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Long-term effects o...
Long-term effects of a dyadic psycho-educational intervention on caregiver burden and morbidity in partners of patients with heart failure : a randomized controlled trial
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- Liljeroos, Maria, 1965- (författare)
- Uppsala universitet,Linköpings universitet,Avdelningen för omvårdnad,Medicinska fakulteten,Centre for Clinical Research Sörmland, Uppsala University, Eskilstuna, Sweden; Department of Medicine, Mälarsjukhuset, Eskilstuna, Sweden,Linköping University ; Uppsala University ; Mälarsjukhuset,Centrum för klinisk forskning i Sörmland (CKFD),Linkoping Univ, Dept Med & Hlth Sci, Div Nursing Sci, Linkoping, Sweden.; Malarsjukhuset, Dept Med, Eskilstuna, Sweden.
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- Ågren, Susanna (författare)
- Linköpings universitet,Avdelningen för omvårdnad,Medicinska fakulteten,Region Östergötland, Thorax-kärlkliniken i Östergötland,Linköping University ; County Council of Östergötland,Linkoping Univ, Dept Med & Hlth Sci, Div Nursing Sci, Linkoping, Sweden.; Cty Council Ostergotland, Dept Cardiothorac Surg, Linkoping, Sweden.
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- Jaarsma, Tiny (författare)
- Linköpings universitet,Avdelningen för omvårdnad,Medicinska fakulteten,Linköping University,Linkoping Univ, Dept Social & Welf Studies, Linkoping, Sweden.
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- Årestedt, Kristofer (författare)
- Linnéuniversitetet,Linköpings universitet,Avdelningen för omvårdnad,Medicinska fakulteten,School of Health and Caring Sciences, Faculty of Health, Social Work and Behavioral Sciences, Linnaeus University, Kalmar, Sweden,Institutionen för hälso- och vårdvetenskap (HV),Linköping University,Linkoping Univ, Dept Med & Hlth Sci, Div Nursing Sci, Linkoping, Sweden.; Linnaeus Univ, Fac Hlth Social Work & Behav Sci, Sch Hlth & Caring Sci, Kalmar, Sweden.
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- Strömberg, Anna (författare)
- Linköpings universitet,Avdelningen för omvårdnad,Medicinska fakulteten,Region Östergötland, Kardiologiska kliniken US,Linköping University ; County Council of Östergötland,Linkoping Univ, Dept Med & Hlth Sci, Div Nursing Sci, Linkoping, Sweden.; Cty Council Ostergotland, Dept Cardiol, Linkoping, Sweden.
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(creator_code:org_t)
- 2016-09-08
- 2017
- Engelska.
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Ingår i: Quality of Life Research. - Dordrecht : Springer Netherlands. - 0962-9343 .- 1573-2649. ; 26:2, s. 367-379
- Relaterad länk:
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http://rdcu.be/qlWx
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https://urn.kb.se/re...
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https://doi.org/10.1...
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https://urn.kb.se/re...
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https://urn.kb.se/re...
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Abstract
Ämnesord
Stäng
- BackgroundPartners of patients with heart failure provide both practical and emotional support. Many partners assume caregiving responsibilities without being aware of the burden related with this role.ObjectiveOur work has established that a psycho-educational intervention has benefits at 3, but not at 12 months for patients with heart failure. Further we had not described the long-term effects in caregivers. This study aimed to determine the 24-months effects of a dyadic psycho-educational intervention on caregiver burden and morbidity in partners of patients with heart failure and study factors associated with a change in caregiver burden.DesignA randomized controlled study design, with a follow-up assessment after 24 months.Setting and participantsPartners to patients with heart failure were recruited from two hospitals in the southeast of Sweden.InterventionA three session nurse-led psycho-educational program was tested and included psychosocial support to maintain the partners’ physical and mental functions, and perceived control. Several instrument were used to measure caregiver burden, perceived control, physical and mental health, depression and morbidity.ResultsOne hundred fifty-five partners were included. There were no significant differences in any index of caregiver burden or morbidity among the partners in the intervention and control groups after 24 months. Overall, the mean total caregiver burden was found to be significantly increased compared to baseline (36 ± 12 vs 38 ± 14, p < 0.05). A younger partner, less comorbidity, higher levels of perceived control, better physical health and less symptoms of depression in patients, and better mental health in the partners were factors associated with absence of increased caregiver burden over time.Discussion and conclusionOur intervention did not significantly decrease caregiver burden or morbidity. Over time, several aspects of burden increased in both groups. To improve outcomes, individualized and targeted interventions might be beneficial.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Omvårdnad (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Nursing (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Sjukgymnastik (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Physiotherapy (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Allmänmedicin (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- General Practice (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Psykiatri (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Psychiatry (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Geriatrik (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Geriatrics (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
Nyckelord
- Heart failure
- Partner
- Intervention
- Caregiver
- Caregiver burden
- Perceived control
- Health and Caring Sciences
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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