Dyad Gender and Relationship Quality Influence Heart Failure Self-Care

Michael A. Stawnychy, Ercole Vellone, Valentina Zeffiro, Anne M. Teitelman, Maddalena De Maria and Barbara Riegel

Clinical Nursing Research, 2023, vol. 32, issue 1, 29-39

Abstract: Caregivers promote heart failure self-care, yet little is known about how relationship quality and dyad gender influences self-care. The purpose of this study was to evauluate the contribution of dyad gender and relationship quality on heart failure self-care. The study was a secondary analysis from a heart failure self-care intervention. Dyad gender was categorized by patient-caregiver gender as Male-Male (M + M), Female-Female (F + F), Female-Male (Fp + Mc), and Male-Female (Mp + Fc). The Self-Care of Heart Failure Index v.6.2 measured self-care. The Mutuality Scale assessed relationship quality. Univariate linear regression identified determinants of patient self-care maintenance and self-efficacy. The sample ( n  = 503) was 48% Mp + Fc, 27% F + F, 15% Fp + Mc, and 10% M + M. Better caregiver mutuality in M + M dyads was associated with lower self-care maintenance ( b  = −7.45, 95% CI [−13.80, −1.11]) and self-efficacy ( b  = −18.07, 95% CI [−29.11, −7.04]). Better patient mutuality was associated with higher self-efficacy for M + M dyads ( b  = 12.63, 95% CI [2.18, 23.09]). Mutuality and dyad gender appear important for self-care. Consider the role of gender in the dyad in behavioral interventions.

Keywords: self-care; dyad; heart failure; interpersonal relations; caregivers; gender role; multivariate analysis (search for similar items in EconPapers)
Date: 2023
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Persistent link: https://EconPapers.repec.org/RePEc:sae:clnure:v:32:y:2023:i:1:p:29-39

DOI: 10.1177/10547738221119338

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