Construction and application of a home care readiness program for caregivers of patients with chronic heart failure
10.3761/j.issn.0254-1769.2025.16.001
- VernacularTitle:慢性心力衰竭患者照顾者家庭护理准备方案的构建及应用研究
- Author:
Yu WANG
1
;
Mengyu HE
1
;
Minghao QI
1
;
Mengling LEI
1
;
Zhenyue CHEN
1
;
Feng WANG
1
;
Jing ZHOU
1
Author Information
1. 233000 蚌埠市 蚌埠医科大学第一附属医院护理部
- Publication Type:Journal Article
- Keywords:
Heart Failure;
Caregiver;
Home Care Readiness;
Caregiving Ability;
Quality of Life;
Nurs-ing Care
- From:
Chinese Journal of Nursing
2025;60(16):1925-1932
- CountryChina
- Language:Chinese
-
Abstract:
Objective To construct a home care readiness program for caregivers of patients with chronic heart failure based on the McMaster Family Functioning Model and explore its application effects.Methods The pro-gram was developed through literature analysis,expert correspondence and pre-testing.86 pairs of patients with chronic heart failure and their caregivers who were admitted to the Department of Cardiology of a tertiary-level hos-pital in Bengbu City were conveniently selected from December 2023 to April 2024 as the study subjects.Using the coin-flip method,the patients were randomly divided into 43 pairs in an experimental group and 43 pairs in a control group on a ward-by-ward basis.The experimental group implemented the program on the basis of routine care,and the control group was given routine care.Differences in caregiver home care readiness,caregiver caregiv-ing ability and patients' quality of life were compared between the 2 groups at the time of admission,at the time of discharge,and 1 and 3 months after discharge.Results A total of 81 pairs of patients and their caregivers completed the intervention,with 41 in the experimental group and 40 in the control group.Repeated-measures ANOVA showed that there was an interaction effect between time and group for caregiver home care readiness,caregiver caregiving ability,and patient quality of life in both groups(F=320.995,P＜0.001;F=83.303,P＜0.001;F=113.283,P＜0.001).Simple effect analyses showed that caregiver home care readiness and caregiver caregiving com-petence scores were higher in the experimental group than those in the control group at the time of discharge and at 1 and 3 months post-discharge(P＜0.001);quality of life scores of patients in the experimental group were lower than it in the control group at 1 and 3 months post-discharge(P＜0.001).Conclusion The implemen-tation of the program can effectively improve the home care readiness and caregiving ability of caregivers of pa-tients with chronic heart failure,and improve the quality of life of patients.
