RT Journal Article
T1 Health-Related Quality of Life and Use of Hospital Services by Patients with Heart Failure and Their Family Caregivers: A Multicenter Case-Control Study.
A1 Timonet Andreu, Eva María
A1 Morales-Asencio, José Miguel
A1 Alcalá Gutierrez, Purificación
A1 Cruzado Álvarez, Concepción
A1 López-Moyano, G
A1 Mora-Banderas, Ana María
A1 López-Leiva, María Inmaculada
A1 Canca-Sánchez, José Carlos
K1 Insuficiencia cardíaca
K1 Cuidadores - Aspectos psicológicos
K1 Enfermos - Relaciones familiares
AB Background: Heart failure (HF) leads to high hospital admission rates. Disease progression affects the health-related quality of life (HRQoL) of patients and caregivers, but current evidence is largely from cross-sectional studies with limited samples.Objectives: To analyze the relationship between HF patients' hospital service use (as a proxy for disease progression) and the HRQoL of their family caregivers.Methods: This multicenter nested case-control study involved 530 patient-caregiver dyads from hospitals in southern Spain. Hospital admission data for the 5 years prior to inclusion were retrospectively collected. Associations between patient deterioration and caregivers' HRQoL were analyzed using bivariate analyses and multivariate logistic regression.Results: Increased hospital service use by patients was linked to worse caregiver HRQoL, with an overall OR of 1.48 (95% CI: 1.23–1.79). Positive correlations were found between patients' perceived physical health and caregivers' perceived mental health (r = 0.127, p = 0.004), and between the perceived mental health of both (r = 0.291, p < 0.0001).Conclusions: Greater hospital service use by HF patients independently predicts caregiver HRQoL deterioration. The physical and mental HRQoL of patients and caregivers interact, influencing each other. Additional factors, such as caregiving intensity, also contribute to caregiver HRQoL decline.Clinical Relevance: These findings highlight the need to identify family caregivers of HF patients at risk of HRQoL deterioration. Since increased hospital use predicts this decline, clinical nurses, as primary caregivers' supporters and educators, should tailor interventions to mitigate these effects.
PB Wiley
YR 2020
FD 2020
LK https://hdl.handle.net/10630/36295
UL https://hdl.handle.net/10630/36295
LA eng
NO Timonet-Andreu E, Morales-Asencio JM, Alcalá Gutierrez P, Cruzado Alvarez C, López-Moyano G, Mora Banderas A, López-Leiva I, Canca-Sanchez JC. Health-Related Quality of Life and Use of Hospital Services by Patients with Heart Failure and Their Family Caregivers: A Multicenter Case-Control Study. J Nurs Scholarsh. 2020 Mar;52(2):217-228. doi: 10.1111/jnu.12545. PMID: 32141224.
NO Autorización en correo RIUMA (10/01/25)
NO This research project received a grant from the Andalusian Ministry of Health: PI-0521-2013.
DS RIUMA. Repositorio Institucional de la Universidad de Málaga
RD 20 ene 2026