Department of Biomedicine and Prevention, University of Rome "Tor Vergata", via Montpellier, 1, 00133 Rome, Italy.
Department of Biomedicine and Prevention, University of Rome "Tor Vergata", via Montpellier, 1, 00133 Rome, Italy; Saint Camillus International University of Health and Medical Sciences, via di S. Alessandro, 8, 00131 Rome, Italy.
Patient Educ Couns. 2019 May;102(5):1021-1028. doi: 10.1016/j.pec.2018.12.027. Epub 2018 Dec 28.
Testing the influence of heart failure (HF) caregiver preparedness on anxiety and depression, and the influence of HF caregiver anxiety and depression on caregiver physical and mental QOL.
In this cross-sectional study, we used the Caregiver Preparedness Scale (CPS), the Hospital Anxiety and Depression Scale (HADS) with the anxiety (HADS-A) and depression (HADS-D) subscales, and the Short-Form 12 (SF-12) measuring the physical component summary (PCS) and the mental component summary (MCS) of QOL. Socio-demographic data and patients' clinic data were also collected. Data analysis was conducted with descriptive statistics, correlations, and path analysis.
A total of 366 HF caregiver and patient dyads were enrolled. Caregivers were mostly females (73.3%) with a mean age of 58.61 (SD = 15.66) years. The tested model showed excellent fit indices with the following significant paths: CPS scores predicted HADS-D scores; HADS-A scores predicted MCS scores; and HADS-D scores predicted both PCS and MCS scores. Also, HADS-D mediated the relationship between CPS and MCS scores.
Preparedness influences HF caregiver depression and depression influences caregiver physical and mental QOL. Depression mediates between preparedness and HF caregiver mental QOL.
Interventions focused on improving HF caregiver preparedness may improve caregivers' depression and QOL.
检验心力衰竭（HF）照顾者准备情况对焦虑和抑郁的影响，以及 HF 照顾者焦虑和抑郁对照顾者身心健康生活质量的影响。
在这项横断面研究中，我们使用了照顾者准备量表（CPS）、医院焦虑和抑郁量表（HADS）及其焦虑（HADS-A）和抑郁（HADS-D）分量表，以及简短 12 项健康调查量表（SF-12）来测量身心健康生活质量的生理成分综合评分（PCS）和心理成分综合评分（MCS）。还收集了社会人口统计学数据和患者的临床数据。数据分析采用描述性统计、相关性和路径分析。
共纳入 366 对 HF 照顾者和患者。照顾者主要为女性（73.3%），平均年龄为 58.61（SD=15.66）岁。测试模型具有良好的拟合指数，以下路径具有显著意义：CPS 分数预测 HADS-D 分数；HADS-A 分数预测 MCS 分数；HADS-D 分数同时预测 PCS 和 MCS 分数。此外，HADS-D 调节了 CPS 和 MCS 分数之间的关系。
准备情况影响 HF 照顾者的抑郁，抑郁影响照顾者的身心健康生活质量。抑郁在准备情况和 HF 照顾者心理健康之间起中介作用。
专注于提高 HF 照顾者准备情况的干预措施可能会改善照顾者的抑郁和生活质量。
