Abstract
BackgroundChronic heart failure (CHF) causes great suffering for both patients and their partners. The aim of this study was to evaluate the effects of an integrated dyad care program with education and psychosocial support to patients with CHF and their partners during a postdischarge period after acute deterioration of CHF. MethodsOne hundred fifty-five patient-caregiver dyads were randomized to usual care (n = 71) or a psychoeducation intervention (n = 84) delivered in 3 modules through nurse-led face-to-face counseling, computer-based education, and other written teaching materials to assist dyads to develop problem-solving skills. Follow-up assessments were completed after 3 and 12 months to assess perceived control, perceived health, depressive symptoms, self-care, and caregiver burden. ResultsBaseline sociodemographic and clinical characteristics of dyads in the experimental and control groups were similar at baseline. Significant differences were observed in patients’ perceived control over the cardiac condition after 3 (P < .05) but not after 12 months, and no effect was seen for the caregivers.No group differences were observed over time in dyads’ health-related quality of life and depressive symptoms, patients’ self-care behaviors, and partners’ experiences of caregiver burden. ConclusionsIntegrated dyad care focusing on skill-building and problem-solving education and psychosocial support was effective in initially enhancing patients’ levels of perceived control. More frequent professional contact and ongoing skills training may be necessary to have a higher impact on dyad outcomes and warrants further research.
Highlights
Chronic heart failure (CHF) causes great suffering for both patients and their partners
Patients with chronic heart failure (CHF) and their partners form a large group in health care
The inclusion criteria were to be a dyad consisting of a patient diagnosed with CHF based on the European Society of Cardiology guidelines,[1] New York Heart Association (NYHA) functional class II–IV, with a partner living in the same household as the patient, recently discharged from hospital after a CHF acute exacerbation
Summary
The specific aim of the present study was to design and evaluate the effects of an integrated dyad care program with education and psychosocial support on self-reported outcomes at 3 and 12 months after a hospital admission for acute CHF decompensation
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