search covering the period from 2000 to 2016. Final search was conducted in early September 2016. Quality of the selected st...
journal_title:International journal of nursing studies
pub_type: 杂志文章,meta分析,评审
doi:10.1016/j.ijnurstu.2017.03.003
更新日期:2017-06-01 00:00:00
abstract:BACKGROUND:Stress in nursing students may be related to attrition from nursing programmes and lead to a shortage of nurses entering clinical careers. In addition, stress leads to psychological morbidity which may have profound adverse consequences for individual nursing students. OBJECTIVES:To follow a cohort of nursi...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2007.11.003
更新日期:2008-10-01 00:00:00
abstract::The latent structure of feeding difficulty in elderly patients with dementia was investigated using multivariate statistical techniques including exploratory and confirmatory factor analysis. A survey design of 345 elderly patients with the diagnosis of dementia using a questionnaire completed by key workers and prima...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/s0020-7489(97)00033-3
更新日期:1997-12-01 00:00:00
abstract:BACKGROUND:Most paediatric patients have at least one peripheral intravenous catheter insertion during their hospitalisation. Despite the important function of peripheral intravenous catheters for delivery of intravenous therapy, failure and complications rates are widely reported; however these results have not been s...
journal_title:International journal of nursing studies
pub_type: 杂志文章,meta分析
doi:10.1016/j.ijnurstu.2019.103488
更新日期:2020-02-01 00:00:00
abstract:BACKGROUND:Cognitive impairment can reduce the self-care abilities of heart failure patients. Theory and preliminary evidence suggest that self-care confidence may mediate the relationship between cognition and self-care, but further study is needed to validate this finding. OBJECTIVES:The aim of this study was to tes...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2016.04.016
更新日期:2016-08-01 00:00:00
abstract:OBJECTIVES:The purpose of this review was to determine the nature of support that mental health nurses could deliver to carers of people diagnosed with schizophrenia. The aim was to identify approaches that could be delivered within community practice to reduce burden and increase knowledge, mental health and coping. Q...
journal_title:International journal of nursing studies
pub_type: 杂志文章,评审
doi:10.1016/j.ijnurstu.2010.09.005
更新日期:2011-01-01 00:00:00
abstract::Aging markedly influences drug use and drug effects. The purpose of this review is two-fold: (i) to examine how social, economic, and psychological factors, compliance, and prescribing patterns affect drug use in institutionalized and non-institutionalized older adults in the United States, and (ii) to illustrate how ...
journal_title:International journal of nursing studies
pub_type: 杂志文章,评审
doi:10.1016/0020-7489(92)90057-n
更新日期:1992-02-01 00:00:00
abstract:BACKGROUND:Encounters in emergency departments have been described from different perspective and with different research approaches. On reviewing the literature, along with medical skills, interpersonal skills such as the ability to create a relationship with the patient was considered significant. Patients exposed to...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2006.01.014
更新日期:2007-07-01 00:00:00