Swipe om te navigeren naar een ander artikel
Partners of patients with heart failure provide both practical and emotional support. Many partners assume caregiving responsibilities without being aware of the burden related with this role.
Our work has established that a psycho-educational intervention has benefits at 3, but not at 12 months for patients with heart failure. Further we had not described the long-term effects in caregivers. This study aimed to determine the 24-months effects of a dyadic psycho-educational intervention on caregiver burden and morbidity in partners of patients with heart failure and study factors associated with a change in caregiver burden.
A randomized controlled study design, with a follow-up assessment after 24 months.
Partners to patients with heart failure were recruited from two hospitals in the southeast of Sweden.
A three session nurse-led psycho-educational program was tested and included psychosocial support to maintain the partners’ physical and mental functions, and perceived control. Several instrument were used to measure caregiver burden, perceived control, physical and mental health, depression and morbidity.
One hundred fifty-five partners were included. There were no significant differences in any index of caregiver burden or morbidity among the partners in the intervention and control groups after 24 months. Overall, the mean total caregiver burden was found to be significantly increased compared to baseline (36 ± 12 vs 38 ± 14, p < 0.05). A younger partner, less comorbidity, higher levels of perceived control, better physical health and less symptoms of depression in patients, and better mental health in the partners were factors associated with absence of increased caregiver burden over time.
Our intervention did not significantly decrease caregiver burden or morbidity. Over time, several aspects of burden increased in both groups. To improve outcomes, individualized and targeted interventions might be beneficial.
Log in om toegang te krijgen
Met onderstaand(e) abonnement(en) heeft u direct toegang:
McMurray, J. J., Adamopoulos, S., Anker, S. D., Auricchio, A., Bohm, M., et al. (2012). ESC guidelines for the diagnosis and treatment of acute and chronic heart failure 2012: The Task Force for the diagnosis and treatment of acute and chronic heart failure 2012 of the European Society of Cardiology. Developed in collaboration with the Heart Failure Association (HFA) of the ESC. European Journal of Heart Failure, 14, 803–869. CrossRefPubMed
Campbell, R. L., Banner, R., Konick-McMahan, J., & Naylor, M. D. (1998). Discharge planning and home follow-up of the elderly patient with heart failure. Nursing Clinics of North America, 33, 497–513. PubMed
Shafazand, M., Schaufelberger, M., Lappas, G., Swedberg, K., & Rosengren, A. (2009). Survival trends in men and women with heart failure of ischaemic and non-ischaemic origin: data for the period 1987-2003 from the Swedish Hospital Discharge Registry. European Heart Journal, 30, 671–678. CrossRefPubMed
Pinquart, M., & Sorensen, S. (2007). Correlates of physical health of informal caregivers: a meta-analysis. Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, 62, P126–P137. CrossRef
Agren, S., Evangelista, L. S., Hjelm, C., & Strömberg, A. (2012). Dyads affected by chronic heart failure: a randomized study evaluating effects of education and psychosocial support to patients with heart failure and their partners. Journal of Cardiac Failure, 18, 359–366. CrossRefPubMedPubMedCentral
Agren, S., Evangelista, L., Davidson, T., & Stromberg, A. (2010) The influence of chronic heart failure in patient-partner dyads-a comparative study addressing issues of health-related quality of life. The Journal of Cardiovascular Nursing.
Ware, J. E., Snow, K. K., & Kosinski, M. B. G. (1993). SF-36 ® health survey manual and interpretation guide. Boston: New England Medical Center, The Health Institute.
Beck, A. T., Steer, R. A., Brown, G. K., & Lindfors, J. (2006). BDI-II: Beck depression inventory: Manual, svensk version. Stockholm: Psykologiförlaget.
Arestedt, K., Agren, S., Flemme, I., Moser, D. K., & Stromberg, A. (2014) A psychometric evaluation of the four-item version of the Control Attitudes Scale for patients with cardiac disease and their partners. The Journal of Cardiovascular Nursing.
Altman, D. G. (1991). Practical statistics for medical research. London: Chapman and Hall.
Cohen, J. (1988). Statistical power analysis for the behavioral sciences: Hillsdale. NJ: Erlbaum.
Vellone, E., Chung, M. L., Cocchieri, A., Rocco, G., Alvaro, R., et al. (2014). Effects of self-care on quality of life in adults with heart failure and their spousal caregivers: Testing dyadic dynamics using the actor-partner interdependence model. Journal of Family Nursing, 20, 120–141. CrossRefPubMed
Elbert, N. J., van Os-Medendorp, H., van Renselaar, W., Ekeland, A. G., Hakkaart-van Roijen, L., et al. (2014). Effectiveness and cost-effectiveness of ehealth interventions in somatic diseases: A systematic review of systematic reviews and meta-analyses. Journal of Medical Internet Research, 16, e110. CrossRefPubMedPubMedCentral
Altman, D. G. (2006). Practical statistics for medical research. London: Chapman and Hall.
- Long-term effects of a dyadic psycho-educational intervention on caregiver burden and morbidity in partners of patients with heart failure: a randomized controlled trial
- Springer International Publishing