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Dyadic symptom recognition in heart failure
Giulia Locatelli1, Diletta Fabrizi1, Davide Ausili1
1School of Medicine and Surgery, University of Milano-Bicocca, Via Cadore 48, 20900 Monza, Italy.
European Journal of Cardiovascular Nursing
|March 29, 2025
Summary
Most heart failure patient-caregiver dyads (87%) agreed on symptom recognition. Factors like caregiver self-efficacy and patient symptom burden influenced whether dyads agreed or disagreed on recognizing symptoms.
Area of Science:
- Cardiology
- Gerontology
- Nursing
Background:
- Heart failure (HF) management relies on self-care, involving both patients and caregivers.
- Dyadic symptom recognition is crucial for effective HF self-care but is understudied.
- Understanding patient-caregiver agreement on symptoms can optimize interventions.
Purpose of the Study:
- To explore concordance/discordance in symptom recognition between HF patients and caregivers.
- To identify characteristics of concordant and discordant dyads.
- To determine predictors of dyadic symptom recognition group membership.
Main Methods:
- Secondary analysis of 500 dyads from a randomized controlled trial.
- Dyads classified as concordant or discordant based on symptom recognition items.
- Multiple logistic regression used to identify predictors of dyadic group membership.
Main Results:
- 87% of dyads exhibited concordant symptom recognition.
- Poor patient self-care (SCHFI) and caregiver contribution (CC-SCHFI) scores were common.
- Higher caregiver self-efficacy predicted discordant recognition; higher patient symptom burden and cognitive impairment predicted concordant recognition.
Conclusions:
- Concordant symptom recognition is prevalent in heart failure dyads.
- Predictors for concordant and discordant recognition differ, highlighting distinct dyadic dynamics.
- Findings support tailored strategies for symptom recognition and management at individual and dyadic levels.
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