Document Type
Article
Publication Date
6-16-2022
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.
Keywords
dyad, family caregiver, heart failure, quality of life
Publication Title
European Journal of Cardiovascular Nursing
Volume
22
Issue
2
First Page
158
Last Page
165
Rights
© The Author(s) 2022. Published by Oxford University Press on behalf of the European Society of Cardiology. All rights reserved. For permissions, please email: journals.permissions@oup.com.
Recommended Citation
Elliane Irani, Harleah G Buck, Karen S Lyons, Seunghee Margevicius, Ercole Vellone, Andrew Bugajski, Maddalena De Maria, 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, Volume 22, Issue 2, February 2023, Pages 158–165, https://doi.org/10.1093/eurjcn/zvac052
Comments
This is a peer reviewed Accepted Manuscript of an article published by Oxford University Press in European Journal of Cardiovascular Nursing available at https://doi.org/10.1093/eurjcn/zvac052.