Universidade de São Paulo, Escola de Enfermagem, São Paulo, SP, Brasil.
Universitatsklinikum Duesseldorf, Kardiochirurgie, Duesseldorf, NRW, Alemanha.
Rev Lat Am Enfermagem. 2022;30:e3632. doi: 10.1590/1518-8345.5838.3632.
to analyze the caregiver's contribution to self-care in heart failure and the predictor variables of this contribution.
a cross-sectional descriptive and analytical study, with the participation of 140 dyads (patients and caregivers). The contribution to self-care was assessed using the Caregiver Contribution to Self-Care of Heart Failure Index. Caregivers and patients were interviewed separately to obtain the data. Multiple linear regressions were used to verify predictor variables of caregiver contribution.
the mean score for contribution to maintenance self-care was 62.7 (SD=7.1), for management, 62.9 (SD=20.4) and for confidence was 63.3 (SD=22.1). The variables number of patient's medications, caregiver being related to the patient, social perception of caregiver, health-related quality of life of the patient and caregiver's confidence in contributing to self-care were predictors of caregiver's contribution to maintenance or management self-care.
the caregiver's contribution was insufficient. The social support perceived by the caregiver, the type of relationship the caregiver to the patient, the number of medications used by the patient, as well as the caregiver's confidence in contributing to self-care are variables that should be considered to assess the risk of insufficient contribution of the caregiver.
分析照顾者对心力衰竭自我护理的贡献及其预测变量。
这是一项横断面描述性和分析性研究，共纳入 140 对患者-照顾者。采用心力衰竭照顾者自我护理贡献量表评估自我护理的贡献。通过对照顾者和患者分别进行访谈获得数据。采用多元线性回归分析来验证照顾者贡献的预测变量。
维持自我护理贡献的平均得分为 62.7（SD=7.1），管理自我护理贡献的平均得分为 62.9（SD=20.4），信心自我护理贡献的平均得分为 63.3（SD=22.1）。患者使用的药物数量、照顾者与患者的关系、照顾者的社会感知、患者和照顾者的健康相关生活质量以及照顾者对自我护理贡献的信心是维持或管理自我护理贡献的预测变量。
照顾者的贡献不足。照顾者感知到的社会支持、照顾者与患者的关系类型、患者使用的药物数量以及照顾者对自我护理贡献的信心是评估照顾者贡献不足风险的变量。
