Cardiac Disease and Its Consequences on the Partner Relationship: A Systematic Review

Dalteg, Tomas; Benzein, Eva; Fridlund, Bengt; Malm, Dan

doi:10.1016/j.ejcnurse.2011.01.006

Cited by 100 publications

(127 citation statements)

References 64 publications

Supporting

Mentioning

107

Contrasting

Unclassified

Order By: Relevance

“…Of course, we realize that having a partner is strongly associated with the perception of sexual problems because patients who have a partner can be expected to be confronted more often with those problems as part of their daily life. 23 However, our study also showed that 18% of the patients who perceived difficulties with sexual activity were living without a partner; thus, not only patients with a partner experience sexual difficulties caused by HF that prevent them from living as they want. It is important to report the prevalence in dysfunction in both patients with and without a partner because patients might define sexual activity broader than having intercourse (eg, masturbation) and single patients might worry about their (future) sex life.…”

Section: Discussionmentioning

confidence: 57%

Perceived sexual difficulties and associated factors in patients with heart failure

Hoekstra

Jaarsma

Sanderman

et al. 2012

American Heart Journal

View full text Add to dashboard Cite

Background Sexual dysfunction is a common problem of increasing incidence in patients with heart failure (HF). However, there is no knowledge on which demographic, clinical, and quality of life (QoL) aspects are related to difficulties in sexual activity nor on the course of sexual difficulties in patients with HF. less thanbrgreater than less thanbrgreater thanMethods Data on sexual difficulties were collected at 1 and 18 months after an HF hospitalization (n = 792, mean age 69 +/- 12 years, 35% female, mean left ventricular ejection fraction 33% +/- 14%) by the question on sexuality of the Minnesota living with HF questionnaire. Demographic and clinical factors were assessed from medical records and QoL by Minnesota living with HF questionnaire, Medical Outcome Study 36-item General Health Survey, and Ladder of Life. less thanbrgreater than less thanbrgreater thanResults In total, 48% (n = 380) of the patients perceive difficulties in sexual activity at 1 month after discharge, and 70% continued to perceive this at 18 months. Furthermore, 27% of the patients without difficulties at 1 month developed them during follow-up. Living with a partner (OR 3.76, 95% CI 2.58-5.48), younger age (OR 0.96, 95% CI 0.94-0.97)), male gender (OR 3.08, 95% CI 2.10-4.43), overall well-being (OR 1.13, 95% CI 1.00-1.27), and physical (OR 1.06, 95% CI 1.06-1.08) and emotional (OR 1.07, 95% CI 1.03-1.10) QoL were independently associated with perceived difficulties in sexual activity. less thanbrgreater than less thanbrgreater thanConclusions Perceived difficulties in sexual activity are common in patients with HF, particularly in younger and male patients and continue over time. Patients who perceive difficulties in sexual activity report a significant lower QoL and overall well-being than those who do not.Funding Agencies|Netherlands Heart Foundation|2000Z003D97.017|Biosite Europe, France||Roche Diagnostics, The Netherlands||Novartis Pharma BV, The Netherlands|

show abstract

Section: Discussionmentioning

confidence: 57%

Perceived sexual difficulties and associated factors in patients with heart failure

Hoekstra

Jaarsma

Sanderman

et al. 2012

American Heart Journal

View full text Add to dashboard Cite

show abstract

“…Given that caregiver strain was lowest in this type of dyad despite significant contributions to self-care and the worst patient QOL, the high reports of relationship quality indicate the collaboration in this type of dyad is likely based on cooperation, shared decision-making and a mutual understanding of how best to work together (Rohrbaugh et al, 2008;Sebern and Riegel, 2009;Sebern and Woda, 2012). Communication problems are a known source of stress for heart failure families (Dalteg et al, 2011;Luttik et al, 2007a,b), and positive communication is associated with greater confidence in heart failure self-care (Sebern and Riegel, 2009). Thus, it may be that better relationship quality and effective communication mitigates the influence that poor patient QOL would otherwise have on caregiver strain in this type of heart failure dyad.…”

Section: Discussionmentioning

confidence: 99%

Patterns and predictors of patient and caregiver engagement in heart failure care: A multi-level dyadic study

Lee

Vellone

Lyons

et al. 2015

International Journal of Nursing Studies

View full text Add to dashboard Cite

A B S T R A C TBackground: Heart failure is a burdensome clinical syndrome, and patients and their caregivers are responsible for the vast majority of heart failure care. Objectives: This study aimed to characterize naturally occurring archetypes of patientcaregiver dyads with respect to patient and caregiver contributions to heart failure selfcare, and to identify patient-, caregiver-and dyadic-level determinants thereof. Design: Dyadic analysis of cross-sectional data on patients and their caregivers. Setting: Outpatient heart failure clinics in 28 Italian provinces. Participants: 509 Italian heart failure patients and their primary caregivers. Methods: Multilevel and mixture modeling were used to generate dyadic averages and incongruence in patient and caregiver contributions to heart failure self-care and identify common dyadic archetypes, respectively. Results: Three distinct archetypes were observed. 22.4% of dyads were labeled as novice and complementary because patients and caregivers contributed to different aspects of heart failure self-care that was generally poor; these dyads were predominantly older adults with less severe heart failure and their adult child caregivers. 56.4% of dyads were labeled as inconsistent and compensatory because caregivers reported greater contributions to the areas of self-care most insufficient on the part of the patients; patients in these dyads had the highest prevalence of hospitalizations for heart failure in the past year and the fewest limitations to performing activities of daily living independently. Finally, 21.2% of dyads were labeled as expert and collaborative because of high contributions to all aspects of heart failure self-care, the best relationship quality and lowest caregiver strain compared with the other archetypes; patients in this archetype were likely the sickest because they also had the worst heart failure-related quality of life. Conclusion: Three distinct archetypes of dyadic contributions to heart failure care were observed that represent a gradient in the level of contributions to self-care, in addition to different approaches to working together to manage heart failure. Interventions and

show abstract

“…It is noteworthy that a study undertaken with heart disease patients for evaluating the effectiveness of a nursing educational program on the improvement of self- care behaviors in patients with heart failure determined that educational gatherings, home visits, tele-nursing and printed booklets have a beneficial effect on the process of compliance and maintenance of treatment (20) .…”

Section: According To Research Carried Out In the Cardiacmentioning

confidence: 99%

Understanding the process of living as signified by myocardial revascularization surgery patients

Erdmann

Lanzoni

Callegaro³

et al. 2013

Rev. Latino-Am. Enfermagem

View full text Add to dashboard Cite

Objective: To understand the meanings for the process of living, for patients undergoing myocardial revascularization surgery, and to construct an explanatory theoretical model. Method: Grounded Theory was used, with data collection undertaken between October 2010 and May 2012, in a health institution which specializes in cardiac surgery, located in the south of Brazil. Thirty-three subjects were interviewed (patients, health care professionals and family members), distributed in four sample groups. Result: The explanatory theoretical model was comprised of 11 categories and the central phenomenon. The specialized service and the cardiac rehabilitation program formed the context, the discovery of the cardiac disease and the feelings experienced during the perioperative period were the cause and intervening conditions in the process of experiencing the myocardial revascularization surgery. The strategies were relying on the family's support, having faith and hope, and participating in the rehabilitation program. This process's main consequences were the confrontation of the changes and the resulting limitations, difficulties and adaptations to the new lifestyle after surgery. Conclusion: The process of experiencing the myocardial revascularization surgery constitutes an opportunity for maintaining the patient's life associated with the needs for confronting the significant changes in lifestyle.

show abstract

Cardiac Disease and Its Consequences on the Partner Relationship: A Systematic Review

Abstract: The review found that though couples found the cardiac event distressful they conformed and adjusted their relationship to the new situation.

Cited by 100 publications

References 64 publications

Perceived sexual difficulties and associated factors in patients with heart failure

Perceived sexual difficulties and associated factors in patients with heart failure

Patterns and predictors of patient and caregiver engagement in heart failure care: A multi-level dyadic study

Understanding the process of living as signified by myocardial revascularization surgery patients

Contact Info

Product

Resources

About