The relationship between caregiver contributions to self-care and quality of life in heart failure patients in Ardabil hospitals in Ardebil-Iran

Karimi, Parviz; Mohammadi, Mohammad Ali; Dadkhah, B; Mozaffari, N.

doi:10.1016/j.ijans.2022.100511

Cited by 1 publication

(2 citation statements)

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“…The situation-specific theory of caregiver contribution to heart failure self-care specifies how caregiver contribution to self-care can have positive and negative outcomes on both patients and caregivers. Regarding the patient outcomes, better caregiver contribution to self-care maintenance and management have been shown to be associated with higher patient quality of life 50 and lower mortality. 51 One study showed that caregiver contribution to self-care "T0" and "T1" are the time points at baseline and 3-month follow-up, respectively.…”

Section: Discussionmentioning

confidence: 99%

“…The situation-specific theory of caregiver contribution to heart failure self-care specifies how caregiver contribution to self-care can have positive and negative outcomes on both patients and caregivers. Regarding the patient outcomes, better caregiver contribution to self-care maintenance and management have been shown to be associated with higher patient quality of life 50 and lower mortality 51 . One study showed that caregiver contribution to self-care maintenance was positively associated with patient self-care management, and another study showed that caregiver contribution to self-care management mediated the relationship between caregiver preparedness and patient readmission at 3 months and length of hospital stay 51 .…”

Section: Discussionmentioning

confidence: 99%

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The Influence of Caregiver Contribution to Self-care on Symptom Burden in Patients With Heart Failure and the Mediating Role of Patient Self-care

et al. 2023

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Background Patients with heart failure experience high symptom burden, which can be mitigated with adequate self-care. Caregiver contribution to self-care has been theorized to improve patient symptom burden. The mediating role of patient self-care in this relationship has not been tested yet. Objectives The aim of this study was to test whether (a) caregiver contribution to self-care influences patient self-care, (b) patient self-care influences symptom burden, and (c) patient self-care mediates the relationship between caregiver contribution to self-care and symptom burden. Methods In this study, the authors conducted a secondary analysis of the baseline and 3-month data from the MOTIVATE-HF trial, which enrolled 510 dyads (patient with heart failure and caregiver) in Italy. Multigroup confirmatory factor analysis was used to test measurement invariance. Autoregressive longitudinal path analysis with contemporaneous mediation was used to test our hypotheses. Results On average, caregivers were 54 years old and mainly female, whereas patients were 72.4 years old and mainly male. Better caregiver contribution to self-care maintenance was associated with better patient self-care maintenance (β = 0.280, P < .001), which, in turn, was associated with lower symptom burden (β = −0.280, P < .001). Patient self-care maintenance mediated the effect of caregiver contribution to self-care maintenance on symptom burden (β = −0.079; 95% bias-corrected bootstrapped confidence interval, −0.130 to −0.043). Better caregiver contribution to self-care management was associated with better patient self-care management (β = 0.238, P = .006). The model significantly accounted for 37% of the total variance in symptom burden scores (P < .001). Conclusions This study expands the situation-specific theory of caregiver contribution to heart failure self-care and provides new evidence on the role of caregiver contribution to self-care and patient self-care on symptom burden in heart failure.

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Section: Discussionmentioning

confidence: 99%

“…The situation-specific theory of caregiver contribution to heart failure self-care specifies how caregiver contribution to self-care can have positive and negative outcomes on both patients and caregivers. Regarding the patient outcomes, better caregiver contribution to self-care maintenance and management have been shown to be associated with higher patient quality of life 50 and lower mortality 51 . One study showed that caregiver contribution to self-care maintenance was positively associated with patient self-care management, and another study showed that caregiver contribution to self-care management mediated the relationship between caregiver preparedness and patient readmission at 3 months and length of hospital stay 51 .…”

Section: Discussionmentioning

confidence: 99%