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Adult nursing
Family and caregiver relationships influence patient self-management of heart failure
  1. Kathleen Ahern Gould
  1. Nursing, Clinical Faculty, Boston College, Duxbury, MA 02332, USA
  1. Correspondence to Dr Kathleen Ahern Gould, Boston College, Duxbury, MA 02332, USA; gouldkc{at}

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Commentary on: Kim JSR, Risbud R, Gray C, et al. The dyadic experience of managing heart failure: a qualitative investigation. J Cardiovasc Nurs 2020 Jan/Feb;35(1):12–18. doi:10.1097/JCN.0000000000000605.

Implications for practice and research

  • Patients develop self-care management plans within the context of a family or caregiver unit. Illness perception and self-management concepts are complex and often influenced care.

  • Further research is needed to understand the perspectives of family caregivers helping the patient to manage heart failure (HF) at home.


HF is a complex health challenge, often requiring long-term management at home. Although care is monitored by a team of professionals, day-to-day management depends on the patient and caregivers’ ability to manage complex regimens, including medications, diet and lifestyle adaptations. The shift to home care requires an understanding …

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  • Competing interests None declared.

  • Provenance and peer review Commissioned; internally peer reviewed.