BACKGROUND: Nurse researchers are exploring new ways of understanding heart failure (HF), spousal/partner dyad's self care. AIMS: To assess the response to a new instrument developed to measure dyadic HF care type in HF patients and spousal/partner caregivers and explore relationships between type and other variables. METHODS: Dyads answered a written criterion referenced question related to dyadic HF care type. The relationships between the dyadic care type and sociodemographic and clinical variables were explored using χ 2, ϕ coefficient. Degree of agreement within the dyad on particular type was assessed by kappa statistic. RESULTS: A total of 19 dyads were accrued. Patients were aged 71.7 ± 9.7 years (mean ± SD), male (n=15), and NYHA Class IIIB/IV (79%). Caregivers were aged 69.2 ± 11.7 years, female (n=15), married for 45.2 ± 14.1 years. HF patient and caregiver dyads were easily able to self select a dyadic type given specific criteria. Agreements ranged from 21% to 5%, by type, resulting in a kappa of 0.28 (p = 0.025) when patient self reported type was compared to their caregiver's type. CONCLUSIONS: Now that we are able to measure types of dyadic HF care, understanding how dyadic care type relates to self care outcomes is needed to advance the science.
BACKGROUND: Nurse researchers are exploring new ways of understanding heart failure (HF), spousal/partner dyad's self care. AIMS: To assess the response to a new instrument developed to measure dyadic HF care type in HF patients and spousal/partner caregivers and explore relationships between type and other variables. METHODS: Dyads answered a written criterion referenced question related to dyadic HF care type. The relationships between the dyadic care type and sociodemographic and clinical variables were explored using χ 2, ϕ coefficient. Degree of agreement within the dyad on particular type was assessed by kappa statistic. RESULTS: A total of 19 dyads were accrued. Patients were aged 71.7 ± 9.7 years (mean ± SD), male (n=15), and NYHA Class IIIB/IV (79%). Caregivers were aged 69.2 ± 11.7 years, female (n=15), married for 45.2 ± 14.1 years. HF patient and caregiver dyads were easily able to self select a dyadic type given specific criteria. Agreements ranged from 21% to 5%, by type, resulting in a kappa of 0.28 (p = 0.025) when patient self reported type was compared to their caregiver's type. CONCLUSIONS: Now that we are able to measure types of dyadic HF care, understanding how dyadic care type relates to self care outcomes is needed to advance the science.
Authors: Marie Louise Luttik; Tiny Jaarsma; Jan G P Tijssen; Dirk J van Veldhuisen; Robbert Sanderman Journal: Eur J Cardiovasc Nurs Date: 2007-05-01 Impact factor: 3.908
Authors: Jan Cameron; Peter G Rendell; Chantal F Ski; Christina E Kure; Skye N McLennan; Nathan S Rose; David L Prior; David R Thompson Journal: Trials Date: 2015-04-29 Impact factor: 2.279