Background 

The ways in which patients with heart failure (HF) and their care partners work together to manage HF are often overlooked.

Objective 

The aim of this study was to identify and compare different patterns of HF dyadic illness management.

Methods 

This was a secondary analysis of data on HF dyads. Heart failure management was measured using patient and care partner versions of the Self-Care of HF Index and European HF Self-care Behavior Scale. Latent class modeling was used to identify patterns of HF dyadic management.

Results 

The mean age of the 62 patients and their care partners was 59.7 ± 11.8 and 58.1 ± 11.9 years, respectively. A majority of patients (71.0%) had class III/IV HF, and a majority of the couples (95.2%) were married. Two distinct dyadic patterns were observed, 1 collaborative management type (n = 42, 67.7%) and 1 autonomous management type (n = 20, 32.3%). Dyads in the autonomous pattern were mostly female patients with male care partners; patients in this pattern also were more anxious and depressed, and reported worse relationship quality compared with collaborative dyads.

Conclusion 

There is an engendered spectrum of collaboration in how HF patient–care partner dyads work together to manage HF that needs to be considered in clinical care and research.

中文翻译：

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心力衰竭二重病管理模式：性别的重要作用

背景 

心力衰竭（HF）患者及其护理伙伴共同努力以管理HF的方式通常被忽略。

目的 

本研究的目的是确定和比较HF二元疾病管理的不同模式。

方法 

这是对HF二元组数据的辅助分析。心衰管理是通过使用“ HF自我护理指数”和“欧洲HF自我护理行为量表”的患者和护理伙伴版本进行测量的。潜在类建模用于识别HF二元管理的模式。

结果 

62名患者及其护理伙伴的平均年龄分别为59.7±11.8和58.1±11.9岁。大多数患者（71.0％）患有III / IV级心力衰竭，并且大多数夫妇（95.2％）已婚。观察到两种截然不同的二元模式，1种协作管理类型（n = 42，67.7％）和1种自治管理类型（n = 20，32.3％）。具有自主模式的双性体多数是女性患者，男性护理伙伴。这种模式的患者也更加焦虑和沮丧，并且与协作二联体相比，其交往质量较差。

结论 

有协作的HF病人护理的合作伙伴是如何的主义及其频谱二人组合一起管理HF需要在临床护理和研究考虑。