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系統識別號 U0026-0802201717114900
論文名稱(中文) 印尼心臟衰竭病人之家屬照顧者的衛教需求
論文名稱(英文) Educational Needs Among Family Caregivers of Patients with Heart Failure in Indonesia
校院名稱 成功大學
系所名稱(中) 護理學系
系所名稱(英) Department of Nursing
學年度 105
學期 1
出版年 106
研究生(中文) 藍佳茹
研究生(英文) Sri Rahayu
電子信箱 srirahayu1903@gmail.com
學號 T26047035
學位類別 碩士
語文別 英文
論文頁數 77頁
口試委員 指導教授-陳幸眉
口試委員-顏妙芬
口試委員-方素瓔
中文關鍵字 衛教需求  家屬照顧者  心臟衰竭 
英文關鍵字 Educational Needs  Family Caregivers  Heart Failure 
學科別分類
中文摘要 摘要

目的:探討印尼心衰竭病人家屬照顧者的教育需求之相關因素。
方法:採橫斷性相關設計,於印尼中爪哇省兩家轉診醫院的住院及門診部進行。依據納入及排除標準,以方便性採樣招募參與者。使用「照顧者教育需求版本」問卷收集資料,使用描述性統計、皮爾森相關、獨立t檢定、單因子變異數分析以及多元迴歸分析以分析資料。
結果:共有219位家屬照顧者,平均年齡47.77 ± 11.61歲,範圍18至82歲間,平均照顧時間為40個月,大部分為女性(65.8%)、教育程度為高中(30.6%)、57.1%有工作、70.3%為配偶、92.3%與病人同住。雙變量分析顯示家屬照顧者的性別、家屬照顧者及病人的教育程度、居住狀況、照顧時間、冠狀動脈疾病以及患病時間均與照顧者教育程度有顯著相關。複迴歸分析結果發現,僅有四個變項與家屬照顧者衛教需求有相關:家屬照顧者的教育程度(ß = 0.20, 95% CI = 1.63 to 7.66)、患病時間(ß = -0.21, 95% CI = -0.09 to -0.02)、家屬照顧者的年齡(ß = 0.14, 95% CI = 0.01 to 0.23)以及居住狀況(ß = -0.14, 95% CI = -10.04 to -0.30),此四個因子共解釋衛家屬照顧者之教育需求的變異量10.7%。
結論:家屬照顧者的衛教需求、患病時間、家屬照顧者的年齡,以及居住狀況均有統計上顯著意義,顯示為影響家屬照顧者之衛教需求的重要因素。本研究結果可提供未來在臨床照顧、護理研究與護理教育之參考。

關鍵字:衛教需求、家屬照顧者、心臟衰竭
英文摘要 ABSTRACT
Purpose: To investigate the associated factors of educational needs among family caregivers of patients with heart failure in Indonesia.
Methods: This study used a cross-sectional correlational design with a convenience sampling technique. A structured questionnaire was used to gather the data. Descriptive statistic, parametric tests, and multiple regression analysis were employed to analyze the data.
Results: We enrolled 219 of family caregivers with mean age 48 years old with an average 40 months of caregiving duration, majority were female (65.8%), 30.6% graduated from senior high school, 57.1% were employed, 70.3% were spouse, and 92.3% living in the same house with the patient. Bivariate analysis indicated that both age of family caregivers and patients, gender of family caregivers, both educational level of family caregivers and patients, living status, duration of caregiving, coronary artery disease, and duration of illness significantly associated with educational needs of family caregivers. They were entered into the multiple regression model. Only 4 of the variables were important determinants of educational needs in family caregivers: they were educational level of family caregivers (ß = 0.20, 95% CI = 1.63 to 7.66), duration of illness (ß = -0.21, 95% CI = -0.09 to -0.02), age of family caregivers (ß = 0.14, 95% CI = 0.01 to 0.23), and living status (ß = -0.14, 95% CI = -10.04 to -0.30), explaining 10.7% of the variance in educational needs.
Conclusion: Educational level of family caregivers, duration of illness, age of family caregivers, and living status were statistically significant as important factors influencing the educational needs of family caregivers. Findings from this study can be used as references to guide clinical practice, nursing research, and nursing education.
Keywords: Educational Needs, Family Caregivers; Heart Failure
論文目次 TABLE OF CONTENTS
Graduation Certificate………………………………………………………………....ii
Acknowledgement…………………………………………………………………….iii
Abstract in English…………………………………………………………………….v
Abstract in Chinese…………………………………………………………………...vi
Table of Contents…………………………………………………………………….vii
List of Tables and Figures…………………………………………………………......x
Chapter I Introduction………………………………………………………………….1
1.1.Background…………………………………………………………….......1
1.2. Significance of the Study…………………………………………………3
1.3. Research Purpose…………………………………………………………4
1.4. Conceptual Framework……………………………………………………5
1.5. Definition of Terms……………………………………………………….5
Chapter II Literature Review…………………………………………………………..7
2.1. Heart Failure………………………………………………………………7
2.1.1. Definition of Heart Failure…………………………………………7
2.1.2. Types of Heart Failure……………………………………...............7
2.1.3. Classification of Heart Failure…...………………………................8
2.1.4. Treatment of Heart Failure………………………...………….........9
2.2. Family Caregivers………………………………………………..............10
2.3. Educational Needs…………………………………………….................12
2.3.1. Educational Needs…………………………………………..…….12
2.3.2. Factor Associated with Educational Needs……………………….18
2.3.2.1. Age……………………….……………………………..18
2.3.2.2. Gender…………………………….…………………….19
2.3.2.3. Educational Level……………………….………….…...19
2.3.2.4. Employment Status………………….………………….20
2.3.2.5. NYHA Class…………………….………………….…...20
2.3.2.6. Duration of illness………….……………………….…..21
2.3.2.7. Co-morbidity…………………………………….……...22
2.3.2.8. Relationship with the Patient.……………..…………….22
2.3.2.9. Duration of Caregiving……………………..…………...23
2.3.2.10. Living Status…………………….…………………….23
Chapter III Methods………………………….………………………………………25
3.1. Research design………………………………………………………….25
3.2. Sample and Setting………………………………………………………25
3.3. Instruments………………………………………………………………27
3.4. Data Collection Procedure………………………………………………30
3.5. Data Analysis……………………………………………………………31
3.6. Ethical Consideration……………………………………………………33
Chapter IV Results………..…………………………….………………….................34
4.1. Sample Characteristics…………………………………………...............34
4.2. Educational Needs of Family Caregivers……………………………......36
4.3.Factor Associated with Educational Needs of Family Caregivers…………………………...…………………………………...38
4.4.The Major Determinant of Educational Needs of Family Caregivers…………………………..……………………………………41
Chapter V Discussion………………………………………………………………...43
5.1. Participants Description ………………………...……………………….43
5.2. Educational Needs of Family Caregivers…………..…………................46
5.3. Factor Associated with Educational Needs of Family Caregivers……….49
5.4. The Major Determinant of Educational Needs of Family Caregivers...…51
5.5. Study Limitations……………………………..………………………….53
5.6. Conclusion and Recommendation………………………..……………...53
5.7. Implication in Nursing Field….……………..…………………...............54
References…………………………………………….……………………................56
Appendixes
Appendix A. Questionnaire Permission……………………………………....65
Appendix B. Research Instrument…………………………………………....68
Appendix C. IRB Approval (UNS/ Dr. Moewardi Hospital)………………...72
Appendix D. IRB Approval (UNDIP/ Dr. Kariadi Hospital)………………...73
Appendix E. Hospital Permission (Dr. Moewardi HospitaL)….……….….....74
Appendix F. Hospital Permission (Dr. Kariadi Hospital)……………….……75
Appendix G. Explanation and Informed Consent……………………….……76
參考文獻 REFERENCES
Ågren, S., Evangelista, L., Davidson, T., & Strömberg, A. (2011). The influence of chronic heart failure in patient-partner dyads-A comparative study addressing issues of health-related quality of life. The Journal of Cardiovascular Nursing, 26(1), 65.
Alliance, F.C. (2004). National alliance for caregiving and the American Association for Retired Persons. Caregiving in the US. Bethesda. Retrieved from http://www.caregiving.org/data/04finalreport.pdf. on October 23rd, 2015.
Alliance, F. C. (2006). Caregivers count too! A toolkit to help practitioners assess the needs of family caregivers. Chicago: National Center on Caregiving at Family Caregiver Aliance. Retrieved on October 23rd, 2015.
Alliance, F.C. (2009). Caregiving: A universal occupation. Retrieved from http://caregiver.org/caregiver/jsp/content_node.jsp?nodeid=2313. on December 11st, 2015.
American Heart Association (2015). Heart failure. Retrieved from https://www.heart.org/heartorg/conditions/heartfailure/heartfailure_ucm_002019_subhomepage.jsp on on September 9th, 2015.
Annema, C., Luttik, M. L., & Jaarsma, T. (2009). Reasons for readmission in heart failure: Perspectives of patients, caregivers, cardiologists, and heart failure nurses. Heart & Lung: The Journal of Acute and Critical Care, 38(5), 427-434.
Archbold, P., & Burgio, L. (2004). Family-based care for frail older persons: Treatment implementation (TI) of PREP. Gerontologis, 44, 634-635.
Artinian, N. T., Magnan, M., Christian, W., & Lange, M. P. (2002). What do patients know about their heart failure? Applied Nursing Research. 15(4), 200-208.
Badan Penyelenggara Jaminan Ssosial (BPJS) Kesehatan (National Health Insurance of Indonesia). 2016. Retrieved from https://bpjs-kesehatan.go.id/bpjs/ on December 25th, 2016.
Bahrami, M., Etemadifar, S., Shahriari, M., & Farsani, A. K. (2014). Informational needs and related problems of family caregivers of heart failure patients: A qualitative study. Journal of Education and Health Promotion, 3(113), 1-6. doi:10.4103/2277-9531.145908.
Bakas, T., Austin, J. K., Okonkwo, K. F., Lewis, R. R., & Chadwick, L. (2002). Needs, concerns, strategies, and advice of stroke caregivers the first 6 months after discharge. Journal of Neuroscience Nursing, 34(5), 242-251.
Bekelman, D. B., Havranek, E. P., Becker, D. M., Kutner, J. S., Peterson, P. N., Wittstein, I. S., ... & Dy, S. M. (2007). Symptoms, depression, and quality of life in patients with heart failure. Journal of Cardiac Failure, 13(8), 643-648.
Blinderman, C. D., Homel, P., Billings, J. A., Portenoy, R. K., & Tennstedt, S. L. (2008). Symptom distress and quality of life in patients with advanced congestive heart failure. Journal of Pain and Symptom Management, 35(6), 594-603.
Bui, A. L., Horwich, T. B., & Fonarow, G. C. (2011). Epidemiology and risk profile of heart failure. Nature Reviews Cardiology, 8(1), 30-41.
Bull, M. J., Hansen, H. E., & Gross, C. R. (2000). Differences in family caregiver outcomes by their level of involvement in discharge planning. Applied Nursing Research, 13(2), 76-82.
Burke, R. E., Jones, J., Ho, P. M., & Bekelman, D. B. (2014). Caregivers' perceived roles in caring for patients with heart failure: what do clinicians need to know? Journal of Cardiac Failure, 20(10), 731-738.
Bradley, E. H., Curry, L., Horwitz, L. I., Sipsma, H., Wang, Y., Walsh, M. N., ... & Krumholz, H. M. (2013). Hospital strategies associated with 30-day readmission rates for patients with heart failure. Circulation: Cardiovascular Quality and Outcomes, 6(4), 444-450.
Cho, Y. I., Lee, S. Y. D., Arozullah, A. M., & Crittenden, K. S. (2008). Effects of health literacy on health status and health service utilization amongst the elderly. Social Science and Medicine, 66(8), 1809-1816.
Clark, P. C., & Dunbar, S. B. (2003). Family partnership intervention: A guide for a family approach to care of patients with heart failure. American Association of Critical Care Nurses Advanced Critical Care, 14(4), 467-476.
Clark, J. C., & Lan, V. M. (2004). Heart failure patient learning needs after hospital discharge. Applied Nursing Research, 17(3), 150-157.
Collins, L. G., & Swartz, K. (2011). Caregiver care. American Family Physician, 83(11), 1309-1317.
Curry, L. C., Walker, C., & Hogstel, M. O. (2006). Educational needs of employed family caregivers of older adults: Evaluation of a workplace project. Geriatric Nursing, 27(3), 166-173.
Davidson, P. M., Abernethy, A. P., Newton, P. J., Clark, K., & Currow, D. C. (2013). The caregiving perspective in heart failure: A population based study. BMC Health Services Research, 13(1), 1-7.
Desai, A. S., & Stevenson, L. W. (2012). Hospitalization for heart failure predict or prevent?. Circulation, 126(4), 501-506. DOI: 10.1161/CIRCULATIONAHA.112.125435.
Dennison, C. R., McEntee, M. L., Samuel, L., Johnson, B. J., Rotman, S., Kielty, A., & Russell, S. D. (2011). Adequate health literacy is associated with higher heart failure knowledge and self care confidence in hospitalized patients. The Journal of Cardiovascular Nursing, 26(5), 359.
Departemen Kesehatan Republik Indonesia/Depkes RI/Ministry of Health Indonesia. (2009). Retrieved from www.depkes.go.id. On December 31st, 2016.
D’Alto, M., Pacileo, G., & Calabrò, R. (2003). Nonpharmacologic care of heart failure: Patient, family, and hospital organization. The American Journal of Cardiology, 91(9), 51-54.
Dracup, K., Evangelista, L. S., Doering, L., Tullman, D., Moser, D. K., & Hamilton, M. (2004). Emotional well-being in spouses of patients with advanced heart failure. Heart & Lun, 33(6), 354-361.
Epstein, A. M., Jha, A. K., & Orav, E. J. (2011). The relationship between hospital admission rates and hospitalizations. New England Journal of Medicine, 365(24), 2287-2295.
Evangelista, L. S., Dracup, K., Doering, L., Westlake, C., Fonarow, G. C., & Hamilton, M. (2002). Emotional well-being of heart failure patients and their caregivers. Journal of Cardiac Failure, 8(5), 300-305.
Etemadifar, S., Bahrami, M., Shahriari, M., & Farsani, A. K. (2014). The effectiveness of a supportive educative group intervention on family caregiver burden of patients with heart failure. Iranian Journal of Nursing and Midwifery Research, 19(3), 217.
Faul, F., Erdfelder, E., Buchner, A., & Lang, A. G. (2009). Statistical power analyses using G* Power 3.1: Tests for correlation and regression analyses. Behavior Research Methods, 41(4), 1149-1160.
Feinberg, L., Reinhard, S. C., Houser, A., & Choula, R. (2011). Valuing the invaluable: 2011 update, the growing contributions and costs of family caregiving. American Association of Retired Persons Public Policy Institute, (51), 1-28.
Feinberg, L., & Houser, A. N. (2012). Assessing family caregiver needs: Policy and practice considerations. American Association of Retired Persons Public Policy Institute.
Fraenkel, L., Bogardus, S., Concato, J., & Felson, D. (2001). Preference for disclosure of information among patients with rheumatoid arthritis. Arthritis Care & Research, 45(2), 136-139.

Fukui, S. (2004). Information needs and the related variables of Japanese family caregivers of terminally ill cancer patients. Nursing & Health Sciences, 6(1), 29-36.

Gallagher, R., Luttik, M. L., & Jaarsma, T. (2011). Social support and self-care in heart failure. Journal of Cardiovascular Nursing, 26(6), 439-445.
Giovannetti, E. R., & Wolff, J. L. (2010). Cross‐Survey differences in national estimates of numbers of caregivers of disabled older adults. Milbank Quarterly, 88(3), 310-349.
Given, B., Sherwood, P. R., & Given, C. W. (2008). What knowledge and skills do caregivers need?. The American Journal of Nursing, 108(9), 28-34.
Gümüş, A. B. (2008). Health education needs of patients with schizophrenia and their relatives. Archives of Psychiatric Nursing, 22(3), 156-165.
Gure, T. R., Kabeto, M. U., Blaum, C. S., & Langa, K. M. (2008). Degree of disability and patterns of caregiving among older Americans with congestive heart failure. Journal of General Internal Medicine, 23(1), 70-76.
Gusdal, A. K., Josefsson, K., Thors Adolfsson, E., & Martin, L. (2014). Informal caregivers' experiences and needs in caring for their near ones with chronic heart failure in ordinary homes: An interview study. European Journal of Heart Failure, 16, 124-124.
Gyalai-Korpos, I., Ancusa, O., Dragomir, T., Tomescu, M. C., & Marincu, I. (2015). Factors associated with prolonged hospitalization, readmission, and death in elderly heart failure patients in western Romania. Clinical Interventions in Aging, 10, 561-568.
Hafsteinsdóttir, T. B., Vergunst, M., Lindeman, E., & Schuurmans, M. (2011). Educational needs of patients with a stroke and their caregivers: A systematic review of the literature. Patient Education and Counseling, 85(1), 14-25.
Hileman, J. W., Lackey, N. R., & Hassanein, R. S. (1992). Identifying the needs of home caregivers of patients with cancer. Oncology Nursing Forum. 19(5), 771-777.
Hinojosa, MS., Rittman, M. R. (2007). Stroke caregiver information needs: Comparison of Mainland and Puerto Rican caregivers. Journal of Rehabilitation Research and Development, 44(5), 649.
Hwang, B., Luttik, M. L., Dracup, K., & Jaarsma, T. (2010). Family caregiving for patients with heart failure: Types of care provided and gender differences. Journal of Cardiac Failure, 16(5), 398-403.
Hwang, B., Fleischmann, K. E., Howie-Esquivel, J., Stotts, N. A., & Dracup, K. (2011). Caregiving for patients with heart failure: Impact on patients’ families. American Journal of Critical Care, 20(6), 431-442.
Hupcey, J. E., Fenstermacher, K., Kitko, L., & Fogg, J. (2011). Palliative needs of spousal caregivers of patients with heart failure followed at specialized heart failure centers. Journal of Hospice Palliative Nursing, 13(3), 142-150. doi:10.1097/NJH.0b013e31820ce15e.
Kang, X., Li, Z., & Nolan, M. T. (2011). Informal caregivers' experiences of caring for patients with chronic heart failure: Systematic review and metasynthesis of qualitative studies. Journal of Cardiovascular Nursing, 26(5), 386-394.
Kim, S. S., Ahn, J. A., Kang, S. M., Kim, G., & Lee, S. (2013). Learning needs of patients with heart failure a descriptive, exploratory study. Journal of Clinical Nursing, 22(5-6), 661-668.
Kim, J. W., & Moon, S. S. (2007). Needs of family caregivers caring for stroke patients: Based on the rehabilitation treatment phase and the treatment setting. Social Work in Health Care, 45(1), 81-97.
King, RB., & Semik, P. E. (2006). Stroke caregiving: difficult times, resource use, and needs during the first 2 years. Journal of Gerontological Nursing, 32(4), 37.
Krum, H., Tonkin, A., Zimmet, H., Piterman, L., & Yallop, J. (2005). Chronic heart failure: Optimising care in general practice. Australian Family Physician, 34(7), 547.
Krupat, E., Bell, R. A., Kravitz, R. L., Thom, D., & Azari, R. (2001). When physicians and patients think alike: Patient-centered beliefs and their impact on satisfaction and trust. Journal of Family Practice, 50(12), 1057-1063.
Lam, C. S. (2015). Heart failure in Southeast Asia: Facts and numbers. European Society of Cardiology Heart Failure, 2(2), 46-49. doi: 10.1002/ehf2.12036.
Lee, D. S., Schull, M. J., Alter, D. A., Austin, P. C., Laupacis, A., Chong, A., ... & Stukel, T. A. (2010). Early deaths in heart failure patients discharged from the emergency department: a population-based analysis. Circulation: Heart Failure, 109, 1-31.
Lee, D. S., Stitt, A., Austin, P. C., Stukel, T. A., Schull, M. J., Chong, A., ... & Tu, J. V. (2012). Prediction of heart failure mortality in emergent care: A cohort study. Annals of Internal Medicine, 156(11), 767-775.
Lin, W. C., & Tsao, C. J. (2004). Information needs of family caregivers of terminal cancer patients in Taiwan. American Journal of Hospice and Palliative Medicine, 21(6), 438-444.
Lum, H. D., Lo, D., Hooker, S., & Bekelman, D. B. (2014). Caregiving in heart failure: Relationship quality is associated with caregiver benefit finding and caregiver burden. Heart & Lung: The Journal of Acute and Critical Care, 43(4), 306-310.
Luttik, M. L., Jaarsma, T., Veeger, N., & van Veldhuisen, D. J. (2006). Marital status, quality of life, and clinical outcome in patients with heart failure. Heart & Lung, 35(1), 3-8.
Luttik, M. L., Jaarsma, T., Veeger, N., Tijssen, J., Sanderman, R., & Veldhuisen, D. J. (2007). Caregiver burden in partners of heart failure patients; limited influence of disease severity. European Journal of Heart Failure, 9(6-7), 695-701.
Luttik, M. L., Jaarsma, T., Tijssen, J. G., van Veldhuisen, D. J., & Sanderman, R. (2008). The objective burden in partners of heart failure patients; development and initial validation of the Dutch Objective Burden Inventory. European Journal of Cardiovascular Nursing, 7(1), 3-9.
Luttik, M. L., Jaarsma, T., Lesman, I., Sanderman, R., & Hagedoorn, M. (2009). Quality of life in partners of people with congestive heart failure: Gender and involvement in care. Journal of Advanced Nursing, 65(7), 1442-1451.
Mårtensson, J., Dracup, K., Canary, C., & Fridlund, B. (2003). Living with heart failure: Depression and quality of life in patients and spouses. The Journal of Heart and Lung Transplantation, 22(4), 460-467.
Mackenzie, A., Perry, L., Lockhart, E., Cottee, M., Cloud, G., & Mann, H. (2007). Family carers of stroke survivors: Needs, knowledge, satisfaction and competence in caring. Disability and Rehabilitation, 29(2), 111-121.
MacIsaac, L., Harrison, M. B., Buchanan, D., & Hopman, W. M. (2011). Supportive care needs after an acute stroke: A descriptive enquiry of caregivers' perspective. Journal of Neuroscience Nursing, 43(3), 132-140.
Mavrea, A. M., Dragomir, T., Bordejevic, D. A., Tomescu, M. C., Ancusa, O., & Marincu, I. (2015). Causes and predictors of hospital readmissions in patients older than 65 years hospitalized for heart failure with preserved left ventricular ejection fraction in western Romania. Clinical Interventions in Aging, 10, 979-990.
Milne, D. (2001). Education strategies: Addressing family caregiver information needs. Cancer Forum, 25(1), 9-11.
Moser, D. K., Dracup, K. A., & Marsden, C. (1993). Needs of recovering cardiac patients and their spouses: Compared views. International Journal of Nursing Studies, 30(2), 105-114.
Munro, B. H. (2005). Statistical methods for health care research. Lippincott Williams & Wilkins, 1.
Neame, R., Hammond, A., & Deighton, C. (2005). Need for information and for involvement in decision making among patients with rheumatoid arthritis: A questionnaire survey. Arthritis Care & Research, 53(2), 249-255.
Nutbeam, D. (2008). The evolving concept of health literacy. Social Science & Medicine, 67(12), 2072-2078.
O'connell, J. B. (2000). The economic burden of heart failure. Clinical Cardiology. 23(S3), III6-III10.
O’Connell, Macabasco-A., DeWalt, D. A., Broucksou, K. A., Hawk, V., Baker, D. W., Schillinger, D., ... & Weinberger, M. (2011). Relationship between literacy, knowledge, self-care behaviors, and heart failure-related quality of life among patients with heart failure. Journal of General Internal Medicine, 26(9), 979-986.
Pattenden, J. F., Roberts, H., & Lewin, R. J. P. (2007). Living with heart failure; patient and carer perspectives. European Journal of Cardiovascular Nursing, 6(4), 273-279.
Peraturan Pemerintah (Indonesia Government Policy) Nomor 45/PP No 45 Pasal 15 Ayat 3. (2015). Retrieved from http://setkab.go.id/inilah-perpres-no-452015-tentang-penyelenggaraan-program-jaminan-pensiun/ on December 31, 2016.
Pinquart, M., & Sörensen, S. (2006). Gender differences in caregiver stressors, social resources, and health: An updated meta-analysis. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 61(1), 33-45.
Pressler, S. J., Gradus-Pizlo, I., Chubinski, S. D., Smith, G., Wheeler, S., Wu, J., & Sloan, R. (2009). Family caregiver outcomes in heart failure. American Journal of Critical Care, 18(2), 149-159.
Polit DF and Beck CT. Nursing research. principles and methods. Philadelphia: Lippincott Williams & Wilkins, 2004.
Ponikowski, P., Anker, S. D., AlHabib, K. F., Cowie, M. R., Force, T. L., Hu, S., ... & Samal, U. C. (2014). Heart failure: Preventing disease and death worldwide. European Society of Cardiology Heart Failure, 1(1), 4-25.
Riset Kesehatan Dasar/Riskesdas (Basic Health Research) in Indonesia. (2013). Penyakit jantung (Heart Disease). Retrived from www.academia.edu/RISET_KESEHATAN_DASAR_RISKESDAS_2013 at March 18, 2016.
Rockwell, J., & Riegel, B. (2001). Predictors of self-care in persons with heart failure. Heart and Lung, 30(1), 18-25.
Rodríguez-Artalejo, F., Guallar-Castillón, P., Pascual, C. R., Otero, C. M., Montes, A. O., García, A. N., ... & Herrera, M. C. (2005). Health-related quality of life as a predictor of hospital readmission and death among patients with heart failure. Archives of Internal Medicine, 165(11), 1274-1279.
Rohrbaugh, M. J., Shoham, V., Cleary, A. A., Berman, J. S., & Ewy, G. A. (2009). Health consequences of partner distress in couples coping with heart failure. Heart & Lung: The Journal of Acute and Critical Care, 38(4), 298-305.
Sanford, J., Townsend-Rocchicciolli, J., Horigan, A., & Hall, P. (2011). A process of decision making by caregivers of family members with heart failure. Research and Theory for Nursing Practice, 25(1), 55-70.
Saounatsou, M., Patsi, O., Fasoi, G., Stylianou, M., Kavga, A., Economou, O., Mandi, P., & Nicolaou, M. (2001). The influence of the hypertensive patient’s education in compliance with their medication. Public Health Nursing, 18(6), 436-442.
Saunders, M. M. (2003). Family caregivers need support with heart failure patients. Holistic Nursing Practice, 17(3), 136-142.
Saunders, M. M. (2008). Factors associated with caregiver burden in heart failure family caregivers. Western Journal of Nursing Research, 30(8), 943-959.
Sawafta, F. J., & Chen, X. (2013). Quality of life of chinese heart failure patients and their family caregivers. International Journal of Applied, 3(2).
Schwarz, E. R., Kapur, V., Bionat, S., Rastogi, S., Gupta, R., & Rosanio, S. (2008). The prevalence and clinical relevance of sexual dysfunction in women and men with chronic heart failure. International Journal of Impotence Research, 20(1), 85-91.
Scott, J. T., & Thompson, D. R. (2003). Assessing the information needs of post-myocardial infarction patients: A systematic review. Patient Education and Counseling, 50(2), 167-177.
Siswanto, B. B., Radi, B., Kalim, H., Santoso, A., Suryawan, R., Antono, E., & Santoso, T. (2010). Heart failure in NCVC Jakarta and 5 hospitals in Indonesia. CVD Prevention and Control, 5(1), 35-38.
Smagt‐Duijnstee, M., Hamers, J. P., & Abu‐Saad, H. H. (2000). Relatives of stroke patients-their experiences and needs in hospital. Scandinavian Journal of Caring Sciences, 14(1), 44-51.
Smagt‐Duijnstee, V., Miebet, E., Hamers, J. P., Abu‐Saad, H. H., & Zuidhof, A. (2001). Relatives of hospitalized stroke patients: Their needs for information, counselling and accessibility. Journal of Advanced Nursing, 33(3), 307-315.
Strömberg, A. (2005). The crucial role of patient education in heart failure. European Journal of Heart Failure, 7(3), 363-369.
Tsai, P. C., Yip, P. K., Tai, J. J., & Lou, M. F. (2015). Needs of family caregivers of stroke patients: A longitudinal study of caregivers’ perspectives. Patient Preference and Adherence, 9, 449-457.
Tsuchihashi-Makaya, M., Kato, N., Chishaki, A., Takeshita, A., & Tsutsui, H. (2009). Anxiety and poor social support are independently associated with adverse outcomes in patients with mild heart failure. Circulation Journal, 73(2), 280-287.
van Driel, A. G., de Hosson, M. J. J., & Gamel, C. (2014). Sexuality of patients with chronic heart failure and their spouses and the need for information regarding sexuality. European Journal of Cardiovascular Nursing, 13(3), 227-234.
Walden, J. A., Dracup, K., Westlake, C., Erickson, V., Hamilton, M. A., & Fonarow, G. C. (2001). Educational needs of patients with advanced heart failure and their caregivers. The Journal of Heart and Lung Transplantation, 20(7), 766-769.
Waller, A., Girgis, A., Davidson, P. M., Newton, P. J., Lecathelinais, C., Macdonald, P. S., ... & Currow, D. C. (2013). Facilitating needs-based support and palliative care for people with chronic heart failure: Preliminary evidence for the acceptability, inter-rater reliability, and validity of a needs assessment tool. Journal of Pain and Symptom Management, 45(5), 912-925.
Wei, S. J., Cooke, M., Moyle, W., & Creedy, D. (2010). Health education needs of family caregivers supporting an adolescent relative with schizophrenia or a mood disorder in Taiwan. Archives of Psychiatric Nursing, 24(6), 418-428.
Westlake, C., Dracup, K., Walden, J. A., & Fonarow, G. (1999). Sexuality of patients with advanced heart failure and their spouses or partners. The Journal of Heart and Lung Transplantation, 18(11), 1133-1138.
Widmer, F. (2011). Comorbidity in heart failure. Therapeutische Umschau. Revue Therapeutique, 68(2), 103-106.
Wingham, J., Frost, J., Britten, N., Jolly, K., Greaves, C., Abraham, C., & Dalal, H. (2015). Needs of caregivers in heart failure management: A qualitative study. Chronic Illness, 11(4), 304-319.
World Health Organization. (2014). Global status report 2014. Retrieved from www.who.int/nmh/publications/ncd_report_full_en.pdf. on January 8th, 2016.
World Health Organization. (2015). Health life expectancy at birth (years) 2000-2015. Retrieved from http://gamapserver.who.int/gho/interactive_charts/mbd/hale_1/atlas.html. on December 28th, 2016.
World Health Organization. (2015). Life expectancy at birth (years) 2000-2015. Retrieved from http://gamapserver.who.int/gho/interactive_charts/mbd/life_expectancy/atlas.html. on December 28th, 2016.
World Health Organization. (2016). Process of Translation and Adaptation of Instruments. Retrieved from http://www.who.int/substance_abuse/research_tools/translation/en/ on March 30th, 2016.
Yancy, C. W., Jessup, M., Bozkurt, B., Butler, J., Casey, D. E., Drazner, M. H., ... & Johnson, M. R. (2013). 2013 ACCF/AHA guideline for the management of heart failure: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. Journal of the American College of Cardiology, 62(16), e147-e239.
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