Family Influences on Heart Failure Self-care and Outcomes

Overview

Journal J Cardiovasc Nurs

Specialties Cardiology & Vascular Diseases
Nursing

Date 2008 Apr 26

PMID 18437068

Citations 104

Authors

Sandra B Dunbar

Patricia C Clark

Christina Quinn

Rebecca A Gary

Nadine J Kaslow

Affiliations

Soon will be listed here.

Abstract

Many patient education guidelines for teaching heart failure patients recommend inclusion of the family; however, family-focused interventions to promote self-care in heart failure are few. This article reviews the state of the science regarding family influences on heart failure self-care and outcomes. The literature and current studies suggest that family functioning, family support, problem solving, communication, self-efficacy, and caregiver burden are important areas to target for future research. In addition, heart failure patients without family and those who live alone and are socially isolated are highly vulnerable for poor self-care and should receive focused attention. Specific research questions based on existing science and gaps that need to be filled to support clinical practice are posed.

Citing Articles

Cardiovascular disease in the Americas: optimizing primary and secondary prevention of cardiovascular disease series: cardiovascular disease in the Americas.

Schwalm J, Joseph P, Leong D, Lopez-Lopez J, Onuma O, Bhatt P Lancet Reg Health Am. 2025; 42:100964.

PMID: 40034111 PMC: 11873640. DOI: 10.1016/j.lana.2024.100964.

Self-Care Practices and Perspectives in Managing Coronary Heart Disease Patients: A Qualitative Study.

Setyowati S, Wahyuni A, Adriantoro H, Junus K, Umar E, Fauk N Nurs Rep. 2024; 14(4):3264-3279.

PMID: 39585128 PMC: 11587416. DOI: 10.3390/nursrep14040237.

Post-stroke fatigue and its correlation with family functioning in patients who have experienced a first episode of stroke.

Zhu R, Huang H, Yu Y, Bao S, Lin N, Shu M Front Aging Neurosci. 2024; 16:1440163.

PMID: 39497785 PMC: 11532170. DOI: 10.3389/fnagi.2024.1440163.

The effect of a caring program based on the Pender's health promotion model on caregiver burden in family caregivers of patients with chronic heart failure: A quasi-experimental study.

Khaninezhad L, Valiee S, Moradi Y, Mahmoudi M J Educ Health Promot. 2024; 13:303.

PMID: 39429843 PMC: 11488760. DOI: 10.4103/jehp.jehp_1024_23.

Feasibility of a nurse-led, mHealth-assisted, and team-based collaborative care model for heart failure care in India: Findings from a multi-stakeholder qualitative study.

Thomas S, Neenumol K, Chacko S, Prinu J, Pillai M, Pisharody S Wellcome Open Res. 2024; 9:219.

PMID: 39211807 PMC: 11358683. DOI: 10.12688/wellcomeopenres.21175.1.

References

Miaskowski C, Zimmer E, Barrett K, Dibble S, Wallhagen M . Differences in patients' and family caregivers' perceptions of the pain experience influence patient and caregiver outcomes. Pain. 1997; 72(1-2):217-26. DOI: 10.1016/s0304-3959(97)00037-7. View

Luttik M, Jaarsma T, Veeger N, Van Veldhuisen D . For better and for worse: Quality of life impaired in HF patients as well as in their partners. Eur J Cardiovasc Nurs. 2005; 4(1):11-4. DOI: 10.1016/j.ejcnurse.2004.12.002. View

Schulz R, Beach S . Caregiving as a risk factor for mortality: the Caregiver Health Effects Study. JAMA. 1999; 282(23):2215-9. DOI: 10.1001/jama.282.23.2215. View

Corvera-Tindel T, Doering L, Gomez T, Dracup K . Predictors of noncompliance to exercise training in heart failure. J Cardiovasc Nurs. 2004; 19(4):269-77. DOI: 10.1097/00005082-200407000-00006. View

Dracup K, Moser D, Eisenberg M, Meischke H, Alonzo A, Braslow A . Causes of delay in seeking treatment for heart attack symptoms. Soc Sci Med. 1995; 40(3):379-92. DOI: 10.1016/0277-9536(94)00278-2. View

Karmilovich S . Burden and stress associated with spousal caregiving for individuals with heart failure. Prog Cardiovasc Nurs. 1994; 9(1):33-8. View

Martensson J, Dracup K, Canary C, Fridlund B . Living with heart failure: depression and quality of life in patients and spouses. J Heart Lung Transplant. 2003; 22(4):460-7. DOI: 10.1016/s1053-2498(02)00818-5. View

Cole I, Chesla C . Interventions for the family with diabetes. Nurs Clin North Am. 2006; 41(4):625-39, vii. DOI: 10.1016/j.cnur.2006.07.001. View

Johansson I, Stromberg A, Swahn E . Factors related to delay times in patients with suspected acute myocardial infarction. Heart Lung. 2004; 33(5):291-300. DOI: 10.1016/j.hrtlng.2004.04.002. View

10.

Luttik M, Blaauwbroek A, Dijker A, Jaarsma T . Living with heart failure: partner perspectives. J Cardiovasc Nurs. 2007; 22(2):131-7. DOI: 10.1097/00005082-200703000-00010. View

11.

Grey M, Knafl K, McCorkle R . A framework for the study of self- and family management of chronic conditions. Nurs Outlook. 2006; 54(5):278-86. DOI: 10.1016/j.outlook.2006.06.004. View

12.

Boyd K, Murray S, Kendall M, Worth A, Frederick Benton T, Clausen H . Living with advanced heart failure: a prospective, community based study of patients and their carers. Eur J Heart Fail. 2004; 6(5):585-91. DOI: 10.1016/j.ejheart.2003.11.018. View

13.

Fiscella K, Campbell T . Association of perceived family criticism with health behaviors. J Fam Pract. 1999; 48(2):128-34. View

14.

Tagney J, James J, Albarran J . Exploring the patient's experiences of learning to live with an implantable cardioverter defibrillator (ICD) from one UK centre: a qualitative study. Eur J Cardiovasc Nurs. 2003; 2(3):195-203. DOI: 10.1016/S1474-5151(03)00061-6. View

15.

Rausch S, Baker K, Boonmee J . Sleep disturbances in caregivers of patients with end-stage congestive heart failure: Part I--The problem. Prog Cardiovasc Nurs. 2007; 22(1):38-40. DOI: 10.1111/j.0889-7204.2007.05818.x. View

16.

Hooley P, Butler G, Howlett J . The relationship of quality of life, depression, and caregiver burden in outpatients with congestive heart failure. Congest Heart Fail. 2005; 11(6):303-10. DOI: 10.1111/j.1527-5299.2005.03620.x. View

17.

Wang H, Mittleman M, Orth-Gomer K . Influence of social support on progression of coronary artery disease in women. Soc Sci Med. 2004; 60(3):599-607. DOI: 10.1016/j.socscimed.2004.05.021. View

18.

Porter L, Keefe F, McBride C, Pollak K, Fish L, Garst J . Perceptions of patients' self-efficacy for managing pain and lung cancer symptoms: correspondence between patients and family caregivers. Pain. 2002; 98(1-2):169-78. DOI: 10.1016/s0304-3959(02)00042-8. View

19.

Given B, Sherwood P . Family care for the older person with cancer. Semin Oncol Nurs. 2006; 22(1):43-50. DOI: 10.1016/j.soncn.2005.10.006. View

20.

Molloy G, Johnston D, Gao C, Witham M, Gray J, Argo I . Effects of an exercise intervention for older heart failure patients on caregiver burden and emotional distress. Eur J Cardiovasc Prev Rehabil. 2006; 13(3):381-7. DOI: 10.1097/01.hjr.0000198916.60363.85. View