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Effects of self-care on quality of life in adults with heart failure and their spousal caregivers: testing dyadic dynamics using the actor-partner interdependence model.
J Fam Nurs. 2014 Feb; 20(1):120-41.JF

Abstract

Emotions are contagious in couples. The purpose of this study was to analyze the manner in which adults with chronic heart failure (HF) and their informal caregivers influence each other's self-care behavior and quality of life (QOL). A sample of 138 HF patients and spouses was enrolled from ambulatory centers across Italy. The Actor-Partner Interdependence Model (APIM) was used to analyze dyadic data obtained with the Self-Care of Heart Failure Index (SCHFI), the Caregivers Contribution to the SCHFI, and the Short Form 12. Both actor and partner effects were found. Higher self-care was related to lower physical QOL in patients and caregivers. Higher self-care maintenance in patients was associated with better mental QOL in caregivers. In caregivers, confidence in the ability to support patients in self-care was associated with improved caregivers' mental QOL, but worsened physical QOL in patients. Interventions that build the caregivers' confidence are needed.

Authors+Show Affiliations

1Tor Vergata University, Rome, Italy.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural

Language

eng

PubMed ID

24189325

Citation

Vellone, Ercole, et al. "Effects of Self-care On Quality of Life in Adults With Heart Failure and Their Spousal Caregivers: Testing Dyadic Dynamics Using the Actor-partner Interdependence Model." Journal of Family Nursing, vol. 20, no. 1, 2014, pp. 120-41.
Vellone E, Chung ML, Cocchieri A, et al. Effects of self-care on quality of life in adults with heart failure and their spousal caregivers: testing dyadic dynamics using the actor-partner interdependence model. J Fam Nurs. 2014;20(1):120-41.
Vellone, E., Chung, M. L., Cocchieri, A., Rocco, G., Alvaro, R., & Riegel, B. (2014). Effects of self-care on quality of life in adults with heart failure and their spousal caregivers: testing dyadic dynamics using the actor-partner interdependence model. Journal of Family Nursing, 20(1), 120-41. https://doi.org/10.1177/1074840713510205
Vellone E, et al. Effects of Self-care On Quality of Life in Adults With Heart Failure and Their Spousal Caregivers: Testing Dyadic Dynamics Using the Actor-partner Interdependence Model. J Fam Nurs. 2014;20(1):120-41. PubMed PMID: 24189325.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Effects of self-care on quality of life in adults with heart failure and their spousal caregivers: testing dyadic dynamics using the actor-partner interdependence model. AU - Vellone,Ercole, AU - Chung,Misook L, AU - Cocchieri,Antonello, AU - Rocco,Gennaro, AU - Alvaro,Rosaria, AU - Riegel,Barbara, Y1 - 2013/11/04/ PY - 2013/11/6/entrez PY - 2013/11/6/pubmed PY - 2014/10/27/medline KW - Actor–Partner Interdependence Model KW - couples KW - dyads KW - family caregivers KW - heart failure KW - quality of life KW - self-care SP - 120 EP - 41 JF - Journal of family nursing JO - J Fam Nurs VL - 20 IS - 1 N2 - Emotions are contagious in couples. The purpose of this study was to analyze the manner in which adults with chronic heart failure (HF) and their informal caregivers influence each other's self-care behavior and quality of life (QOL). A sample of 138 HF patients and spouses was enrolled from ambulatory centers across Italy. The Actor-Partner Interdependence Model (APIM) was used to analyze dyadic data obtained with the Self-Care of Heart Failure Index (SCHFI), the Caregivers Contribution to the SCHFI, and the Short Form 12. Both actor and partner effects were found. Higher self-care was related to lower physical QOL in patients and caregivers. Higher self-care maintenance in patients was associated with better mental QOL in caregivers. In caregivers, confidence in the ability to support patients in self-care was associated with improved caregivers' mental QOL, but worsened physical QOL in patients. Interventions that build the caregivers' confidence are needed. SN - 1552-549X UR - https://www.unboundmedicine.com/medline/citation/24189325/Effects_of_self_care_on_quality_of_life_in_adults_with_heart_failure_and_their_spousal_caregivers:_testing_dyadic_dynamics_using_the_actor_partner_interdependence_model_ L2 - https://journals.sagepub.com/doi/10.1177/1074840713510205?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -