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Family Coping Among Patients With Heart Failure: A Qualitative Study
Xiong Zhang1, Min Zhou1, Huilin Zhou2
1Department of Nursing, The First Affiliated Hospital of Kunming Medical University, Kunming, China.
Qualitative Health Research
|February 6, 2025
Summary
Families coping with heart failure (HF) primarily use dynamic-oriented strategies, focusing on family interactions. Understanding these dynamics is crucial for healthcare professionals to improve patient and family outcomes.
Area of Science:
- Cardiology
- Psychology
- Sociology
Background:
- Heart failure (HF) is a severe, terminal stage of heart disease.
- Family is a critical resource for HF management.
- Family coping strategies significantly impact HF management effectiveness.
Purpose of the Study:
- To explore how families of heart failure patients cope with the disease.
- To identify predominant coping strategies within families managing HF.
Main Methods:
- Qualitative descriptive study involving 18 families (18 patients, 13 family members).
- Content analysis of interviews based on Weiten's coping strategy trichotomy.
- Identification of coping categories and subcategories.
Main Results:
- Four main coping categories emerged: problem-oriented, appraisal-oriented, emotion-oriented, and family dynamic-oriented coping.
- Nine subcategories were identified, including managing daily life, seeking support, acceptance, and role adjustments.
- Family dynamic-oriented coping was the predominant strategy.
Conclusions:
- Family dynamic-oriented coping is a key factor in managing heart failure.
- Healthcare professionals should recognize and address family interaction dynamics.
- Targeted strategies addressing family dynamics can improve HF patient and family outcomes.
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