The Influence of Mutuality on Self-Care in Heart Failure Patients and Caregivers: A Dyadic Analysis

Mutuality in patient–caregiver dyad may improve heart failure (HF) patient self-care and caregiver contribution to self-care, but literature is scarce. We evaluated the influence of mutuality and its dimensions on patient–caregiver dyad self-care. A sample of 366 HF patient–caregiver dyads was enrol...

Full description

Saved in:
Bibliographic Details
Published in:Journal of family nursing 2018-11, Vol.24 (4), p.563-584
Main Authors: Vellone, Ercole, Chung, Misook L., Alvaro, Rosaria, Paturzo, Marco, Dellafiore, Federica
Format: Article
Language:English
Subjects:
Activities of daily living
Caregivers
Disease management
Health care management
Heart failure
Interdependence
Mutuality
Nursing
Patients
Personal relationships
Self care
Citations: Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Mutuality in patient–caregiver dyad may improve heart failure (HF) patient self-care and caregiver contribution to self-care, but literature is scarce. We evaluated the influence of mutuality and its dimensions on patient–caregiver dyad self-care. A sample of 366 HF patient–caregiver dyads was enrolled. The Actor–Partner Interdependence Model was used to identify the influence of individual patient and caregiver mutuality on their own self-care (actor effect) and on partner self-care (partner effect). The total mutuality score had an actor effect on patient self-care maintenance (i.e., behaviors aimed at maintaining HF stability) and on patient and caregiver self-care confidence. Total score of patient mutuality also had a partner effect on caregiver self-care management (i.e., responses to symptoms of HF exacerbation). Specific mutuality dimensions had different actor and partner effects on patient and caregiver self-care. Interventions to improve mutuality in HF patient–caregiver dyads may influence patient self-care and caregiver contribution to self-care.
ISSN:1074-8407
1552-549X
DOI:10.1177/1074840718809484