Ercole Vellone, PhD, RN, FESC Assistant Professor in Nursing Science, Department of Biomedicine and Prevention, University of Rome "Tor Vergata," Italy. Barbara Riegel, PhD, RN, FAHA, FAAN Edith Clemmer Steinbright Professor of Gerontology, University of Pennsylvania School of Nursing, Philadelphia. Rosaria Alvaro, MSN, RN, FESC Professor in Nursing Science, Department of Biomedicine and Prevention, University of Rome "Tor Vergata," Italy.
J Cardiovasc Nurs. 2019 Mar/Apr;34(2):166-173. doi: 10.1097/JCN.0000000000000549.
The literature on caregiver contributions to heart failure (HF) patient self-care has grown rapidly during the last few years, but theory guiding this growth is lacking.
The purpose of this article is to describe a Situation-Specific Theory of Caregiver Contributions to HF Self-care.
We describe theoretical assumptions, the process by which caregivers contribute to HF self-care, factors influencing caregiver contributions to HF self-care, known predictors (caregiver, patient, and dyadic related) and outcomes of caregiver contributions to HF. These outcomes may be caregiver and patient related and positive and/or negative. Caregiver contributions to HF self-care include interacting processes of self-care maintenance, symptom monitoring and perception, and self-care management. Caregiver confidence and cultural values are discussed as important influences on caregiver contributions to HF self-care. Recursive pathways are hypothesized between processes and outcomes. Ten theoretical propositions are proposed.
The Situation-Specific Theory of Caregiver Contributions to HF Self-care is still in its infancy, and more research is needed to strengthen the evidence supporting the theory. But at this point, the theory may help to guide future studies addressing caregiver contributions to HF self-care and clinical practice aimed at improving caregiver and patient outcomes.
在过去的几年中，关于照顾者对心力衰竭（HF）患者自我护理贡献的文献迅速增加，但缺乏指导这一增长的理论。
本文旨在描述一种特定情境下的照顾者对 HF 自我护理贡献的理论。
我们描述了理论假设、照顾者对 HF 自我护理贡献的过程、影响照顾者对 HF 自我护理贡献的因素、已知的预测因素（照顾者、患者和双元相关）以及照顾者对 HF 自我护理贡献的结果。这些结果可能与照顾者和患者有关，也可能是积极的和/或消极的。照顾者对 HF 自我护理的贡献包括自我护理维持、症状监测和感知以及自我护理管理的相互作用过程。照顾者的信心和文化价值观被认为是影响照顾者对 HF 自我护理贡献的重要因素。过程和结果之间假设存在递归途径。提出了十个理论命题。
特定情境下的照顾者对 HF 自我护理贡献的理论仍处于起步阶段，需要更多的研究来加强支持该理论的证据。但在这一点上，该理论可能有助于指导未来研究关注照顾者对 HF 自我护理的贡献，以及旨在改善照顾者和患者结果的临床实践。
