Journal article
Examining how congruence in and satisfaction with dyadic care type appraisal contribute to quality of life in heart failure care dyads
European journal of cardiovascular nursing : journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology, Vol.22(2), pp.158-165
02/2023
DOI: 10.1093/eurjcn/zvac052
Abstract
Abstract
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.
Details
- Title: Subtitle
- Examining how congruence in and satisfaction with dyadic care type appraisal contribute to quality of life in heart failure care dyads
- Creators
- Elliane Irani - Case Western Reserve UniversityHarleah G Buck - University of IowaKaren S LyonsSeunghee Margevicius - Case Western Reserve UniversityErcole Vellone - University of Rome Tor VergataAndrew Bugajski - Lakeland Regional Medical CenterMaddalena De Maria - University of Rome Tor Vergata
- Resource Type
- Journal article
- Publication Details
- European journal of cardiovascular nursing : journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology, Vol.22(2), pp.158-165
- DOI
- 10.1093/eurjcn/zvac052
- ISSN
- 1474-5151
- eISSN
- 1873-1953
- Grant note
- name: Center of Excellence for Nursing Scholarship
- Language
- English
- Date published
- 02/2023
- Academic Unit
- Nursing
- Record Identifier
- 9984370734902771
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