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Patterns of heart failure dyadic illness management : The important role of gender
Lee, Christopher S. Sethares, Kristen A. Thompson, Jessica Harman Faulkner, Kenneth M. Aarons, Emily Lyons, Karen S.
Lee, Christopher S.
Sethares, Kristen A.
Thompson, Jessica Harman
Faulkner, Kenneth M.
Aarons, Emily
Lyons, Karen S.
Abstract
Background
The ways in which patients with heart failure (HF) and their care partners work together to manage HF are often overlooked.
Objective
The aim of this study was to identify and compare different patterns of HF dyadic illness management.
Methods
This was a secondary analysis of data on HF dyads. Heart failure management was measured using patient and care partner versions of the Self-Care of HF Index and European HF Self-care Behavior Scale. Latent class modeling was used to identify patterns of HF dyadic management.
Results
The mean age of the 62 patients and their care partners was 59.7 ± 11.8 and 58.1 ± 11.9 years, respectively. A majority of patients (71.0%) had class III/IV HF, and a majority of the couples (95.2%) were married. Two distinct dyadic patterns were observed, 1 collaborative management type (n = 42, 67.7%) and 1 autonomous management type (n = 20, 32.3%). Dyads in the autonomous pattern were mostly female patients with male care partners; patients in this pattern also were more anxious and depressed, and reported worse relationship quality compared with collaborative dyads.
Conclusion
There is an engendered spectrum of collaboration in how HF patient–care partner dyads work together to manage HF that needs to be considered in clinical care and research.
Keywords
caregivers, dyads, gender, heart failure, illness management
Date
2020
Type
Journal article
Journal
Journal of Cardiovascular Nursing
Book
Volume
35
Issue
5
Page Range
416-422
Article Number
ACU Department
Faculty of Health Sciences
Collections
Relation URI
Source URL
Event URL
Open Access Status
License
All rights reserved
File Access
Controlled