Family cohesion and adaptability in heart failure: an APIMeM analysis of symptom perception and spousal caregiving on patient self-care - Report - MDSpire
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Family cohesion and adaptability in heart failure: an APIMeM analysis of symptom perception and spousal caregiving on patient self-care
Clinical Report: Impact of Family Cohesion on Self-Care in Heart Failure Patients
Overview
This study investigates the role of family cohesion and adaptability on self-care abilities in chronic heart failure patients and their spouses. Findings indicate that both family dynamics significantly influence symptom perception and caregiving contributions.
Background
Chronic heart failure (CHF) is a prevalent condition that requires effective self-care for optimal management. Family dynamics, particularly cohesion and adaptability, play a crucial role in supporting patients' self-care abilities.
Data Highlights
Variable
Patient Score (Mean ± SD)
Spouse Score (Mean ± SD)
Family Function
102.36 ± 18.24
98.75 ± 16.83
Symptom Perception
52.71 ± 12.38
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Caregiver Self-Care
-
64.18 ± 14.79
Self-Care Index
155.73 ± 43.30
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Management Dimension
48.67 ± 13.76
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Key Findings
Family function scores for CHF patients averaged 102.36, while spouses scored 98.75.
Patients reported a symptom perception score of 52.71, indicating a moderate level of symptom awareness.
Spouses' caregiver self-care scores averaged 64.18, reflecting their involvement in patient care.
The management dimension of self-care in patients was the weakest, with a score of 48.67.
Direct effects of family function on self-care ability were significant, accounting for 38.5% of the variance.
Spousal family function directly influenced patient self-care ability, accounting for 40.0% of the variance.
Clinical Implications
Healthcare providers should consider the family unit, particularly the spousal relationship, when developing care plans for CHF patients. Enhancing family cohesion and adaptability may improve patient self-care abilities and overall health outcomes.
Conclusion
The study highlights the importance of family dynamics in managing chronic heart failure.
