Factors Impacting Readmissions of Older Patients With Heart Failure

被引:7
作者
Hodges, Pamela [1 ]
机构
[1] Univ Texas Hlth Sci Ctr San Antonio, Dept Acute Nursing Care, 7703 Floyd Curl Dr, San Antonio, TX 78229 USA
关键词
heart failure; life purpose; life quality; older patients; readmissions;
D O I
10.1097/01.CNQ.0000343132.34942.64
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
The overall purpose of this study was to explore individual perceptions of life purpose, health-related quality of life, and hospital readmissions among older adults with heart failure. The problem addressed the heart failure patient's lack of understanding about the diagnosis, treatment, management, and predictors of heart failure within a framework of the older adult's life purpose and health- related quality of life. The goal was to provide a foundation for development of safe and effective holistic intervention strategies to decrease costly hospital readmissions for patients with heart failure. The research design was descriptive, correlational mixed method using a qualitative and quantitative concurrent triangulation. The setting for the study was San Antonio, Texas, the seventh largest city in the United States. The purposive sample consisted of 41 male and female participants aged 60 years and older. The research findings suggest a moderate, significant relationship between life purpose and health-related quality of life. Higher numbers of hospital readmissions were significantly related to more difficulty with management of heart failure and a poor sense of life purpose. This study may contribute to science by providing useful information that may be used in the management of heart failure among older adults.
引用
收藏
页码:33 / 43
页数:11
相关论文
共 21 条
[1]  
*AM HEART ASS, 2003, HEART STROK FACTS
[2]  
Coelho R, 2006, CLIN PRACT EPIDEMIOL, V1, P1
[3]   Designing a mixed methods study in primary care [J].
Creswell, JW ;
Fetters, MD ;
Ivankova, NV .
ANNALS OF FAMILY MEDICINE, 2004, 2 (01) :7-12
[4]  
CRUMBAUGH JC, 1964, J CLIN PSYCHOL, V20, P200, DOI 10.1002/1097-4679(196404)20:2<200::AID-JCLP2270200203>3.0.CO
[5]  
2-U
[6]   MEASUREMENT OF HEALTH-RELATED QUALITY-OF-LIFE IN HEART-FAILURE [J].
GUYATT, GH .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1993, 22 (04) :A185-A191
[7]  
Heo S, 2005, NURS RES, V54, P265
[8]  
Hoyt RE, 2001, AM FAM PHYSICIAN, V63, P1593
[9]   NATURAL HISTORY OF CONGESTIVE HEART FAILURE - FRAMINGHAM STUDY [J].
MCKEE, PA ;
CASTELLI, WP ;
MCNAMARA, PM ;
KANNEL, WB .
NEW ENGLAND JOURNAL OF MEDICINE, 1971, 285 (26) :1441-1446
[10]   Utility of a rapid B-natriuretic peptide assay in differentiating congestive heart failure from lung disease in patients presenting with dyspnea [J].
Morrison, LK ;
Harrison, A ;
Krishnaswamy, P ;
Kazanegra, R ;
Clopton, P ;
Maisel, A .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2002, 39 (02) :202-209