The Influence of Mutuality on Self-Care in Heart Failure Patients and Caregivers: A Dyadic Analysis

The Influence of Mutuality on Self-Care in Heart Failure Patients and Caregivers: A Dyadic Analysis
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相互性对心力衰竭患者和护理人员自我护理的影响:二元分析

DOI:
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发表时间:
2018
影响因子:
3.1
通讯作者:
F. Dellafiore
F. Dellafiore
中科院分区:
医学3区
文献类型:
--
作者:
E. Vellone;M. Chung;R. Alvaro;Marco Paturzo;F. Dellafiore

文献摘要

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Mutuality in patient–caregiver dyad may improve heart failure (HF) patient self-care and caregiver contribution to self-care, but literature is scarce. We evaluated the influence of mutuality and its dimensions on patient–caregiver dyad self-care. A sample of 366 HF patient–caregiver dyads was enrolled. The Actor–Partner Interdependence Model was used to identify the influence of individual patient and caregiver mutuality on their own self-care (actor effect) and on partner self-care (partner effect). The total mutuality score had an actor effect on patient self-care maintenance (i.e., behaviors aimed at maintaining HF stability) and on patient and caregiver self-care confidence. Total score of patient mutuality also had a partner effect on caregiver self-care management (i.e., responses to symptoms of HF exacerbation). Specific mutuality dimensions had different actor and partner effects on patient and caregiver self-care. Interventions to improve mutuality in HF patient–caregiver dyads may influence patient self-care and caregiver contribution to self-care.