Cilluffo Silvia, Lyons Karen S, Bassola Barbara, Vellone Ercole, Pucciarelli Gianluca, Clari Marco, Dimonte Valerio, Lusignani Maura
Department of Biomedical Sciences for Health, University of Milan, Milan, Italy.
Connell School of Nursing, Boston College, Boston, Massachusetts, USA.
J Clin Nurs. 2025 Aug;34(8):3288-3296. doi: 10.1111/jocn.17510. Epub 2024 Oct 29.
To examine the association between mutuality and quality of life in nurse-patient dyads.
A cross-sectional multi-centre study was conducted.
The study was conducted in five tertiary hospitals in Italy. We enrol both inpatients and outpatients with chronic diseases and their nurses with a convenience sampling. One-hundred ninety-two dyads participated to the study. A self-assessment instrument including the Short-Form 12 Health Survey (SF-12), and the Nurse Patient Mutuality in Chronic Illness scale (NPM-CI scale), in the two versions-one for patients and one for nurses, was administered. The effects of nurse-patient mutuality on the physical and mental quality of life of nurses and patients were estimated with a series of actor-partner-interdependence models (APIM).
Patients' and nurses' perceptions of their mutuality were positively correlated. For patient mental quality of life, there was a statistically significant actor effect both for patients, and for nurses. There was also a consistent statistically significant partner effect for patient mental quality of life. There were no statistically significant actor or partner effects for the nurses' and patients' physical quality of life. This construct may be influenced by additional components, further studies are needed.
Mutuality between nurses and patients in chronic diseases influence both patient and nurse quality of life.
IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE: Our results support the importance of taking a dyadic perspective when considering mutuality and quality of life in nurse-patient dyads.
Nurse-patient mutuality is an indicator of a high-quality relationship, which allows shared goals and shared decision-making. Quality of life is one of the most important outcomes for chronic conditions patients and is an indicator of well-being. Quality of life is also an important variable in healthcare professionals' lives. Little is known about the association between mutuality and quality of life in nurse-patient dyads. Mutuality has an actor effect on patient's and nurse's quality of life and has a negative partner effect on patient's quality of life. The understanding of mutuality and interdependence within the dyad, could increase mental quality of life in nurse-patient dyads.
STROBE checklist for cross-sectional studies was followed in this study.
Patients were involved in the sample of the study.
探讨护患二元组中相互性与生活质量之间的关联。
进行了一项横断面多中心研究。
该研究在意大利的五家三级医院开展。我们采用便利抽样法纳入了患有慢性病的住院患者和门诊患者及其护士。192个二元组参与了研究。使用了一种自我评估工具，包括简短健康调查问卷12项版（SF - 12）以及慢性病护患相互性量表（NPM - CI量表），该量表有两个版本，一个供患者使用，一个供护士使用。通过一系列的行为者 - 伙伴相互依赖模型（APIM）评估护患相互性对护士和患者身心健康生活质量的影响。
患者和护士对他们之间相互性的认知呈正相关。对于患者的心理健康生活质量，患者自身和护士均存在具有统计学意义的行为者效应。对于患者的心理健康生活质量，还存在一致的具有统计学意义的伙伴效应。对于护士和患者的生理健康生活质量，不存在具有统计学意义的行为者或伙伴效应。这一结构可能受到其他因素的影响，需要进一步研究。
慢性病患者与护士之间的相互性会影响患者和护士的生活质量。
对专业和/或患者护理的启示：我们的研究结果支持在考虑护患二元组中的相互性和生活质量时采用二元视角的重要性。
护患相互性是高质量关系的一个指标，它允许达成共同目标和共同决策。生活质量是慢性病患者最重要的结果之一，也是幸福感的一个指标。生活质量在医护人员的生活中也是一个重要变量。关于护患二元组中相互性与生活质量之间的关联，人们了解甚少。相互性对患者和护士生活质量有行为者效应，对患者生活质量有负向伙伴效应。理解二元组中的相互性和相互依赖关系，可能会提高护患二元组的心理健康生活质量。
本研究遵循横断面研究的STROBE清单。
患者参与了本研究的样本选取。
