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Assessing the response of patients and spousal/partner caregivers to a new instrument measuring dyadic heart failure care types
Journal article   Open access   Peer reviewed

Assessing the response of patients and spousal/partner caregivers to a new instrument measuring dyadic heart failure care types

Harleah G. Buck, Cheryl H. Zambroski and Judith E. Hupcey
European journal of cardiovascular nursing : journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology, Vol.12(2), pp.209-213
04/01/2013
DOI: 10.1177/1474515112471479
PMCID: PMC3594070
PMID: 23283568
url
https://doi.org/10.1177/1474515112471479View
Published (Version of record) Open Access

Abstract

Background: Nurse researchers are exploring new ways of understanding heart failure (HF), spousal/partner dyad's self care. Aims: To assess the response to a new instrument developed to measure dyadic HF care type in HF patients and spousal/partner caregivers and explore relationships between type and other variables. Methods: Dyads answered a written criterion referenced question related to dyadic HF care type. The relationships between the dyadic care type and sociodemographic and clinical variables were explored using. 2, f coefficient. Degree of agreement within the dyad on particular type was assessed by kappa statistic. Results: A total of 19 dyads were accrued. Patients were aged 71.7 +/- 9.7 years (mean +/- SD), male (n=15), and NYHA Class IIIB/IV (79%). Caregivers were aged 69.2 +/- 11.7 years, female (n=15), married for 45.2 +/- 14.1 years. HF patient and caregiver dyads were easily able to self select a dyadic type given specific criteria. Agreements ranged from 21% to 5%, by type, resulting in a kappa of 0.28 (p =0.025) when patient self reported type was compared to their caregiver's type. Conclusions: Now that we are able to measure types of dyadic HF care, understanding how dyadic care type relates to self care outcomes is needed to advance the science.
Cardiac & Cardiovascular Systems Cardiovascular System & Cardiology Life Sciences & Biomedicine Nursing Science & Technology

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