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Volume 7, Issue 4 (Autumn 2021)
JCCNC 2021, 7(4): 275-284 |
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Jafari-Diziche S, Izadi-Avanji F, Atoof F, Derakhshandeh S, Azizi-Fini I. Effect of Family-Centered Empowerment Model on the Care Burden of the Caregivers of Older Adults with Heart Failure. JCCNC 2021; 7 (4) :275-284
URL: http://jccnc.iums.ac.ir/article-1-324-en.html
URL: http://jccnc.iums.ac.ir/article-1-324-en.html
Sedighe Jafari-Diziche1 
, Fateme-Sadat Izadi-Avanji1 , Fateme Atoof2 , Seyed-Majid Derakhshandeh3 , Ismail Azizi-Fini * 4
, Fateme-Sadat Izadi-Avanji1 , Fateme Atoof2 , Seyed-Majid Derakhshandeh3 , Ismail Azizi-Fini * 4
1- Trauma Nursing Research Center, Faculty of Nursing and Midwifery, Kashan University of Medical Sciences, Kashan, Iran.
2- Department of Biostatistic, Faculty of Health, Kashan University of Medical Sciences, Kashan, Iran.
3- Isfahan Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran.
4- Trauma Nursing Research Center, Faculty of Nursing and Midwifery, Kashan University of Medical Sciences, Kashan, Iran. ,azizifinies@yahoo.com
2- Department of Biostatistic, Faculty of Health, Kashan University of Medical Sciences, Kashan, Iran.
3- Isfahan Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran.
4- Trauma Nursing Research Center, Faculty of Nursing and Midwifery, Kashan University of Medical Sciences, Kashan, Iran. ,
Abstract: (2482 Views)
Background: Developing a chronic disease, like heart failure in older adults disrupts the foundations of the family and imposes a heavy burden on family members. The aim of this study was to determine the effect of the Family-Centered Empowerment Model (FCEM) on the care burden of family caregivers of older adults with heart failure.
Methods: It was a quasi-experimental study with a controlled before and after design, which was conducted on 80 primary caregivers of older adults with heart failure referring to health centers affiliated with Kashan University of Medical Sciences, Kashan, Iran. The subjects were non-randomly assigned to either the control (n=40) or intervention (n=40) groups. The program was implemented based on the concepts of the model (perceived threat, self-efficacy, self-esteem, and evaluation) in eight 2-hour sessions, twice a week for four consecutive weeks. Both groups answered the Zarit Burden Interview (ZBI) in the beginning, in the end, and one month after the study. The data were analyzed by Chi-square, t-test, and the repeated measures ANOVA using SPSS 16 software.
Results: There was no significant difference between the two groups regarding the pretest mean score of care burden (P>0.05). However, the groups’ mean score of care burden was significantly different immediately after the intervention (P<0.05) and one month after the study (P<0.05). The repeated measures ANOVA illustrated a significant difference between the mean scores of care burden in the three measurement time points (P<0.0001).
Conclusion: Implementation of the FCEM model reduces the burden of care in caregivers of older adults with heart failure. It is suggested that this model be used in training programs for older adults with heart failure and their caregivers.
Methods: It was a quasi-experimental study with a controlled before and after design, which was conducted on 80 primary caregivers of older adults with heart failure referring to health centers affiliated with Kashan University of Medical Sciences, Kashan, Iran. The subjects were non-randomly assigned to either the control (n=40) or intervention (n=40) groups. The program was implemented based on the concepts of the model (perceived threat, self-efficacy, self-esteem, and evaluation) in eight 2-hour sessions, twice a week for four consecutive weeks. Both groups answered the Zarit Burden Interview (ZBI) in the beginning, in the end, and one month after the study. The data were analyzed by Chi-square, t-test, and the repeated measures ANOVA using SPSS 16 software.
Results: There was no significant difference between the two groups regarding the pretest mean score of care burden (P>0.05). However, the groups’ mean score of care burden was significantly different immediately after the intervention (P<0.05) and one month after the study (P<0.05). The repeated measures ANOVA illustrated a significant difference between the mean scores of care burden in the three measurement time points (P<0.0001).
Conclusion: Implementation of the FCEM model reduces the burden of care in caregivers of older adults with heart failure. It is suggested that this model be used in training programs for older adults with heart failure and their caregivers.
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● Heart failure is one of the most common cardiovascular disorders worldwide.
● Caregiver burden is the physical, psychological, and social responses of the caregiver to the imbalance between caring needs and their other tasks.
● The family-centered empowerment model reduces the caregiver burden in caregivers of older adults with heart failure.
Plain Language Summary
Heart failure is the inability of the heart to pump enough blood to meet the tissues’ need for oxygen and nutrients, which could lead to shortness of breath, swelling of the ankles and legs, cognitive impairment, fatigue, lethargy, and weight gain due to fluid retention. Neglecting the training of patients with heart failure and their family caregivers is the most important defect in the process of treatment and caring for these patients, which makes the patients more likely to be readmitted to the hospital. Family caregivers experience many problems in response to the imbalance between meeting the caring needs of their patients and other tasks of themselves. The results of this study revealed that the family-centered empowerment model reduces the caregiver burden in family caregivers of older adults with heart failure.
● Caregiver burden is the physical, psychological, and social responses of the caregiver to the imbalance between caring needs and their other tasks.
● The family-centered empowerment model reduces the caregiver burden in caregivers of older adults with heart failure.
Plain Language Summary
Heart failure is the inability of the heart to pump enough blood to meet the tissues’ need for oxygen and nutrients, which could lead to shortness of breath, swelling of the ankles and legs, cognitive impairment, fatigue, lethargy, and weight gain due to fluid retention. Neglecting the training of patients with heart failure and their family caregivers is the most important defect in the process of treatment and caring for these patients, which makes the patients more likely to be readmitted to the hospital. Family caregivers experience many problems in response to the imbalance between meeting the caring needs of their patients and other tasks of themselves. The results of this study revealed that the family-centered empowerment model reduces the caregiver burden in family caregivers of older adults with heart failure.
Type of Study: Research |
Subject:
Special
Received: 2021/05/10 | Accepted: 2021/09/13 | Published: 2021/11/1
Received: 2021/05/10 | Accepted: 2021/09/13 | Published: 2021/11/1
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