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Dyadic effects of perceived social support on family health and family functioning in patients with heart failure and their nearest relatives: Using the Actor–Partner Interdependence Mediation Model

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  • Mahdi Shamali
  • Hanne Konradsen
  • Lara Stas
  • Birte Østergaard

Abstract

Background: Social support, family functioning and family health are essential elements in the treatment of heart failure, yet most heart failure studies focus on the pharmacological interventions. This study aimed to examine whether perceived social support from nurses is associated with better family functioning of patients with heart failure and their nearest relatives and to examine whether family health mediates this relationship. Methods and findings: A sample of 312 patients with heart failure and 312 of their nearest relatives were included in the study. The Family Functioning, Health and Social Support questionnaire was used to collect the data. Dyadic data were analysed by the Actor–Partner Interdependence Mediation Model with distinguishable dyads using structural equation modelling. Patients and nearest relatives who perceived more social support had a higher level of family health and functioned better within the family. One partner effect was found, indicating that the higher the level of family health of the nearest relative, the better the family functioning of the patient (p

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  • Mahdi Shamali & Hanne Konradsen & Lara Stas & Birte Østergaard, 2019. "Dyadic effects of perceived social support on family health and family functioning in patients with heart failure and their nearest relatives: Using the Actor–Partner Interdependence Mediation Model," PLOS ONE, Public Library of Science, vol. 14(6), pages 1-13, June.
    • Handle: RePEc:plo:pone00:0217970
    DOI: 10.1371/journal.pone.0217970
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    References listed on IDEAS

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    1. Katja Hautsalo & Anja Rantanen & Päivi Astedt‐Kurki, 2013. "Family functioning, health and social support assessed by aged home care clients and their family members," Journal of Clinical Nursing, John Wiley & Sons, vol. 22(19-20), pages 2953-2963, October.
    2. Jan Cameron & David R Thompson & Dion Szer & Johanna Greig & Chantal F Ski, 2017. "Dyadic incongruence in chronic heart failure: Implications for patient and carer psychological health and self‐care," Journal of Clinical Nursing, John Wiley & Sons, vol. 26(23-24), pages 4804-4812, December.
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