Effects and consequences of caring for persons with heart failure: (ECCUPENIC study) a nested case-control study

J Adv Nurs. 2015 Dec;71(12):2987-97. doi: 10.1111/jan.12732. Epub 2015 Jul 20.

Abstract

Aim: Primary: To report a research protocol to analyse the relationship between the degree of heart failure and the health-related quality of life of patients and their family caregivers. Secondary: To identify the characteristics of heart failure patients and their caregivers and the association between these characteristics and hospital admissions. Moreover, to conduct a longitudinal analysis of the relationship between patients' and that of their family caregivers.

Background: As heart failure progresses, it reduces the patient's quality of life and progressive functional deterioration requires hospital admission and the provision of healthcare resources. The availability of a family caregiver is a key element in addressing and managing this healthcare problem and some research results have associated this factor with the prognosis for heart failure.

Design: Multicentre cohort nested case-control study.

Methods: Exploratory analysis: Descriptive statistics, measures of central tendency and dispersion or percentages. Bivariate analysis: Using Student's t-test and chi-square test, anova and non-parametric tests. Survival analysis: Kaplan-Meier curves. Multivariate analysis: Cox's proportional hazards model. All calculations performed with an alpha level of 0·05.

Discussion: Lack of family support for patients with HF or greater duration of care is associated with more hospitalizations and increased depression among caregivers. Further longitudinal studies with a large population sample are required.

Keywords: caregivers; health-related quality of life; heart failure; hospital admissions; nursing.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Aged, 80 and over
  • Caregivers / psychology*
  • Case-Control Studies
  • Cohort Studies
  • Family / psychology*
  • Female
  • Heart Failure / nursing*
  • Humans
  • Longitudinal Studies
  • Male
  • Middle Aged
  • Patients / psychology*
  • Quality of Life / psychology*
  • Spain
  • Surveys and Questionnaires