López-Villegas Antonio, Catalán-Matamoros Daniel, Robles-Musso Emilio, Peiró Salvador
Division of Medicine, Nordland Hospital, Prinsens Gate 164, Postbox 1480 (no. 38), 8005, Bodø, Norway.
Institute of Clinical Medicine, Faculty of Health Sciences, University of Tromsø, Tromsø, Norway.
Clin Res Cardiol. 2016 Apr;105(4):307-13. doi: 10.1007/s00392-015-0921-5. Epub 2015 Sep 30.
The purpose of this study was to assess the burden borne by and the costs to informal caregivers of patients with remotely monitored (RM) pacemakers.
The PONIENTE study was a controlled, non-randomised clinical trial, with data collected from informal caregivers, 12 months after implantation of pacemakers. The survey on disabilities, personal autonomy, and dependency situations was used to gather information on demographic and social characteristics, levels of professionalism, time and types of care, difficulties in providing care, health status, professional aspects, economic and family or leisure impacts due to informal caregiving for patients with pacemakers.
During 14 months, 76 caregivers were enrolled in the PONIENTE trial. Of which, 26 were included in the RM group and 50 in the hospital-monitored group (HM). The mean ages were 58.62 ± 16.51 and 61.10 ± 12.67 years, respectively (p = 0.56) in the groups, and 69.7 % were females. The majority (96.1 %) of the caregivers declared that they had to provide their services between 6 and 7 days per week (88.5 % in RM group versus 100 % in HM group; p = 0.037). The costs related to care provided by the informal caregivers were 21.38 % lower in the RM group than in the HM group (p = 0.033).
The PONIENTE study shows a significant impact of informal care on relatives and friends of patients with pacemakers in terms of their well-being and costs.
ClinicalTrials.gov NCT02234245.
本研究旨在评估远程监测（RM）起搏器患者的非正式照护者所承担的负担及成本。
PONIENTE研究是一项对照、非随机临床试验，在起搏器植入12个月后从非正式照护者处收集数据。使用关于残疾、个人自主性和依赖状况的调查问卷来收集有关人口统计学和社会特征、专业水平、照护时间和类型、提供照护的困难、健康状况、专业方面、因照护起搏器患者产生的经济及家庭或休闲影响等信息。
在14个月期间，76名照护者参与了PONIENTE试验。其中，26名纳入RM组，50名纳入医院监测组（HM）。两组的平均年龄分别为58.62±16.51岁和61.10±12.67岁（p = 0.56），女性占69.7%。大多数（96.1%）照护者表示他们每周需提供6至7天的照护服务（RM组为88.5%，HM组为100%；p = 0.037）。RM组中非正式照护者提供照护的相关成本比HM组低21.38%（p = 0.033）。
PONIENTE研究表明，非正式照护对起搏器患者的亲属和朋友的幸福感及成本有重大影响。
ClinicalTrials.gov NCT02234245
