Family influences on heart failure self-care and outcomes

被引:215
作者
Dunbar, Sandra B. [1 ]
Clark, Patricia C. [2 ]
Quinn, Christina
Gary, Rebecca A. [1 ]
Kaslow, Nadine J. [3 ]
机构
[1] Emory Univ, Nell Hodgson Woodruff Sch Nursing, Atlanta, GA 30322 USA
[2] Georgia State Univ, Byrdine F Lewis Sch Nursing, Atlanta, GA 30303 USA
[3] Emory Univ, Sch Med, Dept Psychiat & Behav Sci, Atlanta, GA 30322 USA
关键词
caregiver outcomes; family functioning; family support; heart failure; patient education; self-care; self-management;
D O I
10.1097/01.JCN.0000305093.20012.b8
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Many patient education guidelines for teaching heart failure patients recommend inclusion of the family; however, family-focused interventions to promote self-care in heart failure are few. This article reviews the state of the science regarding family influences on heart failure self-care and outcomes. The literature and current studies suggest that family functioning, family support, problem solving, communication, self-efficacy, and caregiver burden are important areas to target for future research. In addition, heart failure patients without family and those who live alone and are socially isolated are highly vulnerable for poor self-care and should receive focused attention. Specific research questions based on existing science and gaps that need to be filled to support clinical practice are posed.
引用
收藏
页码:258 / 265
页数:8
相关论文
共 83 条
[1]  
Albarran John W, 2004, Eur J Cardiovasc Nurs, V3, P201, DOI 10.1016/j.ejcnurse.2004.06.008
[2]   Advanced heart failure: impact on older patients and informal carers [J].
Aldred, H ;
Gott, M ;
Gariballa, S .
JOURNAL OF ADVANCED NURSING, 2005, 49 (02) :116-124
[3]  
[Anonymous], CAN J CARDIOVASC NUR
[4]  
[Anonymous], 1998, Partnerships, power and process: Transforming health-care delivery
[5]   Determinants of perceived health in families of patients with heart disease [J].
Åstedt-Kurki, P ;
Lehti, K ;
Tarkka, MT ;
Paavilainen, E .
JOURNAL OF ADVANCED NURSING, 2004, 48 (02) :115-123
[6]   Family caregiving in heart failure [J].
Bakas, Tamilyn ;
Pressler, Susan J. ;
Johnson, Elizabeth A. ;
Nauser, Julie A. ;
Shaneyfelt, Terrence .
NURSING RESEARCH, 2006, 55 (03) :180-188
[7]   Characteristics and views of family carers of older people with heart failure [J].
Barnes, Sarah ;
Gott, Merryn ;
Payne, Sheila ;
Parker, Chris ;
Seamark, David ;
Gariballa, Salah ;
Small, Neil .
INTERNATIONAL JOURNAL OF PALLIATIVE NURSING, 2006, 12 (08) :380-389
[8]   Self-care strategies for symptom management in patients with chronic heart failure [J].
Bennett, SJ ;
Cordes, DK ;
Westmoreland, G ;
Castro, R ;
Donnelly, E .
NURSING RESEARCH, 2000, 49 (03) :139-145
[9]   Living with advanced heart failure: a prospective, of patients and their carers based study community [J].
Boyd, KJ ;
Murray, SA ;
Kendall, M ;
Worth, A ;
Benton, TF ;
Clausen, H .
EUROPEAN JOURNAL OF HEART FAILURE, 2004, 6 (05) :585-591
[10]   Congestive heart failure, spouses' support and the couple's sleep situation:: a critical incident technique analysis [J].
Broström, A ;
Strömberg, A ;
Dahlström, U ;
Fridlund, B .
JOURNAL OF CLINICAL NURSING, 2003, 12 (02) :223-233