Effectiveness of a patient/carer empowerment programme for people with hip fractures

Abstract

Aims: The study compared the effects of a patient and carer empowerment programme and conventional hip fracture protocol on hip fractures related knowledge, activity of daily living (ADL) independence, fall efficacy on ADL; and application frequency of adapted ADL skills in individuals with hip fracture. Methodology: 134 participants were recruited with 63 and 71 participants allocated to Patient and Carer Empowerment Programme (PCEP) and conventional hip fracture protocol respectively. Paired t-test was used to compare the pre-post scores of hip fracture knowledge test, Functional Independence Measures-motor scores, Lawton Instrumental ADL scales and Chinese version of Fall Efficacy Scales within groups. Independent t-test was used to compare the outcome measures and application frequency of adapted ADL skills between groups. Results: It showed that both groups have improvement on hip fracture related knowledge, ADL, instrumental ADL independence and fall efficacy on ADL (P<0.05). However, the participants who underwent the PCEP were found to apply adapted ADL skills more frequently. Conclusion: It appears that participants who underwent the PCEP were more ready to build up habit on adapted ADL skills use. Further studies to investigate carers’ stress and hands-on caregiving skills after the programme were recommended.

The Effect of Caregiver-Mediated Mobility Interventions in Hospitalized Patients on Patient, Caregiver, and Health System Outcomes: A Systematic Review

“…A total of 24,054 titles and abstracts were reviewed, of which 40 studies 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 , 62 , 63 , 64 , 65 , 66 , 67 , 68 , 69 were included in the final synthesis (see fig 1 ). Studies were published between 1986 and 2017, with a total of 7450 patients (range, 10-1250 patients) ( supplemental table S2 , available online only at http://www.archives-pmr.org/ ).…”

“…Half of the studies investigated stroke patients (n=20/40, 50.0%) 30 , 32 , 37 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 50 , 52 , 56 , 57 , 58 , 59 , 60 , 64 , 66 (see supplemental table S2 ). The next most common patient populations were patients with hip complications (eg, hip fractures and hip replacement surgery) (n=3/40 studies, 7.5%), 33 , 51 , 55 heart complications (eg, heart failure, myocardial infarction, coronary surgery) (n=3/40 studies, 7.5%), 36 , 39 , 62 and cancer (n=2/40 studies, 5.0%). 31 , 69 Patients ranged from premature infants (n=2/40 studies, 5.0%) 38 , 67 to older adults (n=18/40 studies, 45.0%).…”

Influência do cuidador informal na reabilitação do idoso em pós-operatório de fratura de fêmur proximal

“…The recovery stage involves different settings and health care actions, and caregivers are involved in the entire process (30,33) . In other words, elderly with PFF require long-term care due to disabling complications that generate dependence on the family (21)(22) , according to the functional needs (19) .…”

“…Elderly who participated in the program reported higher rate of adaptation to daily life activities (33) .…”

“…There were also recommendations for the training of caregivers in the development of health education programs (23,(32)(33) ; care models that encourage the participation of elderly and self-care; hospital discharge plan that includes support groups, social service and health care information (16)(17)19) ; and a project of rehabilitation that includes information to caregivers (17,19) .…”