+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

A Dyadic Approach to Managing Heart Failure With Confidence

A Dyadic Approach to Managing Heart Failure With Confidence

Journal of Cardiovascular Nursing 30(4 Suppl 1): S64

The majority of heart failure (HF) self-care research remains focused on patients, despite the important involvement of family caregivers. Although self-care confidence has been found to play an important role in the effectiveness of HF self-care management on patient outcomes, no known research has examined self-care confidence within a dyadic context. The purpose of this study was to identify individual and dyadic determinants of self-care confidence in HF care dyads. Multilevel modeling, which controls for the interdependent nature of dyadic data, was used to examine 329 Italian HF dyads (caregivers were either spouses or adult children). Both patients and caregivers reported lower-than-adequate levels of confidence, with caregivers reporting slightly higher confidence than patients. Patient and caregiver levels of confidence were significantly associated with greater patient-reported relationship quality and better caregiver mental health. Patient confidence in self-care was significantly associated with patient female gender, nonspousal care dyads, poor caregiver physical health, and low care strain. Caregiver confidence to contribute to self-care was significantly associated with poor emotional quality of life in patients and greater perceived social support by caregivers. Findings are supportive of the need for a dyadic perspective of HF self-care in practice and research as well as the importance of addressing the needs of both members of the dyad to maximize optimal outcomes for both.

Please choose payment method:

(PDF emailed within 0-6 h: $19.90)

Accession: 057027576

Download citation: RISBibTeXText

PMID: 25658186

DOI: 10.1097/jcn.0000000000000234

Related references

A holistic approach to managing a patient with heart failure. Future Cardiology 9(2): 189-192, 2013

Managing heart failure: a case study approach. Critical Care Nurse 21(2): 36, 2001

Who is managing acute decompensated heart failure? The need for a multidisciplinary approach. Journal of Hospital Medicine 3(6 Suppl): S1, 2008

Combining SERCA2a activation and Na-K ATPase inhibition: a promising new approach to managing acute heart failure syndromes with low cardiac output. Discovery Medicine 12(63): 141-151, 2011

Managing patients with heart failure: a qualitative study of multidisciplinary teams with specialist heart failure nurses. Annals of Family Medicine 13(5): 466-471, 2015

How to achieve confidence in drug discovery and development: managing risk (from a reductionist to a holistic approach). Chemmedchem 4(6): 923-933, 2009

Dyadic heart failure care types: qualitative evidence for a novel typology. Journal of Cardiovascular Nursing 28(6): E37, 2013

A direct link between haemodynamic failure and inflammatory activation in heart failure: the simplified approach to heart failure and to creation of life. European Heart Journal 35(7): 413-415, 2014

Determinants of Heart Failure Self-Care Maintenance and Management in Patients and Caregivers: A Dyadic Analysis. Research in Nursing and Health 38(5): 392-402, 2015

Chronic heart failure and more confidence failure. Tidsskrift for den Norske Laegeforening 127(9): 1234; Author Reply 1234-5, 2007

Heart failure (acute heart failure, chronic heart failure; left ventricular failure, right ventricular failure; systolic heart failure, diastolic heart failure; high output heart failure, low output heart failure). Ryoikibetsu Shokogun Shirizu 1996(12): 107-109, 1996

Patterns and predictors of patient and caregiver engagement in heart failure care: a multi-level dyadic study. International Journal of Nursing Studies 52(2): 588-597, 2015

Assessing the response of patients and spousal/partner caregivers to a new instrument measuring dyadic heart failure care types. European Journal of Cardiovascular Nursing 12(2): 209-213, 2013

Analgesic Effects Elicited by Neuroactive Mediators Injected into the ST 36 Acupuncture Point on Inflammatory and Neuropathic Pain in Mice. Journal of Acupuncture and Meridian Studies 11(5): 280-289, 2018

Heart failure and confidence failure. Tidsskrift for den Norske Laegeforening 127(5): 621, 2007