心力衰竭患者的家庭功能和家庭健康与住院再入院的关系：来自一项国际横断面研究的见解。

The relationship of family functioning and family health with hospital readmission in patients with heart failure: insights from an international cross-sectional study.

机构信息

Department of Gastroenterology, Herlev and Gentofte University Hospital, Ringvej 75, 2730 Herlev, Denmark.

Department of Clinical Research, University of Southern Denmark, J.B. Winsløws Vej 19, 5230 Odense, Denmark.

出版信息

Eur J Cardiovasc Nurs. 2023 Apr 12;22(3):264-272. doi: 10.1093/eurjcn/zvac065.

DOI:10.1093/eurjcn/zvac065

PMID:35881489

Abstract

AIMS

The growing hospital readmission rate among patients with heart failure (HF) has imposed a substantial economic burden on healthcare systems. Therefore, it is essential to identify readmission associating factors to reduce hospital readmission. This study aimed to investigate the relationship of family functioning and family health with hospital readmission rates over 6 months in patients with HF and identify the sociodemographic and/or clinical variables associated with hospital readmission.

METHODS AND RESULTS

This international multicentre cross-sectional study involved a sample of 692 patients with HF from three countries (Denmark 312, Iran 288, and Iceland 92) recruited from January 2015 to May 2020. The Family Functioning, Health, and Social Support questionnaire was used to collect the data. The number of patients' hospital readmissions during the 6-month period was retrieved from patients' hospital records. Of the total sample, 184 (26.6%) patients were readmitted during the 6-month period. Of these, 111 (16%) had one readmission, 68 (9.9%) had two readmissions, and 5 (0.7%) had three readmissions. Family functioning, family health, being unemployed, and country of residence were significant factors associated with hospital readmission for the patients.

CONCLUSIONS

This study highlights the critical roles of family functioning and family health in 6-month hospital readmission among patients with HF. Moreover, the strategy of healthcare systems in the management of HF is a key determinant that influences hospital readmission. Our findings may assist the investigation of potential strategies to reduce hospital readmission in patients with HF.

摘要

目的

心力衰竭（HF）患者的住院再入院率不断上升，给医疗系统带来了巨大的经济负担。因此，确定再入院相关因素以降低医院再入院率至关重要。本研究旨在探讨家庭功能和家庭健康与 HF 患者 6 个月内医院再入院率的关系，并确定与医院再入院相关的社会人口学和/或临床变量。

方法和结果

本国际多中心横断面研究纳入了来自丹麦（312 例）、伊朗（288 例）和冰岛（92 例）的 3 个国家的 692 例 HF 患者，研究时间为 2015 年 1 月至 2020 年 5 月。采用家庭功能、健康和社会支持问卷收集数据。从患者的医院记录中检索患者在 6 个月期间的住院再入院次数。在总样本中，184 例（26.6%）患者在 6 个月期间再次住院。其中，111 例（16%）患者有一次再入院，68 例（9.9%）患者有两次再入院，5 例（0.7%）患者有三次再入院。家庭功能、家庭健康、失业和居住国家是与患者住院再入院相关的显著因素。