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Characteristics and views of family carers in older people with heart failure.

Barnes, Sarah and Gott, Merryn and Payne, Sheila and Parker, Chris and Seamark, David and Gariballa, Salah and Small, Neil A. (2006) Characteristics and views of family carers in older people with heart failure. International Journal of Palliative Nursing, 12 (8). pp. 380-389. ISSN 1357-6321

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Abstract

Aims: To explore the characteristics and views of the family carers of older people with heart failure. Method: 213 family carers of heart failure patients >60 years were recruited from UK general practitioner (GP) practices. Carer strain, quality of life (QOL) and service satisfaction questionnaires were completed every 3 months for 2 years, as well as 16 interviews with patients and carers, and 9 focus groups with health care professionals. Results: 76% of carers were female, 70% were >60 years and 73% were spousal carers. Predictors of carer strain were symptoms of depression, age and patient NYHA. Predictors of lower QOL were: spousal carer; 2+ health conditions and symptoms of depression. Qualitative findings related to the change in circumstances, impact of responsibilities and health conditions of the family carers. Conclusion: Carers were mainly older women, often experiencing multiple health conditions. Addressing the practical and emotional support required presents a challenge for specialist palliative care in responding to calls for increased involvement in heart failure. A shared care model with liaison between specialist heart failure nurses, cardiologists, primary care teams and hospice services is advocated.

Item Type: Article
Journal or Publication Title: International Journal of Palliative Nursing
Subjects: R Medicine > RT Nursing
Departments: Faculty of Health and Medicine > Health Research
ID Code: 8226
Deposited By: Mr Richard Ingham
Deposited On: 16 Apr 2008 10:04
Refereed?: Yes
Published?: Published
Last Modified: 19 Mar 2013 11:13
Identification Number:
URI: http://eprints.lancs.ac.uk/id/eprint/8226

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