In:
PLOS ONE, Public Library of Science (PLoS), Vol. 17, No. 5 ( 2022-5-25), p. e0268884-
Kurzfassung:
Taiwan has implemented an integrated prospective payment program (IPP) for prolonged mechanical ventilation (PMV) patients that consists of four stages of care: intensive care unit (ICU), respiratory care center (RCC), respiratory care ward (RCW), and respiratory home care (RHC). We aimed to investigate the life impact on family caregivers of PMV patients opting for a payment program and compared different care units. Method A total of 610 questionnaires were recalled. Statistical analyses were conducted by using the chi-square test and multivariate logistic regression model. Results The results indicated no associations between caregivers’ stress levels and opting for a payment program. Participants in the non-IPP group spent less time with friends and family owing to caregiver responsibilities. The results of the family domain show that the RHC group (OR = 2.54) had worsened family relationships compared with the ICU group; however, there was less psychological stress in the RCC (OR = 0.54) and RCW (OR = 0.16) groups than in the ICU group. In the social domain, RHC interviewees experienced reduced friend and family interactivity (OR = 2.18) and community or religious activities (OR = 2.06) than the ICU group. The RCW group felt that leisure and work time had less effect (OR = 0.37 and 0.41) than the ICU group. Furthermore, RCW interviewees (OR = 0.43) were less influenced by the reduced family income than the ICU group in the economic domain. Conclusions RHC family caregivers had the highest level of stress, whereas family caregivers in the RCW group had the lowest level of stress.
Materialart:
Online-Ressource
ISSN:
1932-6203
DOI:
10.1371/journal.pone.0268884
DOI:
10.1371/journal.pone.0268884.g001
DOI:
10.1371/journal.pone.0268884.g002
DOI:
10.1371/journal.pone.0268884.g003
DOI:
10.1371/journal.pone.0268884.t001
DOI:
10.1371/journal.pone.0268884.t002
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10.1371/journal.pone.0268884.t003
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10.1371/journal.pone.0268884.t004
DOI:
10.1371/journal.pone.0268884.t005
DOI:
10.1371/journal.pone.0268884.s001
DOI:
10.1371/journal.pone.0268884.s002
DOI:
10.1371/journal.pone.0268884.s003
DOI:
10.1371/journal.pone.0268884.s004
DOI:
10.1371/journal.pone.0268884.s005
DOI:
10.1371/journal.pone.0268884.s006
DOI:
10.1371/journal.pone.0268884.s007
DOI:
10.1371/journal.pone.0268884.s008
DOI:
10.1371/journal.pone.0268884.r001
DOI:
10.1371/journal.pone.0268884.r002
DOI:
10.1371/journal.pone.0268884.r003
DOI:
10.1371/journal.pone.0268884.r004
DOI:
10.1371/journal.pone.0268884.r005
DOI:
10.1371/journal.pone.0268884.r006
DOI:
10.1371/journal.pone.0268884.r007
DOI:
10.1371/journal.pone.0268884.r008
DOI:
10.1371/journal.pone.0268884.r009
DOI:
10.1371/journal.pone.0268884.r010
Sprache:
Englisch
Verlag:
Public Library of Science (PLoS)
Publikationsdatum:
2022
ZDB Id:
2267670-3
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