Relationship Status and Quality Are Associated With Perceived Benefits of Caregiving for People With Heart Failure.
Relationship Status and Quality Are Associated With Perceived Benefits of Caregiving for People With Heart Failure.
复制标题
关系状态和质量与护理心力衰竭患者的感知益处相关。
DOI：
10.1097/jcn.0000000000001093
复制
发表时间：
2024
期刊：
影响因子：
--
通讯作者：
Bekelman,DavidB
中科院分区：
文献类型：
--
作者：
Glickman,Amanda;Mikulich-Gilbertson,Susan;AbshireSaylor,Martha;DeGroot,Lyndsay;Bekelman,DavidB
背景“获益发现”是一种基于优势的应对医疗疾病的策略，考虑到病程的高度波动，对于心力衰竭患者的护理人员可能特别有用。目的本研究的目的是在基线和纵向上调查获益发现与护理者-被护理者关系、抑郁和负担的关联。方法这是一项针对护理人员的获益发现、关系质量、抑郁和负担的纵向观察研究。相关性和多元回归分析确定了基线关联和福利发现 12 个月变化的预测因素。结果在基线（n = 100；中位数，60 岁 [四分位距，46-69]；81% 女性，70% 伴侣/配偶），福利发现增加与较高的关系质量相关（r= 0.53；95% 置信区间 [CI]，0.38-0.67），较低的抑郁症（r=− 0.33；95% CI，− 0.49 至− 0.14），并且负担较低（r=− 0.31；95% CI，− 0.47 至− 0.11）。利益发现的 12 个月变化是通过关系质量的变化来预测的（ß= 7.12；95% CI，0.62-13.61），而不是抑郁或负担。结论随着时间的推移，关系质量和利益发现一起变化。加强护理人员与护理接受者之间联系的干预措施可能对心力衰竭护理人员特别有影响。
Background“Benefit finding” is a strengths-based strategy for coping with medical illness that may be particularly useful for caregivers of people with heart failure given the highly fluctuating disease course.ObjectiveThe aim of this study was to investigate benefit finding's association with the caregiver–care recipient relationship, depression, and burden at baseline and longitudinally.MethodsThis is a longitudinal observational study of caregivers' benefit finding, relationship quality, depression, and burden. Correlation and multiple regression analyses identify baseline associations and predictors of 12-month change in benefit finding.ResultsAt baseline (n= 100; median, 60 years [interquartile range, 46–69]; 81% female, 70% partner/spouse), increased benefit finding correlated with higher relationship quality (r= 0.53; 95% confidence interval [CI], 0.38–0.67), lower depression (r=− 0.33; 95% CI,− 0.49 to− 0.14), and lower burden (r=− 0.31; 95% CI,− 0.47 to− 0.11). Twelve-month change in benefit finding was predicted by change in relationship quality (ß= 7.12; 95% CI, 0.62–13.61) but not depression or burden.ConclusionsRelationship quality and benefit finding changed together over time. Interventions strengthening the caregiver–care recipient bond may be especially impactful for heart failure caregivers.