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Chronic Illn. 2015 Dec;11(4):304-19. doi: 10.1177/1742395315574765. Epub 2015 Mar 19.

Needs of caregivers in heart failure management: A qualitative study.

Author information

  • 1BIU, Knowledge Spa, Royal Cornwall Hospital, Truro, UK University of Exeter Medical School, Primary Care Research Group, Exeter, UK Jenny.Wingham@rcht.cornwall.nhs.uk.
  • 2Institute of Health Research, University of Exeter Medical School, Exeter, UK.
  • 3University of Birmingham, Birmingham, UK.
  • 4University of Exeter Medical School, Primary Care Research Group, Exeter, UK.
  • 5Psychology Applied to Health Group, University of Exeter Medical School, Exeter, UK.

Abstract

OBJECTIVES:

To identify the needs of caregivers supporting a person with heart failure and to inform the development of a caregiver resource to be used as part of a home-based self-management programme.

METHODS:

A qualitative study informed by thematic analysis involving 26 caregivers in individual interviews or a focus group.

RESULTS:

Three distinct aspects of caregiver support in heart failure management were identified. Firstly, caregivers identified needs about supporting management of heart failure including: coping with the variability of heart failure symptoms, what to do in an emergency, understanding and managing medicines, providing emotional support, promoting exercise and physical activity, providing personal care, living with a cardiac device and supporting depression management. Secondly, as they make the transition to becoming a caregiver, they need to develop skills to undertake difficult discussions about the role; communicate with health professionals; manage their own mental health, well-being and sleep; and manage home and work. Thirdly, caregivers require skills to engage social support, and voluntary and formal services while recognising that the long-term future is uncertain.

DISCUSSION:

The identification of the needs of caregiver has been used to inform the development of a home-based heart failure intervention facilitated by a trained health care practitioner.

KEYWORDS:

Heart failure; Rehabilitation Enablement in Chronic Heart Failure; caregiver; needs; qualitative

PMID:
25795144
PMCID:
PMC4638312
DOI:
10.1177/1742395315574765
[PubMed - indexed for MEDLINE]
Free PMC Article
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