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Caregiver strain and heart failure patient clinical event risk : An extension of previous work
Bidwell, Julie T. Lee, C. Higgins, Melinda K. Reilly, Carolyn M. Clark, Patricia C. Dunbar, Sandra B.
Bidwell, Julie T.
Lee, C.
Higgins, Melinda K.
Reilly, Carolyn M.
Clark, Patricia C.
Dunbar, Sandra B.
Abstract
Background
In a study of Italian heart failure patient-caregiver dyads, greater caregiver strain significantly predicted lower patient clinical event risk.
Objective
The purpose of this secondary analysis was to examine this relationship in a sample from the United States.
Methods
Data came from 92 dyads who participated in a self-care intervention. Logistic regression was used to test the relationship between baseline strain (Bakas Caregiving Outcomes Scale, divided into tertiles) and patient likelihood of events (heart failure hospitalization/emergency visit or all-cause mortality) over 8 months.
Results
Nearly half of patients (n = 40, 43.5%) had an event. High (vs low) caregiver strain was associated with a 92.7% event-risk reduction, but with substantial variability around the effect (odds ratio, 0.07; 95% confidence interval, 0.01–0.63; P = .02).
Conclusions
Although findings were similar to the Italian study, the high degree of variability and contrasting findings to other studies signal a level of complexity that warrants further investigation.
Keywords
caregiver strain/burden, caregivers, heart failure, hospitalization, mortality
Date
2020
Type
Journal article
Journal
Journal of Cardiovascular Nursing
Book
Volume
35
Issue
3
Page Range
262-267
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