Do partners of patients with chronic heart failure experience caregiver burden?

被引:89
作者
Agren, Susanna [1 ,2 ]
Evangelista, Lorraine [3 ]
Stromberg, Anna [1 ,4 ]
机构
[1] Linkoping Univ, Dept Med & Hlth Sci, Div Nursing Sci, S-58185 Linkoping, Sweden
[2] Linkoping Univ Hosp, Dept Cardiothorac Surg, Linkoping, Sweden
[3] Univ Calif Los Angeles, Sch Nursing, Los Angeles, CA 90024 USA
[4] Linkoping Univ Hosp, Dept Cardiol, Linkoping, Sweden
基金
瑞典研究理事会;
关键词
Caregiver burden; Depression; Health related quality of life; Heart failure; Partner; Nursing; QUALITY-OF-LIFE; PERCEIVED CONTROL; HEALTH; SPOUSES; CARE; IMPACT; DEPRESSION; OUTCOMES; SUPPORT; SENSE;
D O I
10.1016/j.ejcnurse.2010.03.001
中图分类号
R5 [内科学];
学科分类号
100201 [内科学];
摘要
Aims To describe the levels and identify independent predictors of caregiver burden in partners of patients with heart failure Background Care and support from a partner are important for the well being of patients with heart failure and may potentially delay disease progression However caregiving may be associated with burden and stress and it is therefore important to understand which factors that influence caregiver burden Theoretical models of caregiving describe the concept of burden as an outcome variable, including decreased well being and health Methods Data for this descriptive cross sectional study were collected between January 2005 and September 2008 The dependent variable consisted of the Caregiver Burden Scale total score index Socio demographic and clinical characteristics health related quality of life symptoms of depression perceived control, and knowledge on heart failure were included in a regression analysis to determine independent predictors of caregiver burden Results The 135 partners had a mean age of 69 years and 75% were females Caregiver burden was perceived as medium in 30% of the partners The patients' Physical Component Score of SF-36 (p<0 001) partners Mental Component Score of SF-36 (p<0 001) and perceived control (p < 0 01) accounted for 39% of the variance in caregiver burden Conclusion Caregiver burden was lower when the mental health of the partner and the physical health of the patient were better and the partner experienced higher control over the heart disease A partner centered approach to educate and support partners of patients with heart failure is essential to improve the life situation for patient-partner dyads (C) 2010 European Society of Cardiology Published by Elsevier B V All rights reserved
引用
收藏
页码:254 / 262
页数:9
相关论文
共 52 条
[1]
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
[2]
Family caregivers' subjective experiences of satisfaction in dementia care:: aspects of burden, subjective health and sense of coherence [J].
Andrén, S ;
Elmståhl, S .
SCANDINAVIAN JOURNAL OF CARING SCIENCES, 2005, 19 (02) :157-168
[3]
The relationship between caregiver burden, caregivers' perceived health and their sense of coherence in caring for elders with dementia [J].
Andren, Signe ;
Elmstahl, Solve .
JOURNAL OF CLINICAL NURSING, 2008, 17 (06) :790-799
[4]
[Anonymous], 2004, CAR US
[5]
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
[6]
Risk factors for potentially harmful informal caregiver behavior [J].
Beach, SR ;
Schulz, R ;
Williamson, GM ;
Miller, LS ;
Weiner, MF ;
Lance, CE .
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 2005, 53 (02) :255-261
[7]
Negative and positive health effects of casing for a disabled spouse: Longitudinal findings from the caregiver health effects study [J].
Beach, SR ;
Schulz, R ;
Yee, JL ;
Jackson, S .
PSYCHOLOGY AND AGING, 2000, 15 (02) :259-271
[8]
AN INVENTORY FOR MEASURING DEPRESSION [J].
BECK, AT ;
ERBAUGH, J ;
WARD, CH ;
MOCK, J ;
MENDELSOHN, M .
ARCHIVES OF GENERAL PSYCHIATRY, 1961, 4 (06) :561-&
[9]
Beck AT, 2005, MANUAL BECK DEPRESSI
[10]
A simplified education program improves knowledge, self-care behavior, and disease severity in heart failure patients in rural settings [J].
Caldwell, MA ;
Peters, KJ ;
Dracup, KA .
AMERICAN HEART JOURNAL, 2005, 150 (05) :983.e7-983.e12