Hirano Miki, Okada Akiko, Moriya Eiko, Tsuchihashi-Makaya Miyuki
Department of Nursing, Kameda Medical Center Chiba Japan.
School of Nursing, Kitasato University Sagamihara Japan.
Circ Rep. 2025 Jun 21;7(8):619-626. doi: 10.1253/circrep.CR-24-0109. eCollection 2025 Aug 8.
Caregiver support is essential for patients with heart failure to receive continued care at home.
This cross-sectional study of 60 heart failure patients and their primary caregivers (consent rate 62.5%) examined the relationship between the caregivers' assessment of caregiving using the Caregiver Reaction Assessment Japanese version and the patients' and caregivers' sociodemographic factors, the patients' physical condition, the caregiving activities, and health-related quality of life assessed using Short Form-8. The results indicated that Short Form-8 scores were inversely associated with positive appraisal of caregiving (β=-0.33; P=0.01). The impact on the schedule of daily living was associated with caregivers' mental health (β=-0.28; P=0.04) and the frequency of practical support related to medical treatment (β=0.25; P=0.05). There were associations between the following: impact on health (2.3±0.9) and caregiver employment (β=-0.27; P=0.03); lack of family support (2.2±0.8) and hours of care per day (β=0.25; P=0.05); and impact on finances (2.3±1.2) and functional health literacy (β=0.25; P=0.05).
Evaluating caregiving appraisal and related factors among caregivers of patients with heart failure may lead to effective support for caregivers.
照顾者支持对于心力衰竭患者在家中接受持续护理至关重要。
这项对60名心力衰竭患者及其主要照顾者(同意率62.5%)的横断面研究,使用《照顾者反应评估》日文版,考察了照顾者对照顾的评估与患者及照顾者的社会人口学因素、患者身体状况、照顾活动以及使用简短健康调查问卷-8评估的健康相关生活质量之间的关系。结果表明,简短健康调查问卷-8得分与对照顾的积极评价呈负相关(β=-0.33;P=0.01)。对日常生活安排的影响与照顾者的心理健康(β=-0.28;P=0.04)以及与医疗相关的实际支持频率(β=0.25;P=0.05)有关。以下各项之间存在关联:对健康的影响(2.3±0.9)与照顾者就业情况(β=-0.27;P=0.03);缺乏家庭支持(2.2±0.8)与每天照顾时长(β=0.25;P=0.05);以及对财务的影响(2.3±1.2)与功能性健康素养(β=0.25;P=0.05)。
评估心力衰竭患者照顾者的照顾评价及相关因素,可能会为照顾者提供有效的支持。