Trends in health outcomes for family caregivers of hip‐fractured elders during the first 12 months after discharge

Shyu, Yea‐Ing Lotus; Chen, Min Chi; Liang, Jersey; Tseng, Ming Yueh

doi:10.1111/j.1365-2648.2011.05778.x

Cited by 22 publications

(20 citation statements)

References 32 publications

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“…Caregivers of the elderly that count on the availability of social support, during the rehabilitation process at home after surgery for proximal femoral fracture, they presented better role performance when caregiver role strain was decreased. This support, however, was not shown to be sufficient for the caregiver to completely deconstruct the negative perception of her general and mental health, even in situations in which there was a reduction in dependence on the care of family members for activities of daily living of the elderly (11) . It is for this reason that it becomes necessary to stimulate family caregivers to recognize, throughout the rehabilitation process, the shared autonomy of the caregiver-elderly binomial, and that the mode of care adopted by the caregiver is critical to helping her regain her independence from the role, provided that the elderly person is able to resume his daily activities when stimulated (13) .…”

Section: Introductionmentioning

confidence: 91%

“…The relationship between the activities inherent in the act of care and the level of dependency of each particular person requires different forms of training, guidance and monitoring of the caregiver, aiming to preserve her health and to ensure proper performance of her function (10) . To prepare for hospital discharge of the binomial dependent elderly-family caregiver contributes to minimizing the caregiver role strain and to the improvement of the caregiver role performance (11) . This is because the lack of familiarity regarding necessary care can lead to health risks for the elderly, especially in cases of recurrence of falls (12) , as well as illness in the caregiver herself.…”

Section: Introductionmentioning

confidence: 99%

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Family participation to elderly rehabilitation with femoral fracture

2015

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How to cite this article: Avila MAG, Pereira GJC, Bocchi SCM. Family participation to elderly rehabilitation with femoral fracture.Rev Bras Enferm. 2015;68(5):601-7. DOI: http://dx.doi.org/10.1590/0034-7167.2015680517iSubmission: 12-15-2014 Approval: 07-13-2015 ABSTRACT Objective: verify if the mode of care adopted by caregivers favored functional independence recovery by elderly with and without the presence of nervous system disease and mental and behavioral disorders; and, if disease interfered with their functional independence. Method: transversal study, with 12-month follow-up of 89 Brazilian elders (≥ 60 years) after proximal femoral surgery, and their family caregiver. Results: the Functional Independence Measure scores decreased by 0.7 points per year of life, and in the case of presenting nervous system disease and mental and behavioral disorders, this loss amounted to 20.5 points. Conclusion: The incentive to ambulate increased by 18.8 for self-care, 12.8 for self-care, and 11.5 for leisure activities on the Functional Independence Measure. Encouraging movement and ambulation, self-care and leisure activities, especially with those elderly with nervous system diseases and mental and behavioral disorders, is recommended. Key words: Aged; Caregivers; Femoral Fractures. RESUMO Objetivo: verifi car se o modo de cuidar adotado pelos cuidadores favoreceu a recuperação da independência funcional dos idosos com e sem a presença de doença no sistema nervoso e transtornos mentais e comportamentais e se doenças interferiram na independência funcional. Método: estudo transversal, com seguimento por 12 meses de 89 idosos brasileiros (≥ 60 anos), submetidos à cirurgia de fêmur proximal e seus cuidadores familiares. Resultados: os escores da Medida de Independência Funcional diminuíram 0,7 pontos por ano vivido e no caso de apresentar doença no sistema nervoso e transtorno mental e comportamental essa perda elevou-se para 20,5 pontos. O incentivo à deambulação aumentou 18,9, ao autocuidado 12,8 e ao lazer 11,5 pontos da Medida de Independência Funcional. Conclusão: recomenda-se o incentivo à movimentação e à deambulação, ao autocuidado e às atividades de lazer, principalmente naqueles idosos com doenças nos sistema nervoso e transtorno mental e comportamental. Descritores: Idosos; Cuidadores; Fraturas do Fêmur. RESUMENObjetivo: verifi car si el modo de cuidar adoptado por los cuidadores favoreció la recuperación de la independencia funcional de los ancianos con y sin la presencia de enfermedad en el sistema nervioso y trastornos mentales y comportamentales y si enfermedades interfi rieron en la independencia funcional. Método: estudio trasversal, con seguimiento por 12 meses de 89 ancianos brasileños (≥ 60 años), sometidos a cirugía de fémur proximal y sus cuidadores familiares. Resultados: los scores de la Medida de Independencia Funcional disminuyeron 0,7 puntos por año vivido y, en el caso de enfermedad en el sistema nervioso y trastorno mental y comportamental, esa pérdida aumentó para 20,5 puntos. El incentivo ...

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Section: Introductionmentioning

confidence: 91%

Section: Introductionmentioning

confidence: 99%

Family participation to elderly rehabilitation with femoral fracture

2015

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“…Elderly whose caregivers reported the need for information were more likely to recover walking ability (31) .…”

Section: Discussionmentioning

confidence: 99%

“…The trend of health outcomes reported by family caregivers of patients who had PFF and the effects of social support (31) .…”

Section: Discussionmentioning

confidence: 99%

“…and their caregivers and found significant reduction in the suffering of caregivers of patients who received their experts in rehabilitation at home, though with no effect on patients' outcomes in a 12-month period (15) . Moreover, some researchers suggested strategies deemed appropriate to minimize problems and suffering in the coping with a new life condition after the traumatic event of PFF, such as providing guidance on the access to online information made available by research centers (30) ; suggesting names of institutions with specialized multidisciplinary teams to meet the needs of the binomial family caregiver -dependent elderly (17,31) ; assessing and stimulating the social perception of caregivers (16,31) and assigning the process of care transition to a case manager (14) , as well as addressing the psychological factors of the caregiver (29) .…”

Section: Louie S W-s (33) Quantitative Randomized Clinical Trial Rehamentioning

confidence: 99%

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

Rocha

Avila

Bocchi

2016

Rev. Gaúcha Enferm.

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How to cite this article:Rocha SA, Avila MAG, Bocchi SCM. The influence of informal caregivers on the rehabilitation of the elderly in the postoperative period of proximal femoral fracture. Rev Gaúcha Enferm. 2016 mar;37 (1) Results: There was a predominance of studies by Chinese authors and nurses. The analysis of the studies evidenced that falls followed by fractures lead to dependence of older adults and, consequently, an overload to caregivers. Moreover, older adults and caregivers showed a need for support in the rehabilitation process. Conclusions:Informal caregivers still need to be included in care planning and to be qualified for such care by health professionals, since they positively influence functional independence in the postoperative period. Resultados: Predominaram estudos com autoria de chineses e enfermeiros. A análise dos estudos evidenciou que as quedas seguidas por fraturas promovem a dependência de idosos e, consequentemente, a sobrecarga aos cuidadores, demonstrando o binômio idoso dependente-cuidador necessitar de apoio no processo de reabilitação. Keywords Conclusões:Os cuidadores informais ainda precisam ser inseridos no planejamento e capacitados para o cuidado pelos profissionais da saúde, uma vez que influenciam positivamente a independência funcional no pós-operatório. Palavras-chave:Idoso. Acidentes por quedas. Fraturas do fêmur. Cuidadores. Período pós-operatório. RESUMEN Objetivo: Verificar la influencia del cuidador informal en la independencia funcional de ancianos en postoperatorio de fractura proximal de fémur por caídas.Método: Revisión integradora, cuyo análisis se reunieron 23 artículos, entre 2002 y 2012, en las bases de datos Literatura Latinoamericana y del Caribe en Ciencias de la Salud, Cumulative Index to Nursing and Allied Health Literature, US National Library of Medicine e Scopus.Resultados: Predominaron estudios con autores chinos y enfermeros. El análisis de los estudios evidenció que las caídas que producen fracturas promueven la dependencia de ancianos y, consecuentemente, sobrecarga en los cuidadores, demostrando la dupla anciano dependiente-cuidador necesidad de apoyo en el proceso de rehabilitación. Conclusiones:Los cuidadores informales necesitan inserción en la planificación, además de capacitación para cuidados por parte de profesionales de salud, toda vez que influyen positivamente en la independencia funcional durante el postoperatorio.Palabras clave: Anciano. Accidentes por caídas. Fracturas del fémur. Cuidadores. Periodo posoperatorio.

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A home‐based tele‐rehabilitation protocol for patients with hip fracture called @ctivehip

Ortiz-Piña

Salas-Fariña

Mora‐Traverso

et al. 2018

Research in Nursing & Health

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Home‐based tele‐rehabilitation programs are under development and may be a future option for some patients. The objectives of this non‐randomized clinical trial are to design a home‐based multidisciplinary tele‐rehabilitation protocol for patients with hip fracture, and to compare this protocol versus the home‐based usual outpatient rehabilitation protocol. Seventy patients treated for an acute hip fracture, aged 65 years or older, with a high pre‐fracture functional level (Functional Independence Measure score >90), without severe cognitive impairment, absence of terminal disease, discharged to their own home or a relativés home postoperatively, allowed weight‐bearing, and with signed informed consent, will be allocated into a tele‐rehabilitation group (n = 35) or a control group (n = 35). The inclusion criterion for the intervention group will be to have a caregiver with the ability to access the Internet who is willing to perform exercises and activities with the patient at home. The intervention includes a program of physical exercise and occupational therapy (five weekly sessions during 12 weeks), and recommendations for patients and their caregivers, all delivered through a website. The patient's functional level (Functional Independence Measure), quality of life (Euro‐Qol), physical performance (Timed Up and Go), caregiver burden (Zarit Interview), and other descriptive data will be assessed at hospital discharge, 4 weeks, and 12 weeks. This project will add to the knowledge concerning the feasibility of tele‐rehabilitation as an option to promote recovery of the pre‐fracture functional level for some patients with a hip fracture. http://ClinicalTrials.gov Identifier: NCT02968589NCT.

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Trends in health outcomes for family caregivers of hip‐fractured elders during the first 12 months after discharge

Cited by 22 publications

References 32 publications

Family participation to elderly rehabilitation with femoral fracture

Family participation to elderly rehabilitation with femoral fracture

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

A home‐based tele‐rehabilitation protocol for patients with hip fracture called @ctivehip

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