Comparison of clinical outcomes between family caregivers and professional caregivers in in‐hospital patients with acute ischaemic stroke: A prospective cohort study
Aim This study explored the impact of different care modes on the outcome of hospitalized patients with acute ischaemic stroke (AIS) during hospitalization and 3 months after discharge. Methods This was a prospective cohort study comparing the outcomes at hospitalization, at discharge, and at 3 mont...
Gespeichert in:
| Veröffentlicht in: | Journal of clinical nursing 2025-01, Vol.34 (1), p.185-193 |
|---|---|
| Hauptverfasser: | , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 193 |
|---|---|
| container_issue | 1 |
| container_start_page | 185 |
| container_title | Journal of clinical nursing |
| container_volume | 34 |
| creator | He, Yueyue Wang, Rui Mo, Linqi Chen, Min Jiang, Qian Feng, Ling |
| description | Aim
This study explored the impact of different care modes on the outcome of hospitalized patients with acute ischaemic stroke (AIS) during hospitalization and 3 months after discharge.
Methods
This was a prospective cohort study comparing the outcomes at hospitalization, at discharge, and at 3 months post discharge among AIS patients with different caregiving arrangements from 9, December 2022 to 20, August 2023. The general information questionnaire, Modified Barthel Index, Shortened General Comfort Questionnaire, Perceived Social Support scale, Herth Hope Index, modified Rankin scale and EQ‐5D‐5L were utilized for the investigation.
Results
The psychological evaluation scores during hospitalization, including comfort, perceived social support, and hope, did not significantly differ between the two groups of AIS patients (p > .05). Moreover, there were no significant impacts observed in terms of length of stay (LOS) at the hospital or hospitalization expense (p > .05). The proportion of patients with intact functionality was greater in the family caregiver group 3 months after discharge (16.5%). However, when stratified based on prognosis, the difference in outcomes between the two groups of patients did not reach statistical significance (p > .05). The analysis of ADL, quality of life and stroke recurrence in 276 surviving ischaemic stroke patients 3 months post discharge indicated no differences between the two groups across all three aspects (p > .05).
Conclusion
Older and divorced or widowed AIS patients tend to prefer professional caregivers. The psychological state during hospitalization, length of hospital stay and hospitalization expenses are not influenced by the caregiving model. Three months post discharge, a greater proportion of patients in the family caregiving group had intact mRS functionality, but this choice did not impact patient prognosis, stroke recurrence, quality of life or independence in ADL. |
| doi_str_mv | 10.1111/jocn.17319 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_proquest_miscellaneous_3068759000</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3068759000</sourcerecordid><originalsourceid>FETCH-LOGICAL-p2119-ac8a61674657967925b26c8aed34680e8819fb2539478520039764d7acc775223</originalsourceid><addsrcrecordid>eNpdUctuFDEQtCJQsixc8gHIEpdcJvgx4we3aBVeisgFziOvpyfrZcae2J6s9sYn8Bf8F1-CNwkRomWpW67qUqsKoVNKzmmpt9tg_TmVnOojtKBcNBWThD1DC6IFqygR8gS9SGlLCOWM8WN0wpWSXAm5QL9WYZxMdCl4HHpsB-edNQMOc7ZhhITXkHcAHvdmdMMeWxPhxt1BTNj4Dk8x9JCSC77s_IM5X97vHz83IU0uF2wy2YHPCe9c3mBj5wzYJbsxMDqLU47hO7zDFwfBNIHNRQbbsAkxF3Du9i_R894MCV499iX69v7y6-pjdXX94dPq4qqaGKW6MlYZQYWsRSO1kJo1aybKH3S8FoqAUlT3a9ZwXUvVMEK4lqLupLFWyqaYs0RnD7rlkNsZUm7HciYMg_EQ5tRyIpRsNCmbS_TmP-o2zLEYUVi0FoITXVxeotePrHk9QtdO0Y0m7tu_ERQCfSDs3AD7J5yS9hBuewi3vQ-3_Xy9-nI_8T_rt5qV</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3146630987</pqid></control><display><type>article</type><title>Comparison of clinical outcomes between family caregivers and professional caregivers in in‐hospital patients with acute ischaemic stroke: A prospective cohort study</title><source>MEDLINE</source><source>Wiley Journals</source><creator>He, Yueyue ; Wang, Rui ; Mo, Linqi ; Chen, Min ; Jiang, Qian ; Feng, Ling</creator><creatorcontrib>He, Yueyue ; Wang, Rui ; Mo, Linqi ; Chen, Min ; Jiang, Qian ; Feng, Ling</creatorcontrib><description>Aim
This study explored the impact of different care modes on the outcome of hospitalized patients with acute ischaemic stroke (AIS) during hospitalization and 3 months after discharge.
Methods
This was a prospective cohort study comparing the outcomes at hospitalization, at discharge, and at 3 months post discharge among AIS patients with different caregiving arrangements from 9, December 2022 to 20, August 2023. The general information questionnaire, Modified Barthel Index, Shortened General Comfort Questionnaire, Perceived Social Support scale, Herth Hope Index, modified Rankin scale and EQ‐5D‐5L were utilized for the investigation.
Results
The psychological evaluation scores during hospitalization, including comfort, perceived social support, and hope, did not significantly differ between the two groups of AIS patients (p > .05). Moreover, there were no significant impacts observed in terms of length of stay (LOS) at the hospital or hospitalization expense (p > .05). The proportion of patients with intact functionality was greater in the family caregiver group 3 months after discharge (16.5%). However, when stratified based on prognosis, the difference in outcomes between the two groups of patients did not reach statistical significance (p > .05). The analysis of ADL, quality of life and stroke recurrence in 276 surviving ischaemic stroke patients 3 months post discharge indicated no differences between the two groups across all three aspects (p > .05).
Conclusion
Older and divorced or widowed AIS patients tend to prefer professional caregivers. The psychological state during hospitalization, length of hospital stay and hospitalization expenses are not influenced by the caregiving model. Three months post discharge, a greater proportion of patients in the family caregiving group had intact mRS functionality, but this choice did not impact patient prognosis, stroke recurrence, quality of life or independence in ADL.</description><identifier>ISSN: 0962-1067</identifier><identifier>ISSN: 1365-2702</identifier><identifier>EISSN: 1365-2702</identifier><identifier>DOI: 10.1111/jocn.17319</identifier><identifier>PMID: 38873867</identifier><language>eng</language><publisher>England: Wiley Subscription Services, Inc</publisher><subject>acute ischaemic stroke ; ADL ; Aged ; Caregivers ; Caregivers - psychology ; Caregivers - statistics & numerical data ; Cohort analysis ; Cohort Studies ; family caregiver ; Female ; Hospitalization ; Hospitalization - statistics & numerical data ; Humans ; Ischemia ; Ischemic Stroke - nursing ; Ischemic Stroke - psychology ; Male ; Middle Aged ; professional caregiver ; Prospective Studies ; Quality of life ; Quality of Life - psychology ; Questionnaires ; Social support ; Stroke ; Surveys and Questionnaires</subject><ispartof>Journal of clinical nursing, 2025-01, Vol.34 (1), p.185-193</ispartof><rights>2024 John Wiley & Sons Ltd.</rights><rights>Copyright © 2025 John Wiley & Sons Ltd.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><orcidid>0000-0003-0110-1607 ; 0000-0002-6756-5685</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fjocn.17319$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fjocn.17319$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38873867$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>He, Yueyue</creatorcontrib><creatorcontrib>Wang, Rui</creatorcontrib><creatorcontrib>Mo, Linqi</creatorcontrib><creatorcontrib>Chen, Min</creatorcontrib><creatorcontrib>Jiang, Qian</creatorcontrib><creatorcontrib>Feng, Ling</creatorcontrib><title>Comparison of clinical outcomes between family caregivers and professional caregivers in in‐hospital patients with acute ischaemic stroke: A prospective cohort study</title><title>Journal of clinical nursing</title><addtitle>J Clin Nurs</addtitle><description>Aim
This study explored the impact of different care modes on the outcome of hospitalized patients with acute ischaemic stroke (AIS) during hospitalization and 3 months after discharge.
Methods
This was a prospective cohort study comparing the outcomes at hospitalization, at discharge, and at 3 months post discharge among AIS patients with different caregiving arrangements from 9, December 2022 to 20, August 2023. The general information questionnaire, Modified Barthel Index, Shortened General Comfort Questionnaire, Perceived Social Support scale, Herth Hope Index, modified Rankin scale and EQ‐5D‐5L were utilized for the investigation.
Results
The psychological evaluation scores during hospitalization, including comfort, perceived social support, and hope, did not significantly differ between the two groups of AIS patients (p > .05). Moreover, there were no significant impacts observed in terms of length of stay (LOS) at the hospital or hospitalization expense (p > .05). The proportion of patients with intact functionality was greater in the family caregiver group 3 months after discharge (16.5%). However, when stratified based on prognosis, the difference in outcomes between the two groups of patients did not reach statistical significance (p > .05). The analysis of ADL, quality of life and stroke recurrence in 276 surviving ischaemic stroke patients 3 months post discharge indicated no differences between the two groups across all three aspects (p > .05).
Conclusion
Older and divorced or widowed AIS patients tend to prefer professional caregivers. The psychological state during hospitalization, length of hospital stay and hospitalization expenses are not influenced by the caregiving model. Three months post discharge, a greater proportion of patients in the family caregiving group had intact mRS functionality, but this choice did not impact patient prognosis, stroke recurrence, quality of life or independence in ADL.</description><subject>acute ischaemic stroke</subject><subject>ADL</subject><subject>Aged</subject><subject>Caregivers</subject><subject>Caregivers - psychology</subject><subject>Caregivers - statistics & numerical data</subject><subject>Cohort analysis</subject><subject>Cohort Studies</subject><subject>family caregiver</subject><subject>Female</subject><subject>Hospitalization</subject><subject>Hospitalization - statistics & numerical data</subject><subject>Humans</subject><subject>Ischemia</subject><subject>Ischemic Stroke - nursing</subject><subject>Ischemic Stroke - psychology</subject><subject>Male</subject><subject>Middle Aged</subject><subject>professional caregiver</subject><subject>Prospective Studies</subject><subject>Quality of life</subject><subject>Quality of Life - psychology</subject><subject>Questionnaires</subject><subject>Social support</subject><subject>Stroke</subject><subject>Surveys and Questionnaires</subject><issn>0962-1067</issn><issn>1365-2702</issn><issn>1365-2702</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2025</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdUctuFDEQtCJQsixc8gHIEpdcJvgx4we3aBVeisgFziOvpyfrZcae2J6s9sYn8Bf8F1-CNwkRomWpW67qUqsKoVNKzmmpt9tg_TmVnOojtKBcNBWThD1DC6IFqygR8gS9SGlLCOWM8WN0wpWSXAm5QL9WYZxMdCl4HHpsB-edNQMOc7ZhhITXkHcAHvdmdMMeWxPhxt1BTNj4Dk8x9JCSC77s_IM5X97vHz83IU0uF2wy2YHPCe9c3mBj5wzYJbsxMDqLU47hO7zDFwfBNIHNRQbbsAkxF3Du9i_R894MCV499iX69v7y6-pjdXX94dPq4qqaGKW6MlYZQYWsRSO1kJo1aybKH3S8FoqAUlT3a9ZwXUvVMEK4lqLupLFWyqaYs0RnD7rlkNsZUm7HciYMg_EQ5tRyIpRsNCmbS_TmP-o2zLEYUVi0FoITXVxeotePrHk9QtdO0Y0m7tu_ERQCfSDs3AD7J5yS9hBuewi3vQ-3_Xy9-nI_8T_rt5qV</recordid><startdate>202501</startdate><enddate>202501</enddate><creator>He, Yueyue</creator><creator>Wang, Rui</creator><creator>Mo, Linqi</creator><creator>Chen, Min</creator><creator>Jiang, Qian</creator><creator>Feng, Ling</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-0110-1607</orcidid><orcidid>https://orcid.org/0000-0002-6756-5685</orcidid></search><sort><creationdate>202501</creationdate><title>Comparison of clinical outcomes between family caregivers and professional caregivers in in‐hospital patients with acute ischaemic stroke: A prospective cohort study</title><author>He, Yueyue ; Wang, Rui ; Mo, Linqi ; Chen, Min ; Jiang, Qian ; Feng, Ling</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p2119-ac8a61674657967925b26c8aed34680e8819fb2539478520039764d7acc775223</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2025</creationdate><topic>acute ischaemic stroke</topic><topic>ADL</topic><topic>Aged</topic><topic>Caregivers</topic><topic>Caregivers - psychology</topic><topic>Caregivers - statistics & numerical data</topic><topic>Cohort analysis</topic><topic>Cohort Studies</topic><topic>family caregiver</topic><topic>Female</topic><topic>Hospitalization</topic><topic>Hospitalization - statistics & numerical data</topic><topic>Humans</topic><topic>Ischemia</topic><topic>Ischemic Stroke - nursing</topic><topic>Ischemic Stroke - psychology</topic><topic>Male</topic><topic>Middle Aged</topic><topic>professional caregiver</topic><topic>Prospective Studies</topic><topic>Quality of life</topic><topic>Quality of Life - psychology</topic><topic>Questionnaires</topic><topic>Social support</topic><topic>Stroke</topic><topic>Surveys and Questionnaires</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>He, Yueyue</creatorcontrib><creatorcontrib>Wang, Rui</creatorcontrib><creatorcontrib>Mo, Linqi</creatorcontrib><creatorcontrib>Chen, Min</creatorcontrib><creatorcontrib>Jiang, Qian</creatorcontrib><creatorcontrib>Feng, Ling</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of clinical nursing</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>He, Yueyue</au><au>Wang, Rui</au><au>Mo, Linqi</au><au>Chen, Min</au><au>Jiang, Qian</au><au>Feng, Ling</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Comparison of clinical outcomes between family caregivers and professional caregivers in in‐hospital patients with acute ischaemic stroke: A prospective cohort study</atitle><jtitle>Journal of clinical nursing</jtitle><addtitle>J Clin Nurs</addtitle><date>2025-01</date><risdate>2025</risdate><volume>34</volume><issue>1</issue><spage>185</spage><epage>193</epage><pages>185-193</pages><issn>0962-1067</issn><issn>1365-2702</issn><eissn>1365-2702</eissn><abstract>Aim
This study explored the impact of different care modes on the outcome of hospitalized patients with acute ischaemic stroke (AIS) during hospitalization and 3 months after discharge.
Methods
This was a prospective cohort study comparing the outcomes at hospitalization, at discharge, and at 3 months post discharge among AIS patients with different caregiving arrangements from 9, December 2022 to 20, August 2023. The general information questionnaire, Modified Barthel Index, Shortened General Comfort Questionnaire, Perceived Social Support scale, Herth Hope Index, modified Rankin scale and EQ‐5D‐5L were utilized for the investigation.
Results
The psychological evaluation scores during hospitalization, including comfort, perceived social support, and hope, did not significantly differ between the two groups of AIS patients (p > .05). Moreover, there were no significant impacts observed in terms of length of stay (LOS) at the hospital or hospitalization expense (p > .05). The proportion of patients with intact functionality was greater in the family caregiver group 3 months after discharge (16.5%). However, when stratified based on prognosis, the difference in outcomes between the two groups of patients did not reach statistical significance (p > .05). The analysis of ADL, quality of life and stroke recurrence in 276 surviving ischaemic stroke patients 3 months post discharge indicated no differences between the two groups across all three aspects (p > .05).
Conclusion
Older and divorced or widowed AIS patients tend to prefer professional caregivers. The psychological state during hospitalization, length of hospital stay and hospitalization expenses are not influenced by the caregiving model. Three months post discharge, a greater proportion of patients in the family caregiving group had intact mRS functionality, but this choice did not impact patient prognosis, stroke recurrence, quality of life or independence in ADL.</abstract><cop>England</cop><pub>Wiley Subscription Services, Inc</pub><pmid>38873867</pmid><doi>10.1111/jocn.17319</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0003-0110-1607</orcidid><orcidid>https://orcid.org/0000-0002-6756-5685</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0962-1067 |
| ispartof | Journal of clinical nursing, 2025-01, Vol.34 (1), p.185-193 |
| issn | 0962-1067 1365-2702 1365-2702 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_3068759000 |
| source | MEDLINE; Wiley Journals |
| subjects | acute ischaemic stroke ADL Aged Caregivers Caregivers - psychology Caregivers - statistics & numerical data Cohort analysis Cohort Studies family caregiver Female Hospitalization Hospitalization - statistics & numerical data Humans Ischemia Ischemic Stroke - nursing Ischemic Stroke - psychology Male Middle Aged professional caregiver Prospective Studies Quality of life Quality of Life - psychology Questionnaires Social support Stroke Surveys and Questionnaires |
| title | Comparison of clinical outcomes between family caregivers and professional caregivers in in‐hospital patients with acute ischaemic stroke: A prospective cohort study |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-25T14%3A25%3A04IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Comparison%20of%20clinical%20outcomes%20between%20family%20caregivers%20and%20professional%20caregivers%20in%20in%E2%80%90hospital%20patients%20with%20acute%20ischaemic%20stroke:%20A%20prospective%20cohort%20study&rft.jtitle=Journal%20of%20clinical%20nursing&rft.au=He,%20Yueyue&rft.date=2025-01&rft.volume=34&rft.issue=1&rft.spage=185&rft.epage=193&rft.pages=185-193&rft.issn=0962-1067&rft.eissn=1365-2702&rft_id=info:doi/10.1111/jocn.17319&rft_dat=%3Cproquest_pubme%3E3068759000%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=3146630987&rft_id=info:pmid/38873867&rfr_iscdi=true |