Factors associated with the burden of family caregivers of elderly patients with femoral neck fracture: a cross-sectional study

Abstract

Background: This study aimed to study the factors associated with caregiver burden among caregivers of elderly patients with femoral neck fracture. Methods: This cross-sectional study was based on a non-probabilistic sampling of 183 elderly postoperative patients (aged 65 years or older) with femoral neck fracture who were hospitalized in the orthopedic center in our hospital and their family caregivers. Data were collected from January 2016 to June 2019. Patients and family caregivers completed the sociodemographic questionnaire. The Social Support Rating Scale (SSRS), the General Self-Efficacy Scale (GSE), and the Chinese version of the Zarit Burden Interview (ZBI) were used to evaluate social support, self-efficacy, and caregiver burden, respectively. By analyzing the clinical data of patients and family caregivers and combining the factors that affect the caregiver burden in parallel studies, we selected the factors that affected the caregiver burden in this study and conducted a multivariate analysis of these factors. P < 0.05 was considered statistically significant. Results: We observed 176 caregivers aged 69.28 ± 7.19 years old, among whom 52.3% were male, 58.0% lived in the city, 84.0% were spouses of the patients, and 67.0% had a primary school educational background. The ZBI score of the family caregivers was 37.8 ± 8.9, and 82.7% of the caregivers were under a moderate to severe burden. The patient's functional status, Harris score, and pain score and the caregiver's SSRS scores, GSE scores, and the ratio of medical expenses to monthly income per capita were factors that affected the caregiver burden. Conclusions: Most family caregivers of elderly patients with femoral neck fracture are subject to a considerable care burden, and social support and self-efficacy intervention are conducive to reducing the caregiver burden.

Burden and Coping Mechanisms among Caregiver for Old Adult with advanced illness.

“…Due to the lack of advanced medical care in rural areas than in cities, they are forced to travel long distances to obtain medical care for their loved ones. This is consistent with the findings of a study conducted in China by (68) ), which found a significant relationship between caregivers' place of residence and their level of burden. This contrasts with the findings of the study conducted in Egypt by (55) who reported that there were no significant relationships between caregiver burden and caregiver residence, he added that the place where the caregivers lived was not correlated with the level of burden of the caregiver and the place where the caregivers lived of the caregivers was unrelated to the caregiver's level of burden.…”

Evaluating and Ranking the Factors Affecting the Acute Pain Management in Older Adults with Dementia after Hip Fracture Surgery: Second-Order Confirmatory Factor Analysis

“…Xiao et al . (2020)[ 21 ] indicated that caregiver-related, patient-related, and system-related factors affected pain management in hip fractures. Brennan et al .…”

Association of social support with cognition among older adults in China: A cross-sectional study

“…SSRC was confirmed with good reliability and α's coefficient ( 47 , 48 ). Epidemiological studies among the Chinese population have widely used SSRC to examine the relationship between social support and diseases ( 32 , 49 ). Over past decades, studies across the world have employed various tests to determine social support.…”

“…A previous study also showed high-construct validity and content validity ( 31 ). As a questionnaire to evaluate social support, SSRC has been widely accepted and used in epidemiological studies across China ( 32 ).…”