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

Ercole Vellone, Misook L. Chung, Rosaria Alvaro, Marco Paturzo, Federica Dellafiore

Research output: Contribution to journalArticlepeer-review

42 Scopus citations

Abstract

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.

Original languageEnglish
Pages (from-to)563-584
Number of pages22
JournalJournal of Family Nursing
Volume24
Issue number4
DOIs
StatePublished - Nov 1 2018

Bibliographical note

Publisher Copyright:
© The Author(s) 2018.

Keywords

  • heart failure
  • mutuality
  • patient–caregiver dyads
  • self-care

ASJC Scopus subject areas

  • Community and Home Care
  • Family Practice

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