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Heart Failure Caregiver Self-Care: A Latent Class Analysis
Lucinda J Graven1, Shamra Boel-Studt2, Harleah G Buck3
1Florida State University College of Nursing, Tallahassee, FL, USA.
Clinical Nursing Research
|November 21, 2020
Summary
Heart failure caregivers were classified into low, moderate, and high-risk groups for self-care. High-risk heart failure (HF) caregivers experienced greater burden and depression, highlighting a need for targeted support programs.
Area of Science:
- Cardiology
- Psychology
- Public Health
Background:
- Self-care is crucial for heart failure (HF) caregivers, yet remains understudied.
- Understanding HF caregiver self-care is essential for developing effective support interventions.
Purpose of the Study:
- To identify distinct classes of HF caregivers based on self-care behaviors.
- To examine the association between identified self-care classes and caregiver burden and depression.
Main Methods:
- Secondary analysis of a cross-sectional study involving 530 HF caregivers.
- Utilized a three-step latent class mixture model to classify caregivers.
- Assessed self-care, caregiver burden, depression, problem-solving, social support, and family function via online surveys.
Main Results:
- Three HF caregiver classes were identified: Low-Risk (24%), Moderate-Risk (24.9%), and High-Risk (51.1%).
- High-Risk caregivers exhibited the poorest self-care, lowest social support, and impaired family function.
- Moderate-Risk caregivers, despite having the most comorbidities, demonstrated the best self-care.
- High-Risk caregivers reported significantly higher levels of caregiver burden and depression.
Conclusions:
- A significant proportion of HF caregivers are at high risk for poor self-care, burden, and depression.
- Targeted self-care and support programs are recommended for at-risk HF caregivers.
- Further research is warranted to refine interventions for HF caregiver well-being.
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