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Article
Assessing the Response of Patients and Spousal/Partner Caregivers to a New Instrument Measuring Dyadic Heart Failure Care Types
European Journal of Cardiovascular Nursing
  • Harleah G. Buck, Pennsylvania State University
  • Cheryl Zambroski, University of South Florida
  • Judith E. Hupcey, Pennsylvania State University
Document Type
Article
Publication Date
4-1-2013
Keywords
  • self-care,
  • dyadic research,
  • typology
Digital Object Identifier (DOI)
http://dx.doi.org/10.1177/1474515112471479
Abstract
Background: Nurse researchers are exploring new ways of understanding heart failure (HF), spousal/partner dyad’s self care. Aims: To assess the response to a new instrument developed to measure dyadic HF care type in HF patients and spousal/partner caregivers and explore relationships between type and other variables. Methods: Dyads answered a written criterion referenced question related to dyadic HF care type. The relationships between the dyadic care type and sociodemographic and clinical variables were explored using χ 2, φ coefficient. Degree of agreement within the dyad on particular type was assessed by kappa statistic. Results: A total of 19 dyads were accrued. Patients were aged 71.7±9.7 years (mean±SD), male (n=15), and NYHA Class IIIB/IV (79%). Caregivers were aged 69.2±11.7 years, female (n=15), married for 45.2±14.1 years. HF patient and caregiver dyads were easily able to self select a dyadic type given specific criteria. Agreements ranged from 21% to 5%, by type, resulting in a kappa of 0.28 (p = 0.025) when patient self reported type was compared to their caregiver’s type. Conclusions: Now that we are able to measure types of dyadic HF care, understanding how dyadic care type relates to self care outcomes is needed to advance the science.
Citation / Publisher Attribution

European Journal of Cardiovascular Nursing, v. 12, no. 2, p. 209-213

Citation Information
Harleah G. Buck, Cheryl Zambroski and Judith E. Hupcey. "Assessing the Response of Patients and Spousal/Partner Caregivers to a New Instrument Measuring Dyadic Heart Failure Care Types" European Journal of Cardiovascular Nursing Vol. 12 Iss. 2 (2013) p. 209 - 213
Available at: http://works.bepress.com/harleah-buck/2/