College of Nursing, Gachon University, Incheon, South Korea.
Department of Cardiovascular Medicine, Medical School, Chonnam National University, Gwangju, South Korea.
PLoS One. 2024 Sep 19;19(9):e0308515. doi: 10.1371/journal.pone.0308515. eCollection 2024.
Dyadic conditions of patients with heart failure and their caregivers may affect both patient self-care and caregiver contribution to patient self-care (CCPS). The purpose of this study was to examine the relationships of patient-caregiver physical function and depressive symptoms to the patient self-care (maintenance and management) and CCPS. Data from 55 were analyzed using an Actor-Partner Interdependence Model to address the aim through AMOS. Patient self-care was very poor. Better patient physical function was related to better patient self-care management (actor effect) and poorer CCPS maintenance (partner effect). Better caregiver physical function was related to CCPS management (actor effect). Severer patient depressive symptoms were related to poorer patient self-care maintenance (actor effect) and poorer CCPS management (partner effect). Physical function and depressive symptoms in patient-caregiver dyads were related to patient self-care and CCPS. To improve patient self-care and CCPS, dyadic support for physical function and depressive symptoms is needed.
心力衰竭患者及其照顾者的对偶条件可能会影响患者的自我护理和照顾者对患者自我护理的贡献（CCPS）。本研究的目的是研究患者-照顾者的身体功能和抑郁症状与患者自我护理（维持和管理）和 CCPS 的关系。使用 Actor-Partner Interdependence Model 对 55 个数据进行了分析，通过 AMOS 来解决目标。患者自我护理的情况非常差。患者身体功能的改善与更好的患者自我护理管理（演员效应）和较差的 CCPS 维持（伙伴效应）有关。照顾者身体功能的改善与 CCPS 管理（演员效应）有关。患者严重的抑郁症状与较差的患者自我护理维持（演员效应）和较差的 CCPS 管理（伙伴效应）有关。患者-照顾者对偶中的身体功能和抑郁症状与患者自我护理和 CCPS 有关。为了改善患者的自我护理和 CCPS，需要对身体功能和抑郁症状进行对偶支持。
