Pattern Versus Change: Community-Based Dyadic Heart Failure Self-Care

Harleah G. Buck, Judith Hupcey and Alexa Watach

Clinical Nursing Research, 2018, vol. 27, issue 2, 148-161

Abstract: It is imperative that dyadic heart failure (HF) self-care be carefully examined so we can develop interventions which improve patient outcomes. The purpose of this study was to qualitatively examine how patient/informal caregiver dyads mutually engage in managing the patient’s HF at home. Twenty-seven dyads were interviewed using a theoretically derived interview guide. All interviews were digitally recorded and professionally transcribed, and iterative thematic analysis was conducted. Three descriptive themes emerged—Mutual engagement in self-care involves maintaining established patterns of engagement across the life course of the relationship, changing patterns according to whether it is day-to-day care or symptom management, and mobilizing the help of a third party as consultant. These themes reveal the dyadic conundrum—whether to change or remain the same in the face of a dynamic and progressive condition like HF. The themes suggest potential targets for intervention—interventions focused on the relationship or caregiver activation.

Keywords: qualitative; dyad; life course; symptom management; intervention (search for similar items in EconPapers)
Date: 2018
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Persistent link: https://EconPapers.repec.org/RePEc:sae:clnure:v:27:y:2018:i:2:p:148-161

DOI: 10.1177/1054773816688817

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