Evaluating dyadic factors associated with self-care in patients with heart failure and their family caregivers: Using an Actor-Partner Interdependence Model

PLoS One. 2024 Sep 19;19(9):e0308515. doi: 10.1371/journal.pone.0308515. eCollection 2024.

Abstract

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.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Caregivers* / psychology
  • Depression* / psychology
  • Depression* / therapy
  • Female
  • Heart Failure* / psychology
  • Heart Failure* / therapy
  • Humans
  • Male
  • Middle Aged
  • Self Care* / psychology

Grants and funding

The National Research Foundation of Korea for Jane Kim supported part of this work for JinShil Kim (Grant #: NRF-2021R1A2C2009491). URL: http://nrf.re.kr The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.