University of California Davis Betty Irene Moore School of Nursing, Sacramento, California.
Boston College William F. Connell School of Nursing, Chestnut Hill, Massachusetts.
J Card Fail. 2023 Aug;29(8):1187-1206. doi: 10.1016/j.cardfail.2023.02.017. Epub 2023 Mar 22.
Over the past decade, there has been substantial growth in heart failure (HF) research that focuses on persons with HF and their care partners (family members or other close friends that provide unpaid support) as an interdependent team, or care dyad. In this state-of-the-art review, we use a dyadic lens to identify and summarize current research on HF care dyads, from qualitative studies, to nonexperimental quantitative studies, to randomized controlled trials. Although much work has been done, this literature is younger and less well-developed than care dyad literatures from other conditions (eg, cancer, Alzheimer's disease). We discuss the substantial challenges and limitations in this body of work, with an eye toward addressing common issues that impact rigor. We also look toward future directions, and discuss the promise dyadic research holds for improving patient, care partner, and relationship health.
在过去的十年中,心力衰竭(HF)研究取得了实质性的增长,该研究侧重于心力衰竭患者及其护理伙伴(提供无偿支持的家庭成员或其他亲密朋友)作为一个相互依存的团队,或护理对子。在这篇最先进的综述中,我们使用对偶视角来识别和总结 HF 护理对子的当前研究,从定性研究到非实验性定量研究再到随机对照试验。尽管已经做了很多工作,但与其他疾病(例如癌症、阿尔茨海默病)的护理对子文献相比,该文献还比较年轻,也不太完善。我们讨论了这项工作中存在的重大挑战和局限性,着眼于解决影响严谨性的常见问题。我们还展望了未来的方向,并讨论了对偶研究在改善患者、护理伙伴和关系健康方面的潜力。