Patterns of Heart Failure Dyadic Illness Management: The Important Role of Gender

Christopher S. Lee, Kristen A. Sethares, Jessica Harman Thompson, Kenneth M. Faulkner, Emily Aarons, Karen Lyons

Research output: Contribution to journalArticle

Abstract

BACKGROUND: The ways in which patients with heart failure (HF) and their care partners work together to manage HF are often overlooked. OBJECTIVE: The aim of this study was to identify and compare different patterns of HF dyadic illness management. METHODS: This was a secondary analysis of data on HF dyads. Heart failure management was measured using patient and care partner versions of the Self-Care of HF Index and European HF Self-care Behavior Scale. Latent class modeling was used to identify patterns of HF dyadic management. RESULTS: The mean age of the 62 patients and their care partners was 59.7 ± 11.8 and 58.1 ± 11.9 years, respectively. A majority of patients (71.0%) had class III/IV HF, and a majority of the couples (95.2%) were married. Two distinct dyadic patterns were observed, 1 collaborative management type (n = 42, 67.7%) and 1 autonomous management type (n = 20, 32.3%). Dyads in the autonomous pattern were mostly female patients with male care partners; patients in this pattern also were more anxious and depressed, and reported worse relationship quality compared with collaborative dyads. CONCLUSION: There is an engendered spectrum of collaboration in how HF patient-care partner dyads work together to manage HF that needs to be considered in clinical care and research.

Original languageEnglish (US)
Pages (from-to)416-422
Number of pages7
JournalThe Journal of cardiovascular nursing
Volume35
Issue number5
DOIs
StatePublished - Sep 1 2020

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Advanced and Specialized Nursing

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    Lee, C. S., Sethares, K. A., Thompson, J. H., Faulkner, K. M., Aarons, E., & Lyons, K. (2020). Patterns of Heart Failure Dyadic Illness Management: The Important Role of Gender. The Journal of cardiovascular nursing, 35(5), 416-422. https://doi.org/10.1097/JCN.0000000000000695