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[Systemic nursing intervention in couples in which one member has cardiac insufficiency]

F Duhamel1

  • 1Faculté des sciences infirmières, Université de Montréal, Québec. duhamelf@scinf.umontreal.ca

Canadian Journal of Cardiovascular Nursing = Journal Canadien En Soins Infirmiers Cardio-Vasculaires
|January 1, 1997
PubMed

Insights

Chronic heart failure impacts both patients and spouses, affecting marital dynamics. Family systems nursing interventions help couples navigate illness challenges by fostering communication and resourcefulness.

Area of Science:

  • Nursing
  • Psychology
  • Sociology

Context:

  • Chronic heart failure (CHF) significantly impacts patients' spouses.
  • Marital relationships face unique challenges during long-term illness.
  • Family systems nursing acknowledges the interconnectedness of patient and partner well-being.

Purpose:

  • To explore couples' perceptions of how chronic heart failure (CHF) affects marital dynamics.
  • To evaluate the helpfulness of family systems nursing interventions in managing CHF within the marital context.

Summary:

  • Analysis of three clinical cases revealed three key themes: balancing protectiveness, reassessing the marital relationship, and adopting new coping strategies.
  • Family systems nursing interventions, particularly systemic questioning and resource exploration, were perceived as highly beneficial.
  • These interventions facilitated shared illness experiences, enhanced understanding of illness-marital dynamics, and promoted adaptive strategies for couples facing CHF.

Impact:

  • Provides insights into the psychosocial impact of CHF on marital relationships.
  • Highlights the effectiveness of family systems nursing in supporting couples affected by chronic illness.
  • Offers a framework for healthcare providers to address the needs of both patients and their partners in managing chronic heart failure.

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