Family cohesion and adaptability in heart failure: an APIMeM analysis of symptom perception and spousal caregiving on patient self-care - Scorecard - 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 Scorecard: The Impact of Family Cohesion and Flexibility on Self-Care in Heart Failure Patients: An Actor-Partner Interdependence Mediation Analysis of Symptom Awareness and Spousal Support
At a Glance
Category
Detail
Condition
Chronic Heart Failure (CHF)
Key Mechanisms
Family cohesion and adaptability influence self-care ability through symptom perception and caregiving contributions.
Target Population
Patients with chronic heart failure and their spouses.
Care Setting
Cardiology department in a hospital setting.
Key Highlights
Family function scores for CHF patients and spouses were assessed using validated scales.
Direct and indirect effects of family functioning on self-care ability were analyzed.
Spousal support significantly impacts patients' self-care through caregiving contributions.
Guideline-Based Recommendations
Diagnosis
Patients must meet diagnostic criteria of Chinese Guidelines for the Diagnosis and Management of Heart Failure.
Management
Clinical interventions should consider the patient-spouse dyad as a whole.
Monitoring & Follow-up
Monitor symptom perception and caregiving contributions to enhance self-care.
Risks
Patients with cognitive impairments or severe comorbidities were excluded from the study.
Patient & Prescribing Data
Hospitalized patients with CHF, NYHA class II–III.
Improving family adaptability and providing targeted support for spouses can enhance patient self-care ability.
Clinical Best Practices
Utilize family cohesion and adaptability assessments in CHF management.
Incorporate spousal involvement in patient care plans.
