Ariza-Vega Patrocinio, Ortiz-Piña Mariana, Kristensen Morten Tange, Castellote-Caballero Yolanda, Jiménez-Moleón José Juan
a Rehabilitation and Traumatology Service , Virgen de las Nieves University Hospital of Granada , Granada , Spain.
b Department of Physiotherapy , University of Granada , Granada , Spain.
Disabil Rehabil. 2019 Feb;41(3):311-318. doi: 10.1080/09638288.2017.1390612. Epub 2017 Oct 16.
To determine the profile of the main informal caregivers, the evolution of the caregiver burden, and the influencing factors of caregiver burden at 1-year after hip fracture surgery.
In this prospective cohort study, a total of 172 informal caregivers of patients were interviewed at four points during 1 year following hip fracture surgery in a regional hospital in southern Spain. The perceived caregiver burden was assessed using the Caregiver Strain Index (0-13 points).
The mean (Standard Deviation) age of the 172 caregivers was 56 (13) years, of which 133 (77%) were woman and 94 (55%) were daughters of the patient. Seventy-nine of the 172 (46%) caregivers perceived a high level of burden (≥ 7 points on the Caregiver Strain Index) at the hospital. The corresponding numbers with perceived high level of burden at 1-month, 3-months, and 1-year were 87 (50%), 61 (36%), and 45 (26%) caregivers. A low pre-fracture functional status, post-operative complications, older age of patients, and younger age of caregivers negatively influence caregiver burden at 1-year.
The main caregiver is predominantly female and is most often the daughter of the patient. New treatment strategies such as the support and training of the caregivers in patient handling during hospital stay could be carried out to reduce caregiver burden. Implications for rehabilitation The main caregiver of a hip fracture patient is usually a woman who is the daughter of the patient, and reducing her burden of care should be included as one of the objectives of rehabilitation treatment. The caregivers of hip fracture patients must be considered as part of the treatment during the patient's recovery period, and patient handling training should be provided to the caregivers of hip fracture patients during the hospital stay to prepare the process of going back home. The caregivers of older patients, those with a low pre-fracture functional level, and of those who suffered post-operative complications, should receive more attention prior to hospital discharge and receive more assistance at home to reduce caregiver burden.
确定髋部骨折手术后1年主要非正式照料者的情况、照料者负担的变化以及照料者负担的影响因素。
在这项前瞻性队列研究中，对西班牙南部一家地区医院髋部骨折手术后1年内的172名患者的非正式照料者进行了4次访谈。使用照料者压力指数（0 - 13分）评估感知到的照料者负担。
172名照料者的平均（标准差）年龄为56（13）岁，其中133名（77%）为女性，94名（55%）是患者的女儿。172名照料者中有79名（46%）在医院时感知到高水平的负担（照料者压力指数≥7分）。在1个月、3个月和1年时感知到高水平负担的相应人数分别为87名（50%）、61名（36%）和45名（26%）照料者。骨折前功能状态差、术后并发症、患者年龄较大以及照料者年龄较小对1年时的照料者负担有负面影响。
主要照料者主要为女性，且大多是患者的女儿。可以实施新的治疗策略，如在住院期间对照料者进行患者护理方面的支持和培训，以减轻照料者负担。康复的意义髋部骨折患者的主要照料者通常是患者的女儿，减轻其护理负担应作为康复治疗的目标之一。在患者康复期间，必须将髋部骨折患者的照料者视为治疗的一部分，并且应在住院期间为髋部骨折患者的照料者提供患者护理培训，为回家过程做好准备。对于年龄较大、骨折前功能水平低以及有术后并发症的患者的照料者，在出院前应给予更多关注，并在家庭中给予更多帮助，以减轻照料者负担。
