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A Perspective Taking Intervention to Enhance Family Caregiver Symptom Assessment and Improve Symptom Management for the Heart Failure Patient.

机译:采取干预措施以增强家庭照顾者症状评估并改善心力衰竭患者症状管理的观点。

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摘要

Community care of heart failure (HF) requires ongoing management often involving family caregivers (FCG). FCGs who misunderstand patients' (PT) symptom experiences may contribute to poor symptom management. This study tested for improved perceptual agreement between the FCG and the PT after FCG's were instructed to engage in perspective-taking. Davis' (1990) organizational model of empathy guided this one-group pre-test/post-test interventional pilot study (n=14 dyads). Wilcoxon signed-rank test evaluated PT/FCG discrepancy scores on the HF Symptom Survey (HFSS) and the Empathic Responding Scale (ERS). A qualitative interview captured PT and FCG responses to the intervention. Six of 14 HFSS symptoms demonstrated significantly improved perceptual agreement along at least one of four symptom dimensions: frequency, severity, interference with physical activity, and interference with enjoyment of life. Study findings provided ongoing evidence in support of a perspective-taking intervention that has a promising effect on improving or sustaining FCG's understanding of the PT's symptom experiences.
机译:心力衰竭(HF)的社区护理需要经常进行的管理,通常涉及家庭护理人员(FCG)。误解患者(PT)症状经历的FCG可能会导致不良的症状管理。这项研究测试了FCG与PT之间的知觉一致性,以指导FCG进行观点收集。戴维斯(1990)的共情组织模型指导了这一单项测试前/测试后干预性先导研究(n = 14个二元组)。 Wilcoxon秩和检验通过HF症状调查(HFSS)和共情反应量表(ERS)评估了PT / FCG差异评分。定性访谈记录了PT和FCG对干预措施的反应。在14种HFSS症状中,有6种在至少四个症状维度之一中显示出明显改善的知觉一致性:频率,严重程度,对身体活动的干扰以及对生活享受的干扰。研究结果提供了持续的证据来支持采取观点调查的干预措施,该干预措施对改善或维持FCG对PT症状经验的理解有希望的效果。

著录项

  • 作者

    Scoville, Christine.;

  • 作者单位

    University of Manitoba (Canada).;

  • 授予单位 University of Manitoba (Canada).;
  • 学科 Health Sciences Nursing.
  • 学位 M.N.
  • 年度 2014
  • 页码 225 p.
  • 总页数 225
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

  • 入库时间 2022-08-17 11:53:22

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