Cardiovascular Risk Profiles of Family Caregivers of Persons with Heart Failure

2.50
Hdl Handle:
http://hdl.handle.net/10755/303954
Category:
Abstract
Type:
Presentation
Title:
Cardiovascular Risk Profiles of Family Caregivers of Persons with Heart Failure
Author(s):
Dunbar, Sandra B.; Bauer-Wu, Susan; Hepburn, Kenneth W.; Higgins, Melinda; Gary, Rebecca A.; Corwin, Elizabeth
Lead Author STTI Affiliation:
Alph Epsilon
Author Details:
Sandra B. Dunbar, RN, DSN, FAAN, sbdunba@emory.edu; Susan Bauer-Wu, RN, PhD, FAAN; Kenneth W. Hepburn, PhD; Melinda Higgins, PhD; Rebecca A. Gary, RN, PhD, FAAN, FAHA; Elizabeth Corwin, RN, PhD, FNP;
Abstract:

Session presented on: Wednesday, July 24, 2013

Purpose: Family caregivers (FCGs) of persons with chronic conditions report varying levels of stress and have worse health outcomes compared with non-FCGs of the same age. A better understanding of the health status of FCGs would facilitate development and testing of health promoting interventions. The purpose of this study was to specifically describe the cardiovascular health risks of FCG of persons with chronic health failure (HF).

 Methods: Participants (N=90) were FCGs of persons with chronic HF enrolled in a 6 month study testing a FCG intervention to reduce overall stress and improve cardiovascular risk factors. Data reported are from the baseline assessment.  Inclusion criteria required sedentary and non-smoking status.  Measures included sociodemographic data, fasting serum lipids and glucose, systolic (SBP) and diastolic blood pressure, anthropometrics of body mass index (BMI) and waist circumference, hsCRP,  and self-reported perceived burden (Oberst Caregiver Burden Scale; OCBS). Data were analyzed with descriptive statistics and compared with normal values for age and gender.

 Results: Participants were age range 25-79 years (mean 55±11), 92% women, 55.6% spouses, and 55% minority. Mean BMI was 30±6.7, 80% were overweight or obese, and 78% had elevated waist circumference reflecting central adiposity. The cardiovascular risk factors and percent with elevated risk were:  SBP >130 mmHG (41%); total >200 (35.2%) and HDL <40 (16%) Cholesterol; hsCRP >1 (77%); and serum glucose >90 mg/dL (63%). OCBS scores reflected high time (45.3±12) and difficulty (32±14) burden.  

 Conclusion: Elevated cardiovascular risk factors and high perceived burden were observed in the majority of FCGs of persons with HF. These risk factors are modifiable and represent potential targets of intervention to reduce cardiovascular risk and improve health outcomes of FCGs.  Greater attention to the health risks and perceived burden by clinicians is warranted as is further research to test interventions to reduce risk and burden.

Keywords:
family caregivers; heart failure; cardiovascular risk
Repository Posting Date:
22-Oct-2013
Date of Publication:
22-Oct-2013
Conference Date:
2013
Conference Name:
24th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Prague, Czech Republic
Description:
24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleCardiovascular Risk Profiles of Family Caregivers of Persons with Heart Failureen_GB
dc.contributor.authorDunbar, Sandra B.en_GB
dc.contributor.authorBauer-Wu, Susanen_GB
dc.contributor.authorHepburn, Kenneth W.en_GB
dc.contributor.authorHiggins, Melindaen_GB
dc.contributor.authorGary, Rebecca A.en_GB
dc.contributor.authorCorwin, Elizabethen_GB
dc.contributor.departmentAlph Epsilonen_GB
dc.author.detailsSandra B. Dunbar, RN, DSN, FAAN, sbdunba@emory.edu; Susan Bauer-Wu, RN, PhD, FAAN; Kenneth W. Hepburn, PhD; Melinda Higgins, PhD; Rebecca A. Gary, RN, PhD, FAAN, FAHA; Elizabeth Corwin, RN, PhD, FNP;en_GB
dc.identifier.urihttp://hdl.handle.net/10755/303954-
dc.description.abstract<p> Session presented on: Wednesday, July 24, 2013</p><b>Purpose: </b> Family caregivers (FCGs) of persons with chronic conditions report varying levels of stress and have worse health outcomes compared with non-FCGs of the same age. A better understanding of the health status of FCGs would facilitate development and testing of health promoting interventions. The purpose of this study was to specifically describe the cardiovascular health risks of FCG of persons with chronic health failure (HF). <p> <b>Methods: </b> Participants (N=90) were FCGs of persons with chronic HF enrolled in a 6 month study testing a FCG intervention to reduce overall stress and improve cardiovascular risk factors. Data reported are from the baseline assessment.  Inclusion criteria required sedentary and non-smoking status.  Measures included sociodemographic data, fasting serum lipids and glucose, systolic (SBP) and diastolic blood pressure, anthropometrics of body mass index (BMI) and waist circumference, hsCRP,  and self-reported perceived burden (Oberst Caregiver Burden Scale; OCBS). Data were analyzed with descriptive statistics and compared with normal values for age and gender. <p> <b>Results: </b> Participants were age range 25-79 years (mean 55±11), 92% women, 55.6% spouses, and 55% minority. Mean BMI was 30±6.7, 80% were overweight or obese, and 78% had elevated waist circumference reflecting central adiposity. The cardiovascular risk factors and percent with elevated risk were:  SBP >130 mmHG (41%); total >200 (35.2%) and HDL <40 (16%) Cholesterol; hsCRP >1 (77%); and serum glucose >90 mg/dL (63%). OCBS scores reflected high time (45.3±12) and difficulty (32±14) burden.   <p> <b>Conclusion: </b> Elevated cardiovascular risk factors and high perceived burden were observed in the majority of FCGs of persons with HF. These risk factors are modifiable and represent potential targets of intervention to reduce cardiovascular risk and improve health outcomes of FCGs.  Greater attention to the health risks and perceived burden by clinicians is warranted as is further research to test interventions to reduce risk and burden.en_GB
dc.subjectfamily caregiversen_GB
dc.subjectheart failureen_GB
dc.subjectcardiovascular risken_GB
dc.date.available2013-10-22T20:26:31Z-
dc.date.issued2013-10-22-
dc.date.accessioned2013-10-22T20:26:31Z-
dc.conference.date2013en_GB
dc.conference.name24th International Nursing Research Congressen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationPrague, Czech Republicen_GB
dc.description24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.en_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.en_GB
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