Examining how congruence in and satisfaction with dyadic care type appraisal contribute to quality of life in heart failure care dyads.
Examining how congruence in and satisfaction with dyadic care type appraisal contribute to quality of life in heart failure care dyads.
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检查二元护理类型评估的一致性和满意度如何影响心力衰竭护理二元组的生活质量。
DOI：
10.1093/eurjcn/zvac052
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发表时间：
2023
影响因子：
2.9
通讯作者：
DeMaria,Maddalena
中科院分区：
文献类型：
--
作者：
Irani,Elliane;Buck,HarleahG;Lyons,KarenS;Margevicius,Seunghee;Vellone,Ercole;Bugajski,Andrew;DeMaria,Maddalena
AimsGiven the complexity of heart failure (HF) management, persons with HF and their informal caregivers often engage in dyadic illness management. It is unknown how congruent appraisal of dyadic HF care type is associated with dyadic health. Our aim was to examine how congruence in and satisfaction with appraisal of dyadic HF care type contribute to quality of life (QOL) for dyads.Methods and resultsThis is a secondary analysis of cross-sectional data on 275 HF care dyads (patients 45.1% female, caregivers 70.5% female). Congruent appraisal and satisfaction were assessed using the Dyadic Symptom Management Type instrument. Quality of life was measured using the Short Form-12. Multilevel dyadic models were estimated to examine the contribution of congruence and satisfaction with dyadic care type to physical and mental QOL. Congruent appraisal of dyadic care type was positively associated with caregivers’ mental QOL (B= 2.69,P= 0.026). Satisfaction with dyadic care type was positively associated with physical and mental QOL for persons with HF (B= 1.58,P= 0.011 andB= 2.09,P= 0.002, respectively) and informal caregivers (B= 1.70,P= 0.004 andB= 2.90,P< 0.001, respectively), while controlling for age, New York Heart Association class, daily hours spent together, relationship type, and congruence with dyadic care type.ConclusionSatisfaction with dyadic care type appraisal was a stronger contributor to QOL for HF care dyads, compared with congruent appraisals. It is important to understand reasons for dissatisfaction within the dyad to assist dyad members in reaching shared appraisals while managing HF.
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