Examining how congruence in and satisfaction with dyadic care type appraisal contribute to quality of life in heart failure care dyads.

Autor:	Irani E; Frances Payne Bolton School of Nursing, Case Western Reserve University, 10900 Euclid Avenue, Cleveland, OH 44106-4904, USA., Buck HG; College of Nursing, University of Iowa, Iowa City, IA, USA., Lyons KS; William F. Connell School of Nursing, Boston College, Chestnut Hill, MA, USA., Margevicius S; Department of Population and Quantitative Health Sciences, School of Medicine and Case Comprehensive Cancer Center, Case Western Reserve University, Cleveland, OH, USA., Vellone E; Department of Biomedicine and Prevention, University of Rome 'Tor Vergata', Rome, Italy., Bugajski A; Lakeland Regional Health, Lakeland, FL, USA., De Maria M; Department of Biomedicine and Prevention, University of Rome 'Tor Vergata', Rome, Italy.
Jazyk:	angličtina
Zdroj:	European journal of cardiovascular nursing [Eur J Cardiovasc Nurs] 2023 Mar 01; Vol. 22 (2), pp. 158-165.
DOI:	10.1093/eurjcn/zvac052
Abstrakt:	Aims: Given 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 Results: This 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 and B = 2.09, P = 0.002, respectively) and informal caregivers (B = 1.70, P = 0.004 and B = 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. Conclusion: Satisfaction 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. Competing Interests: Conflict of interest: The authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. (© The Author(s) 2022. Published by Oxford University Press on behalf of the European Society of Cardiology. All rights reserved. For permissions, please email: journals.permissions@oup.com.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu