Health‐Related Quality of Life and Use of Hospital Services by Patients with Heart Failure and Their Family Caregivers: A Multicenter Case‐Control Study
Background Heart failure (HF) causes high rates of hospital admissions. It is known that disease progression impacts the health‐related quality of life (HRQoL) of both patients and caregivers, yet to date, this finding is based on cross‐sectional studies with limited samples. Objectives The study ai...
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| Veröffentlicht in: | Journal of nursing scholarship 2020-03, Vol.52 (2), p.217-228 |
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| creator | Timonet‐Andreu, Eva Morales‐Asencio, José Miguel Alcalá Gutierrez, Purificación Cruzado Alvarez, Concepcion López‐Moyano, Gracia Mora Banderas, Ana López‐Leiva, Inmaculada Canca‐Sanchez, José Carlos |
| description | Background
Heart failure (HF) causes high rates of hospital admissions. It is known that disease progression impacts the health‐related quality of life (HRQoL) of both patients and caregivers, yet to date, this finding is based on cross‐sectional studies with limited samples.
Objectives
The study aim is to analyze the relationship between HF patients’ use of hospital services (a proxy for disease progression) and the HRQoL of their family caregivers.
Methods
This work is a multicenter nested case‐control study on a population of patients admitted to hospitals in southern Spain due to heart failure. The sample comprised 530 patient‐caregiver dyads. Hospital admission data were retrospectively collected for the 5 years prior to inclusion in the study. Bivariate analyses and multivariate logistic regression were used to determine associations between patient deterioration and caregivers’ quality of life.
Results
Patients’ use of hospital services was associated with worsened quality of life for family caregivers, with an overall OR of 1.48 (95% CI: 1.23‐1.79). A positive correlation was found between patients’ perceptions of their physical health and the perceived mental health of caregivers (r = 0.127, p = 0.004) and between the perceived mental health of both (r = 0.291; p |
| doi_str_mv | 10.1111/jnu.12545 |
| format | Article |
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Heart failure (HF) causes high rates of hospital admissions. It is known that disease progression impacts the health‐related quality of life (HRQoL) of both patients and caregivers, yet to date, this finding is based on cross‐sectional studies with limited samples.
Objectives
The study aim is to analyze the relationship between HF patients’ use of hospital services (a proxy for disease progression) and the HRQoL of their family caregivers.
Methods
This work is a multicenter nested case‐control study on a population of patients admitted to hospitals in southern Spain due to heart failure. The sample comprised 530 patient‐caregiver dyads. Hospital admission data were retrospectively collected for the 5 years prior to inclusion in the study. Bivariate analyses and multivariate logistic regression were used to determine associations between patient deterioration and caregivers’ quality of life.
Results
Patients’ use of hospital services was associated with worsened quality of life for family caregivers, with an overall OR of 1.48 (95% CI: 1.23‐1.79). A positive correlation was found between patients’ perceptions of their physical health and the perceived mental health of caregivers (r = 0.127, p = 0.004) and between the perceived mental health of both (r = 0.291; p <0.0001).
Conclusions
Greater use of hospital services by patients with HF is an independent predictor of deterioration of family caregivers’ HRQoL. The physical and mental components of patients’ and their family caregivers’ HRQoL interact and influence each other. Additional factors, such as the nature and intensity of care provided, also determine the worsening of a family caregiver’s HRQoL.
Clinical Relevance
These results can be used to identify family caregivers of people with heart failure at risk of suffering a deterioration in their health‐related quality of life. Increased use of hospital services is an independent predictor of the deterioration of the family caregivers’ health‐related quality of life. Since clinical nurses are the main provider who gives support and education to family caregivers, they should be alert to this situation and individualize interventions to prevent this deterioration.</description><identifier>ISSN: 1527-6546</identifier><identifier>EISSN: 1547-5069</identifier><identifier>DOI: 10.1111/jnu.12545</identifier><identifier>PMID: 32141224</identifier><language>eng</language><publisher>United States: Blackwell Publishing Ltd</publisher><subject>Activities of daily living ; Adult ; Aged ; burnout ; Caregivers ; Caregivers - psychology ; Case-Control Studies ; Clinical nursing ; Cross-sectional studies ; Deterioration ; Disease Progression ; Female ; Health services ; Health status ; Heart failure ; Heart Failure - psychology ; Heart Failure - therapy ; Hospitalization ; Humans ; Logistic Models ; Male ; Mental Health ; Middle Aged ; Mortality ; Multivariate Analysis ; Nurses ; Nursing ; Patient Admission ; Patient admissions ; Patient Readmission ; Patient satisfaction ; psychological ; Quality of life ; Quality of Life - psychology ; Retrospective Studies ; Sociodemographics ; Spain - epidemiology ; Suffering ; Vital signs</subject><ispartof>Journal of nursing scholarship, 2020-03, Vol.52 (2), p.217-228</ispartof><rights>2020 Sigma Theta Tau International</rights><rights>2020 Sigma Theta Tau International.</rights><rights>Copyright Blackwell Publishing Ltd. Mar 2020</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3535-1b2ae2e45df48e051e8b6386c1390938f565134d550b5dcbe5fc2544e07ce31e3</citedby><cites>FETCH-LOGICAL-c3535-1b2ae2e45df48e051e8b6386c1390938f565134d550b5dcbe5fc2544e07ce31e3</cites><orcidid>0000-0002-5539-396X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fjnu.12545$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fjnu.12545$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,12846,27924,27925,30999,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32141224$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Timonet‐Andreu, Eva</creatorcontrib><creatorcontrib>Morales‐Asencio, José Miguel</creatorcontrib><creatorcontrib>Alcalá Gutierrez, Purificación</creatorcontrib><creatorcontrib>Cruzado Alvarez, Concepcion</creatorcontrib><creatorcontrib>López‐Moyano, Gracia</creatorcontrib><creatorcontrib>Mora Banderas, Ana</creatorcontrib><creatorcontrib>López‐Leiva, Inmaculada</creatorcontrib><creatorcontrib>Canca‐Sanchez, José Carlos</creatorcontrib><title>Health‐Related Quality of Life and Use of Hospital Services by Patients with Heart Failure and Their Family Caregivers: A Multicenter Case‐Control Study</title><title>Journal of nursing scholarship</title><addtitle>J Nurs Scholarsh</addtitle><description>Background
Heart failure (HF) causes high rates of hospital admissions. It is known that disease progression impacts the health‐related quality of life (HRQoL) of both patients and caregivers, yet to date, this finding is based on cross‐sectional studies with limited samples.
Objectives
The study aim is to analyze the relationship between HF patients’ use of hospital services (a proxy for disease progression) and the HRQoL of their family caregivers.
Methods
This work is a multicenter nested case‐control study on a population of patients admitted to hospitals in southern Spain due to heart failure. The sample comprised 530 patient‐caregiver dyads. Hospital admission data were retrospectively collected for the 5 years prior to inclusion in the study. Bivariate analyses and multivariate logistic regression were used to determine associations between patient deterioration and caregivers’ quality of life.
Results
Patients’ use of hospital services was associated with worsened quality of life for family caregivers, with an overall OR of 1.48 (95% CI: 1.23‐1.79). A positive correlation was found between patients’ perceptions of their physical health and the perceived mental health of caregivers (r = 0.127, p = 0.004) and between the perceived mental health of both (r = 0.291; p <0.0001).
Conclusions
Greater use of hospital services by patients with HF is an independent predictor of deterioration of family caregivers’ HRQoL. The physical and mental components of patients’ and their family caregivers’ HRQoL interact and influence each other. Additional factors, such as the nature and intensity of care provided, also determine the worsening of a family caregiver’s HRQoL.
Clinical Relevance
These results can be used to identify family caregivers of people with heart failure at risk of suffering a deterioration in their health‐related quality of life. Increased use of hospital services is an independent predictor of the deterioration of the family caregivers’ health‐related quality of life. Since clinical nurses are the main provider who gives support and education to family caregivers, they should be alert to this situation and individualize interventions to prevent this deterioration.</description><subject>Activities of daily living</subject><subject>Adult</subject><subject>Aged</subject><subject>burnout</subject><subject>Caregivers</subject><subject>Caregivers - psychology</subject><subject>Case-Control Studies</subject><subject>Clinical nursing</subject><subject>Cross-sectional studies</subject><subject>Deterioration</subject><subject>Disease Progression</subject><subject>Female</subject><subject>Health services</subject><subject>Health status</subject><subject>Heart failure</subject><subject>Heart Failure - psychology</subject><subject>Heart Failure - therapy</subject><subject>Hospitalization</subject><subject>Humans</subject><subject>Logistic Models</subject><subject>Male</subject><subject>Mental Health</subject><subject>Middle Aged</subject><subject>Mortality</subject><subject>Multivariate Analysis</subject><subject>Nurses</subject><subject>Nursing</subject><subject>Patient Admission</subject><subject>Patient admissions</subject><subject>Patient Readmission</subject><subject>Patient satisfaction</subject><subject>psychological</subject><subject>Quality of life</subject><subject>Quality of Life - psychology</subject><subject>Retrospective Studies</subject><subject>Sociodemographics</subject><subject>Spain - epidemiology</subject><subject>Suffering</subject><subject>Vital signs</subject><issn>1527-6546</issn><issn>1547-5069</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp1kctu1DAUhi0EohdY8ALIEhu6SOt7MuyqUdsBTbl21paTnDAeeZLBl1bZ8Qg8AE_XJ8FDCgskvPHt8-ej8yP0gpJTmsfZpk-nlEkhH6FDKkVZSKJmj_drVhZKCnWAjkLYEEIULflTdMAZFZQxcYh-LsC4uL7__uMzOBOhxZ-ScTaOeOjw0naATd_iVYD9fjGEnY3G4S_gb20DAdcj_miihT4GfGfjGmedj_jSWJf89PZmDdbnk611I54bD1_tLfjwBp_j6-Ri1vQRfL4JkKuYD330Q_4hpnZ8hp50xgV4_jAfo9Xlxc18USw_XL2dny-LhksuC1ozAwyEbDtRAZEUqlrxSjWUz8iMV51UknLRSklq2TY1yK7J3RJAygY4BX6MXk_enR--JQhRb21owDnTw5CCZrwUXJWsUhl99Q-6GZLvc3WaCSYoLXOPM3UyUY0fQvDQ6Z23W-NHTYneR6ZzZPp3ZJl9-WBM9Rbav-SfjDJwNgF31sH4f5N-9341KX8BKcGiCQ</recordid><startdate>202003</startdate><enddate>202003</enddate><creator>Timonet‐Andreu, Eva</creator><creator>Morales‐Asencio, José Miguel</creator><creator>Alcalá Gutierrez, Purificación</creator><creator>Cruzado Alvarez, Concepcion</creator><creator>López‐Moyano, Gracia</creator><creator>Mora Banderas, Ana</creator><creator>López‐Leiva, Inmaculada</creator><creator>Canca‐Sanchez, José Carlos</creator><general>Blackwell Publishing Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>4U-</scope><scope>7QJ</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AN0</scope><scope>ASE</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FPQ</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HEHIP</scope><scope>K6X</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>M2S</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>S0X</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-5539-396X</orcidid></search><sort><creationdate>202003</creationdate><title>Health‐Related Quality of Life and Use of Hospital Services by Patients with Heart Failure and Their Family Caregivers: A Multicenter Case‐Control Study</title><author>Timonet‐Andreu, Eva ; Morales‐Asencio, José Miguel ; Alcalá Gutierrez, Purificación ; Cruzado Alvarez, Concepcion ; López‐Moyano, Gracia ; Mora Banderas, Ana ; López‐Leiva, Inmaculada ; Canca‐Sanchez, José Carlos</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3535-1b2ae2e45df48e051e8b6386c1390938f565134d550b5dcbe5fc2544e07ce31e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Activities of daily living</topic><topic>Adult</topic><topic>Aged</topic><topic>burnout</topic><topic>Caregivers</topic><topic>Caregivers - psychology</topic><topic>Case-Control Studies</topic><topic>Clinical nursing</topic><topic>Cross-sectional studies</topic><topic>Deterioration</topic><topic>Disease Progression</topic><topic>Female</topic><topic>Health services</topic><topic>Health status</topic><topic>Heart failure</topic><topic>Heart Failure - psychology</topic><topic>Heart Failure - therapy</topic><topic>Hospitalization</topic><topic>Humans</topic><topic>Logistic Models</topic><topic>Male</topic><topic>Mental Health</topic><topic>Middle Aged</topic><topic>Mortality</topic><topic>Multivariate Analysis</topic><topic>Nurses</topic><topic>Nursing</topic><topic>Patient Admission</topic><topic>Patient admissions</topic><topic>Patient Readmission</topic><topic>Patient satisfaction</topic><topic>psychological</topic><topic>Quality of life</topic><topic>Quality of Life - psychology</topic><topic>Retrospective Studies</topic><topic>Sociodemographics</topic><topic>Spain - epidemiology</topic><topic>Suffering</topic><topic>Vital signs</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Timonet‐Andreu, Eva</creatorcontrib><creatorcontrib>Morales‐Asencio, José Miguel</creatorcontrib><creatorcontrib>Alcalá Gutierrez, Purificación</creatorcontrib><creatorcontrib>Cruzado Alvarez, Concepcion</creatorcontrib><creatorcontrib>López‐Moyano, Gracia</creatorcontrib><creatorcontrib>Mora Banderas, Ana</creatorcontrib><creatorcontrib>López‐Leiva, Inmaculada</creatorcontrib><creatorcontrib>Canca‐Sanchez, José Carlos</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>ProQuest Central (Corporate)</collection><collection>University Readers</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>ProQuest Nursing and Allied Health Journals</collection><collection>ProQuest Health and Medical</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection</collection><collection>British Nursing Database</collection><collection>British Nursing Index</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>Sociology Collection</collection><collection>British Nursing Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>ProQuest Health Management</collection><collection>Medical Database</collection><collection>ProQuest Psychology Journals</collection><collection>ProQuest Research Library</collection><collection>Sociology Database</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>SIRS Editorial</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of nursing scholarship</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Timonet‐Andreu, Eva</au><au>Morales‐Asencio, José Miguel</au><au>Alcalá Gutierrez, Purificación</au><au>Cruzado Alvarez, Concepcion</au><au>López‐Moyano, Gracia</au><au>Mora Banderas, Ana</au><au>López‐Leiva, Inmaculada</au><au>Canca‐Sanchez, José Carlos</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Health‐Related Quality of Life and Use of Hospital Services by Patients with Heart Failure and Their Family Caregivers: A Multicenter Case‐Control Study</atitle><jtitle>Journal of nursing scholarship</jtitle><addtitle>J Nurs Scholarsh</addtitle><date>2020-03</date><risdate>2020</risdate><volume>52</volume><issue>2</issue><spage>217</spage><epage>228</epage><pages>217-228</pages><issn>1527-6546</issn><eissn>1547-5069</eissn><abstract>Background
Heart failure (HF) causes high rates of hospital admissions. It is known that disease progression impacts the health‐related quality of life (HRQoL) of both patients and caregivers, yet to date, this finding is based on cross‐sectional studies with limited samples.
Objectives
The study aim is to analyze the relationship between HF patients’ use of hospital services (a proxy for disease progression) and the HRQoL of their family caregivers.
Methods
This work is a multicenter nested case‐control study on a population of patients admitted to hospitals in southern Spain due to heart failure. The sample comprised 530 patient‐caregiver dyads. Hospital admission data were retrospectively collected for the 5 years prior to inclusion in the study. Bivariate analyses and multivariate logistic regression were used to determine associations between patient deterioration and caregivers’ quality of life.
Results
Patients’ use of hospital services was associated with worsened quality of life for family caregivers, with an overall OR of 1.48 (95% CI: 1.23‐1.79). A positive correlation was found between patients’ perceptions of their physical health and the perceived mental health of caregivers (r = 0.127, p = 0.004) and between the perceived mental health of both (r = 0.291; p <0.0001).
Conclusions
Greater use of hospital services by patients with HF is an independent predictor of deterioration of family caregivers’ HRQoL. The physical and mental components of patients’ and their family caregivers’ HRQoL interact and influence each other. Additional factors, such as the nature and intensity of care provided, also determine the worsening of a family caregiver’s HRQoL.
Clinical Relevance
These results can be used to identify family caregivers of people with heart failure at risk of suffering a deterioration in their health‐related quality of life. Increased use of hospital services is an independent predictor of the deterioration of the family caregivers’ health‐related quality of life. Since clinical nurses are the main provider who gives support and education to family caregivers, they should be alert to this situation and individualize interventions to prevent this deterioration.</abstract><cop>United States</cop><pub>Blackwell Publishing Ltd</pub><pmid>32141224</pmid><doi>10.1111/jnu.12545</doi><tpages>12</tpages><orcidid>https://orcid.org/0000-0002-5539-396X</orcidid></addata></record> |
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| ispartof | Journal of nursing scholarship, 2020-03, Vol.52 (2), p.217-228 |
| issn | 1527-6546 1547-5069 |
| language | eng |
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| source | Applied Social Sciences Index & Abstracts (ASSIA); MEDLINE; Wiley Online Library |
| subjects | Activities of daily living Adult Aged burnout Caregivers Caregivers - psychology Case-Control Studies Clinical nursing Cross-sectional studies Deterioration Disease Progression Female Health services Health status Heart failure Heart Failure - psychology Heart Failure - therapy Hospitalization Humans Logistic Models Male Mental Health Middle Aged Mortality Multivariate Analysis Nurses Nursing Patient Admission Patient admissions Patient Readmission Patient satisfaction psychological Quality of life Quality of Life - psychology Retrospective Studies Sociodemographics Spain - epidemiology Suffering Vital signs |
| title | Health‐Related Quality of Life and Use of Hospital Services by Patients with Heart Failure and Their Family Caregivers: A Multicenter Case‐Control Study |
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