Angela Durante1, Marco Paturzo, Antonella Mottola, Rosaria Alvaro, Victoria Vaughan Dickson, Ercole Vellone. 1. Angela Durante, MSN, RN PhD Student, Department of Biomedicine and Prevention University of Rome Tor Vergata, Italy. Marco Paturzo, PhD, RN Department of Biomedicine and Prevention, University of Rome Tor Vergata, Italy; Military Nurse (current), CELIO Military Hospital of Rome, Italy. Antonella Mottola, PhD, RN Department of Biomedicine and Prevention, University of Rome Tor Vergata, Italy; Nurse Manager (current), San Pio Hospital, Benevento, Italy. Rosaria Alvaro, MSN, RN, FESC Professor, Department of Biomedicine and Prevention University of Rome Tor Vergata, Italy. Victoria Vaughan Dickson, PhD, CRNP, FAHA, FAAN Associate Professor, New York University Rory Meyers College of Nursing. Ercole Vellone, PhD, RN, FESC Assistant Professor, Department of Biomedicine and Prevention University of Rome Tor Vergata, Italy.
Abstract
BACKGROUND: Caregiver contribution to heart failure (HF) self-care maintenance and management is important in HF care. Literature remains unclear regarding which practices caregivers perform to contribute to self-care for patients with HF, especially in Southern Europe. OBJECTIVE: The objective of this study was to describe caregiver contributions to HF self-care maintenance (ie, treatment adherence and symptom monitoring) and management (ie, managing HF symptoms when they occur). METHODS: Forty HF caregivers were enrolled from 3 outpatient clinics in Italy for a qualitative descriptive study. Data were collected with a semistructured interview and analyzed using content analysis. RESULTS: Caregivers were 53.6 years old on average and mostly female (63.5%). Caregiver contributions to self-care maintenance included practices related to (1) monitoring medication adherence, (2) educating patients about HF symptom monitoring, (3) motivating patients to perform physical activity, and (4) reinforcing dietary restrictions. However, some of these practices were incorrect (eg, weighing the patient only once a week). Caregiver contributions to self-care management included practices related to (1) symptom recognition and (2) treatment implementation. Caregivers were able to recognize symptoms of HF exacerbation (eg, breathlessness) but lacked confidence regarding treatment implementation (eg, administering an extra diuretic). CONCLUSIONS: Although caregivers described contributing to patients' HF self-care maintenance and management, some of their practices were incorrect. Because the caregiver contributions to HF self-care can improve patient outcomes, clinicians should routinely assess caregiver HF self-care practices and provide education and reinforcement regarding evidence-based practices.
BACKGROUND: Caregiver contribution to heart failure (HF) self-care maintenance and management is important in HF care. Literature remains unclear regarding which practices caregivers perform to contribute to self-care for patients with HF, especially in Southern Europe. OBJECTIVE: The objective of this study was to describe caregiver contributions to HF self-care maintenance (ie, treatment adherence and symptom monitoring) and management (ie, managing HF symptoms when they occur). METHODS: Forty HF caregivers were enrolled from 3 outpatient clinics in Italy for a qualitative descriptive study. Data were collected with a semistructured interview and analyzed using content analysis. RESULTS: Caregivers were 53.6 years old on average and mostly female (63.5%). Caregiver contributions to self-care maintenance included practices related to (1) monitoring medication adherence, (2) educating patients about HF symptom monitoring, (3) motivating patients to perform physical activity, and (4) reinforcing dietary restrictions. However, some of these practices were incorrect (eg, weighing the patient only once a week). Caregiver contributions to self-care management included practices related to (1) symptom recognition and (2) treatment implementation. Caregivers were able to recognize symptoms of HF exacerbation (eg, breathlessness) but lacked confidence regarding treatment implementation (eg, administering an extra diuretic). CONCLUSIONS: Although caregivers described contributing to patients' HF self-care maintenance and management, some of their practices were incorrect. Because the caregiver contributions to HF self-care can improve patient outcomes, clinicians should routinely assess caregiver HF self-care practices and provide education and reinforcement regarding evidence-based practices.
Authors: Maria Liljeroos; Naoko P Kato; Martje Hl van der Wal; Maaike Brons; Marie Louise Luttik; Dirk J van Veldhuisen; Anna Strömberg; Tiny Jaarsma Journal: Eur J Cardiovasc Nurs Date: 2020-01-29 Impact factor: 3.908
Authors: Edimar Alcides Bocchi; Henrique Turin Moreira; Juliana Sanajotti Nakamuta; Marcus Vinicius Simões; Alberto de Almeida Las Casas; Altamiro Reis da Costa; Amberson Vieira de Assis; André Rodrigues Durães; Antonio Carlos Pereira-Barretto; Antonio Delduque de Araujo Ravessa; Ariane Vieira Scarlatelli Macedo; Bruno Biselli; Carolina Maria Nogueira Pinto; Conrado Roberto Hoffmann Filho; Costantino Roberto Costantini; Dirceu Rodrigues Almeida; Edval Gomes Dos Santos; Erwin Soliva Junior; Estevão Lanna Figueiredo; Felipe Neves de Albuquerque; Felipe Paulitsch; Fernando Carvalho Neuenschwander; José Albuquerque de Figueiredo Neto; Flavio de Souza Brito; Heno Ferreira Lopes; Humberto Villacorta; João David de Souza Neto; João Mariano Sepulveda; José Carlos Aidar Ayoub; José F Vilela-Martin; Juliano Novaes Cardoso; Laercio Uemura; Lidia Zytynski Moura; Lilia Nigro Maia; Lucia Brandão de Oliveira; Lucimir Maia; Luís Beck da Silva; Luís Henrique Wolff Gowdak; Luiz Claudio Danzmann; Marcus Andrade; Maria Christiane Valeria Braga Braile-Sternieri; Maria da Consolação Vieira Moreira; Olimpio R França Neto; Otavio Rizzi Coelho Filho; Paulo Frederico Esteves; Priscila Raupp-da-Rosa; Ricardo Jorge de Queiroz E Silva; Ricardo Mourilhe-Rocha; Ruy Felipe Melo Viégas; Salvador Rassi; Sandrigo Mangili; Sergio Emanuel Kaiser; Silvia Marinho Martins; Vitor Sergio Kawabata Journal: Clinics (Sao Paulo) Date: 2021-01-20 Impact factor: 2.365
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