Dyads affected by chronic heart failure: a randomized study evaluating effects of education and psychosocial support to patients with heart failure and their partners.
Dyads affected by chronic heart failure: a randomized study evaluating effects of education and psychosocial support to patients with heart failure and their partners.
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DOI：
10.1016/j.cardfail.2012.01.014
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发表时间：
2012-05
影响因子：
6
通讯作者：
Stromberg, Anna
中科院分区：
文献类型：
--
作者：
Agren, Susanna;Evangelista, Lorraine S.;Hjelm, Carina;Stromberg, Anna
慢性心力衰竭(CHF)给患者和他们的伴侣带来了巨大的痛苦。这项研究的目的是评估在CHF急性恶化后的出院后一段时间内，对CHF患者及其伴侣提供教育和心理社会支持的综合二元护理计划的效果。155名患者-照顾者双方被随机分为常规护理(n=71)或心理教育干预(n=84)，通过护士引导的面对面咨询、基于计算机的教育和其他书面教学材料，以3个模块提供，以帮助双方发展解决问题的技能。在3个月和12个月后完成跟踪评估，以评估感知的控制感、感知的健康、抑郁症状、自我护理和照顾者的负担。试验组和对照组二联体的基线社会人口学和临床特征在基线时相似。患者在3个月后(P<；0.05)对心脏状况的控制感有显著差异，但在12个月后没有显著差异，对照顾者也没有影响。随着时间的推移，双方在与健康相关的生活质量和抑郁症状、患者的自我护理行为以及伴侣对照顾者负担的经历方面没有观察到组内差异。集中于技能培养和解决问题的教育和心理社会支持的综合二元护理在最初提高患者的知觉控制水平方面是有效的。更频繁的专业接触和持续的技能培训可能是必要的，以对二元结局产生更高的影响，并值得进一步研究。
Chronic heart failure (CHF) causes great suffering for both patients and their partners. The aim of this study was to evaluate the effects of an integrated dyad care program with education and psychosocial support to patients with CHF and their partners during a postdischarge period after acute deterioration of CHF. One hundred fifty-five patient-caregiver dyads were randomized to usual care (n = 71) or a psychoeducation intervention (n = 84) delivered in 3 modules through nurse-led face-to-face counseling, computer-based education, and other written teaching materials to assist dyads to develop problem-solving skills. Follow-up assessments were completed after 3 and 12 months to assess perceived control, perceived health, depressive symptoms, self-care, and caregiver burden. Baseline sociodemographic and clinical characteristics of dyads in the experimental and control groups were similar at baseline. Significant differences were observed in patients’ perceived control over the cardiac condition after 3 (P < .05) but not after 12 months, and no effect was seen for the caregivers. No group differences were observed over time in dyads’ health-related quality of life and depressive symptoms, patients’ self-care behaviors, and partners’ experiences of caregiver burden. Integrated dyad care focusing on skill-building and problem-solving education and psychosocial support was effective in initially enhancing patients’ levels of perceived control. More frequent professional contact and ongoing skills training may be necessary to have a higher impact on dyad outcomes and warrants further research.
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影响因子：
2.9
作者：
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通讯作者：
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DOI：
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DOI：
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发表时间：
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期刊：
The Journal of cardiovascular nursing
影响因子：
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作者：
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通讯作者：
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