Yuxia Chen1, Huijing Zou, Yanting Zhang, Wenjie Fang, Xiuzhen Fan. 1. Yuxia Chen, BM, RN, MSN(c) MSN Candidate, School of Nursing, Shandong University, Jinan, PR China. Huijing Zou, BM, RN, MSN(c) MSN Candidate, School of Nursing, Shandong University, Jinan, PR China. Yanting Zhang, BSN, RN, MSN(c) MSN Candidate, School of Nursing, Shandong University, Jinan, PR China. Wenjie Fang, BM, RN, MSN(c) MSN Candidate, School of Nursing, Shandong University, Jinan, PR China. Xiuzhen Fan, PhD, RN Professor, School of Nursing, Shandong University, Jinan, PR China.
Abstract
BACKGROUND: Adherence to self-care behaviors improves outcomes of patients with heart failure (HF). Caregivers play an important role in contributing to self-care. OBJECTIVE: We aimed to explore the relationships among HF knowledge, perceived control, social support, and family caregiver contribution to self-care of HF, based on the Information-Motivation-Behavioral Skills Model. METHODS: Two hundred forty-seven dyads of eligible patients with HF and family caregivers were recruited from a general hospital in China. Structural equation modeling was used to analyze the data obtained with the Caregiver Contribution to Self-care of Heart Failure Index, the Heart Failure Knowledge Test, the Control Attitudes Scale, and the Social Support Rating Scale. RESULTS: In this model, caregiver contribution to self-care maintenance was positively affected by perceived control (β = .148, P = .015) and caregiver confidence in contribution to self-care (β = .293, P < .001). Caregiver contribution to self-care management was positively affected by HF knowledge (β = .270, P < .001), perceived control (β = .140, P = .007), social support (β = .123, P = .019), caregiver confidence in contribution to self-care (β = .328, P < .001), and caregiver contribution to self-care maintenance (β = .148, P = .006). Caregiver confidence in contribution to self-care was positively affected by HF knowledge (β = .334, P < .001). CONCLUSIONS: Heart failure knowledge, perceived control, and social support facilitated family caregiver contribution to self-care of HF. Targeted interventions that consider these variables may effectively improve family caregiver contributions to self-care.
BACKGROUND: Adherence to self-care behaviors improves outcomes of patients with heart failure (HF). Caregivers play an important role in contributing to self-care. OBJECTIVE: We aimed to explore the relationships among HF knowledge, perceived control, social support, and family caregiver contribution to self-care of HF, based on the Information-Motivation-Behavioral Skills Model. METHODS: Two hundred forty-seven dyads of eligible patients with HF and family caregivers were recruited from a general hospital in China. Structural equation modeling was used to analyze the data obtained with the Caregiver Contribution to Self-care of Heart Failure Index, the Heart Failure Knowledge Test, the Control Attitudes Scale, and the Social Support Rating Scale. RESULTS: In this model, caregiver contribution to self-care maintenance was positively affected by perceived control (β = .148, P = .015) and caregiver confidence in contribution to self-care (β = .293, P < .001). Caregiver contribution to self-care management was positively affected by HF knowledge (β = .270, P < .001), perceived control (β = .140, P = .007), social support (β = .123, P = .019), caregiver confidence in contribution to self-care (β = .328, P < .001), and caregiver contribution to self-care maintenance (β = .148, P = .006). Caregiver confidence in contribution to self-care was positively affected by HF knowledge (β = .334, P < .001). CONCLUSIONS:Heart failure knowledge, perceived control, and social support facilitated family caregiver contribution to self-care of HF. Targeted interventions that consider these variables may effectively improve family caregiver contributions to self-care.
Authors: Barbara Riegel; Victoria Vaughan Dickson; Christopher S Lee; Marguerite Daus; Julia Hill; Elliane Irani; Solim Lee; Joyce W Wald; Stephen T Moelter; Lisa Rathman; Megan Streur; Foster Osei Baah; Linda Ruppert; Daniel R Schwartz; Alfred Bove Journal: Heart Lung Date: 2018-01-03 Impact factor: 2.210
Authors: Julie T Bidwell; Melinda K Higgins; Carolyn M Reilly; Patricia C Clark; Sandra B Dunbar Journal: Heart Lung Date: 2017-11-15 Impact factor: 2.210
Authors: Ana Maria Miranda Martins Wilson; Glauber Silva Mendes de Almeida; Bruna de Cassia Ferreira Dos Santos; Michele Nakahara-Melo; Ana Paula da Conceição; Diná de Almeida Lopes Monteiro da Cruz Journal: Rev Lat Am Enfermagem Date: 2022