TY - JOUR
T1 - Assessing the response of patients and spousal/partner caregivers to a new instrument measuring dyadic heart failure care types
AU - Buck, Harleah G.
AU - Zambroski, Cheryl H.
AU - Hupcey, Judith E.
N1 - Copyright:
Copyright 2013 Elsevier B.V., All rights reserved.
PY - 2013/4
Y1 - 2013/4
N2 - Background: Nurse researchers are exploring new ways of understanding heart failure (HF), spousal/partner dyad's self care. Aims: To assess the response to a new instrument developed to measure dyadic HF care type in HF patients and spousal/ partner caregivers and explore relationships between type and other variables. Methods: Dyads answered a written criterion referenced question related to dyadic HF care type. The relationships between the dyadic care type and sociodemographic and clinical variables were explored using ÷ 2, coefficient. Degree of agreement within the dyad on particular type was assessed by kappa statistic. Results: A total of 19 dyads were accrued. Patients were aged 71.7±9.7 years (mean±SD), male (n=15), and NYHA Class IIIB/IV (79%). Caregivers were aged 69.2±11.7 years, female (n=15), married for 45.2±14.1 years. HF patient and caregiver dyads were easily able to self select a dyadic type given specific criteria. Agreements ranged from 21% to 5%, by type, resulting in a kappa of 0.28 (p = 0.025) when patient self reported type was compared to their caregiver's type. Conclusions: Now that we are able to measure types of dyadic HF care, understanding how dyadic care type relates to self care outcomes is needed to advance the science.
AB - Background: Nurse researchers are exploring new ways of understanding heart failure (HF), spousal/partner dyad's self care. Aims: To assess the response to a new instrument developed to measure dyadic HF care type in HF patients and spousal/ partner caregivers and explore relationships between type and other variables. Methods: Dyads answered a written criterion referenced question related to dyadic HF care type. The relationships between the dyadic care type and sociodemographic and clinical variables were explored using ÷ 2, coefficient. Degree of agreement within the dyad on particular type was assessed by kappa statistic. Results: A total of 19 dyads were accrued. Patients were aged 71.7±9.7 years (mean±SD), male (n=15), and NYHA Class IIIB/IV (79%). Caregivers were aged 69.2±11.7 years, female (n=15), married for 45.2±14.1 years. HF patient and caregiver dyads were easily able to self select a dyadic type given specific criteria. Agreements ranged from 21% to 5%, by type, resulting in a kappa of 0.28 (p = 0.025) when patient self reported type was compared to their caregiver's type. Conclusions: Now that we are able to measure types of dyadic HF care, understanding how dyadic care type relates to self care outcomes is needed to advance the science.
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U2 - 10.1177/1474515112471479
DO - 10.1177/1474515112471479
M3 - Article
C2 - 23283568
AN - SCOPUS:84875143030
VL - 12
SP - 209
EP - 213
JO - European Journal of Cardiovascular Nursing
JF - European Journal of Cardiovascular Nursing
SN - 1474-5151
IS - 2
ER -