Locatelli Giulia, Rebora Paola, Occhino Giuseppe, Ausili Davide, Riegel Barbara, Cammarano Andrea, Uchmanowicz Izabella, Alvaro Rosaria, Vellone Ercole, Zeffiro Valentina
J Cardiovasc Nurs. 2023 May 18;38(4):361-9. doi: 10.1097/JCN.0000000000000998.
Better caregiver contribution to self-care in heart failure is associated with better patient outcomes. However, caregiver contribution to self-care is also associated with high anxiety and depression, poor quality of life, and poor sleep in caregivers. It is still unclear whether interventions that encourage caregivers to contribute more to patient self-care might increase caregivers' anxiety and depression and decrease their quality of life and sleep.
The aim of this study was to assess the impact of a motivational interview intervention aimed at improving caregiver contribution to self-care in heart failure on caregivers' anxiety, depression, quality of life, and sleep.
This is a secondary outcome analysis of the MOTIVATE-HF trial. Patients with heart failure and their caregivers were randomized into arm 1 (motivational interview to patients), arm 2 (motivational interview to patients and caregivers), and arm 3 (standard care). Data were collected between June 2014 and October 2018. The article has been prepared following the Consolidated Standards of Reporting Trials checklist.
A sample of 510 patient-caregiver dyads was enrolled. Over the year of the study, the levels of anxiety, depression, quality of life, and sleep in caregivers did not significantly change among the 3 arms.
Motivational interview aimed at improving caregiver contribution to self-care does not seem to increase caregiver anxiety and depression, nor decrease their quality of life and sleep. Thus, such an intervention might be safely delivered to caregivers of patients with heart failure, although further studies are needed to confirm our findings.
在心力衰竭患者的自我护理中，照护者给予更多支持与更好的患者预后相关。然而，照护者对自我护理的贡献也与高度焦虑、抑郁、生活质量差以及睡眠不佳有关。目前尚不清楚，鼓励照护者更多地参与患者自我护理的干预措施是否会增加照护者的焦虑和抑郁，并降低他们的生活质量和睡眠质量。
本研究旨在评估一项动机性访谈干预措施对心力衰竭患者自我护理中照护者贡献的影响，以及该干预措施对照护者焦虑、抑郁、生活质量和睡眠的影响。
这是对MOTIVATE-HF试验的次要结果分析。心力衰竭患者及其照护者被随机分为三组：第一组（对患者进行动机性访谈）、第二组（对患者和照护者进行动机性访谈）和第三组（标准护理）。数据收集于2014年6月至2018年10月之间。本文是按照《报告试验的统一标准》清单编写的。
共纳入了510对患者-照护者样本。在研究的一年中，三组照护者的焦虑、抑郁、生活质量和睡眠水平均无显著变化。
旨在提高照护者对自我护理贡献的动机性访谈似乎不会增加照护者的焦虑和抑郁，也不会降低他们的生活质量和睡眠质量。因此，尽管需要进一步研究来证实我们的发现，但这种干预措施可以安全地应用于心力衰竭患者的照护者。
