Variables Determining Higher Home Care Effectiveness in Patients with Chronic Cardiovascular Disease

Elżbieta Szlenk-Czyczerska, Marika Guzek, Dorota Emilia Bielska, Anna Ławnik, Piotr Polański and Donata Kurpas
Additional contact information
Elżbieta Szlenk-Czyczerska: Department of Health Sciences, University of Opole, 68 Katowicka Street, 45-060 Opole, Poland
Marika Guzek: Medical and Diagnostic Centre (MDC), 9 Niklowa Street, 08-110 Siedlce, Poland
Dorota Emilia Bielska: Department of Family Medicine, Medical University of Białystok, 1 J. Kilińskiego Street, 15-089 Białystok, Poland
Anna Ławnik: Faculty of Health Sciences, John Paul II University of Applied Sciences in Biala Podlaska, 95/97 Sidorska Street, 21-500 Biala Podlaska, Poland
Piotr Polański: Family Physician’s Practice, Non-Public Healthcare Center, 4 Nad Potokiem Street, 58-350 Mieroszow, Poland
Donata Kurpas: Department of Family Medicine, Wrocław Medical University, 1 Syrokomli Street, 51-141 Wrocław, Poland

IJERPH, 2022, vol. 19, issue 9, 1-15

Abstract: The aim of this cross-sectional study was to analyze the variables that influence the effectiveness of home care in patients with chronic cardiovascular disease and their informal caregivers. The study was conducted in 193 patients and their 161 informal caregivers. The study used the WHOQOL-BREF Quality of Life Questionnaire, the health behavior inventory questionnaire (HBI), the Camberwell assessment of need short appraisal schedule (CANSAS) and the hospital anxiety and depression scale–modified (HADS–M) version. Spearman’s rank correlation coefficient test and logistic regression were used for analyses. Analysis of patients revealed an association between home care effectiveness and the following variables (OR per unit): age (OR = 0.98, 95% CI: 0.95–0.99), educational level (OR = 1.45, 95% CI: 1.05–2.02), financial status (OR = 0.43, 95% CI: 0.21–0.83), medication irregularity (OR = 0.25, 95% CI: 0.07–0.72), presence of comorbidities (OR = 6.18, 95% CI: 1.83–23.78), health care services provided by a nurse (OR = 1.25, 95% CI: 1.03–1.64), and number of visits to a cardiology clinic (OR = 1.25, 95% CI: 1.02–1.59). There was no association between care effectiveness and sex ( p = 0.28), place of residence ( p = 0.757), duration of cardiovascular disease ( p = 0.718), number of home visits ( p = 0.154), nursing interventions ( p = 0.16), and adherence to lifestyle change recommendations ( p = 0.539) or proper dietary habits ( p = 0.355). A greater chance of improved health care effectiveness was found in patients whose caregivers reported higher social (OR = 1.24, 95% CI: 1.09–1.44), psychological (OR = 1.68, 95% CI: 1.25–2.37), and physical (OR = 1.24, 95% CI: 1.05–1.49) quality of life. Patients with cardiovascular disease who were characterized by lower educational attainment, poorer financial status, fewer visits to cardiology clinics, lower utilization of medical services, poorer self-perception of mental and physical well-being, recent onset of disease symptoms, and irregular use of medications, were much more likely to have poorer health care effectiveness. Patients with cardiovascular disease and their caregivers can be well supported at home as long as the care model is tailored to the specific needs. This includes family care coordination in the health care team, home care, and general practice support.

Keywords: cardiovascular diseases; home care services; patients; caregivers (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
References: View references in EconPapers View complete reference list from CitEc
Citations:

Downloads: (external link)
https://www.mdpi.com/1660-4601/19/9/5170/pdf (application/pdf)
https://www.mdpi.com/1660-4601/19/9/5170/ (text/html)

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:gam:jijerp:v:19:y:2022:i:9:p:5170-:d:801025

Access Statistics for this article

IJERPH is currently edited by Ms. Jenna Liu

More articles in IJERPH from MDPI
Bibliographic data for series maintained by MDPI Indexing Manager ().