Effects of Self-Care on Quality of Life in Adults With Heart Failure and Their Spousal Caregivers
Effects of Self-Care on Quality of Life in Adults With Heart Failure and Their Spousal Caregivers
复制标题
自我护理对心力衰竭成人及其配偶照顾者生活质量的影响
作者：
E. Vellone;M. Chung;A. Cocchieri;G. Rocco;R. Alvaro;B. Riegel
夫妻之间的情绪是会传染的。本研究旨在探讨慢性心力衰竭患者与其非正式照顾者对自我照顾行为及生活质量的影响。从意大利的门诊中心招募了138名HF患者及其配偶。行为者-伴侣相互依赖模型（APIM）用于分析心力衰竭自我护理指数（SCHFI）、护理人员对SCHFI的贡献和简表12获得的二元数据。行为者效应和伴侣效应均存在，病人和照顾者的自我照顾能力越高，其身体生活质量越低。患者的自我护理维持程度越高，照顾者的心理生活质量越好。在照顾者中，对支持患者自我照顾能力的信心与照顾者的心理生活质量改善相关，但患者的身体生活质量恶化。需要采取干预措施，建立照顾者的信心。
Emotions are contagious in couples. The purpose of this study was to analyze the manner in which adults with chronic heart failure (HF) and their informal caregivers influence each other’s self-care behavior and quality of life (QOL). A sample of 138 HF patients and spouses was enrolled from ambulatory centers across Italy. The Actor–Partner Interdependence Model (APIM) was used to analyze dyadic data obtained with the Self-Care of Heart Failure Index (SCHFI), the Caregivers Contribution to the SCHFI, and the Short Form 12. Both actor and partner effects were found. Higher self-care was related to lower physical QOL in patients and caregivers. Higher self-care maintenance in patients was associated with better mental QOL in caregivers. In caregivers, confidence in the ability to support patients in self-care was associated with improved caregivers’ mental QOL, but worsened physical QOL in patients. Interventions that build the caregivers’ confidence are needed.
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影响因子：
8.1
作者：
Heo S;Moser DK;Lennie TA;Riegel B;Chung ML
通讯作者：
Chung ML
影响因子：
6
作者：
Agren, Susanna;Evangelista, Lorraine S.;Hjelm, Carina;Stromberg, Anna
通讯作者：
Stromberg, Anna
影响因子：
1.3
作者：
Rosland AM;Heisler M;Choi HJ;Silveira MJ;Piette JD
通讯作者：
Piette JD
影响因子：
--
作者：
Ayas, NT;White, DP;Hu, FB
通讯作者：
Hu, FB
影响因子：
37.8
作者：
Go AS;Mozaffarian D;Roger VL;Benjamin EJ;Berry JD;Borden WB;Bravata DM;Dai S;Ford ES;Fox CS;Franco S;Fullerton HJ;Gillespie C;Hailpern SM;Heit JA;Howard VJ;Huffman MD;Kissela BM;Kittner SJ;Lackland DT;Lichtman JH;Lisabeth LD;Magid D;Marcus GM;Marelli A;Matchar DB;McGuire DK;Mohler ER;Moy CS;Mussolino ME;Nichol G;Paynter NP;Schreiner PJ;Sorlie PD;Stein J;Turan TN;Virani SS;Wong ND;Woo D;Turner MB;American Heart Association Statistics Committee and Stroke Statistics Subcommittee
通讯作者：
American Heart Association Statistics Committee and Stroke Statistics Subcommittee