Denver Health, University of Colorado School of Medicine, 777 Bannock St, MC 0188, Denver, CO, United States.
Orlando Health, Orlando, FL, United States.
Injury. 2019 Dec;50(12):2259-2262. doi: 10.1016/j.injury.2019.09.030. Epub 2019 Sep 20.
The burden that family and friends assume when caring for hip fracture patients can negatively impact the caregiver's quality of life, relationships, and the decision to place the patient in a care facility. The purpose of this study was to evaluate the burden of caregiving for intertrochanteric hip fractures to better counsel patients and caregivers in order to prevent delayed admission to a care facility.
A retrospective analysis of a prospectively gathered elderly hip fracture database identified 29 patients and their caregivers with complete 6 month follow-up. Caregiver burden and depression scales were administered to the primary caregiver in the immediate perioperative period (baseline), at 3 month follow-up, and at 6 month follow-up. At each time point caregivers reported the effects of caregiving on their finances, work hours, relationships, and their willingness to admit the patient to a long-term care facility.
At 6 month follow-up, <30% of caregivers reported negative effects on their finances, relationships, work hours, or intent to place the patient in care facility, while 77% endorsed cherishing their time spent as a caregiver. The number of caregivers with a high caregiver burden remained stable at 20% over the 6 month follow-up; these caregivers were more likely to have a depressed mood (p < 0.01), to consider placement of the patient into a long-term care facility (p < 0.01), and to have negatively affected finances (p = 0.03) and relationships (p < 0.01).
High degrees of burden were experienced by 20% of caregivers of hip fracture patients. Caregivers with high caregiver burdens were more likely to consider placement of the patient into a long-term care facility. Risk factors for high caregiver burdens should be identified to optimize the quality of caregiving after discharge and to prevent delayed admission to a long-term care facility.
Level IV, case series.
照顾髋部骨折患者的家属和朋友所承受的负担可能会对照顾者的生活质量、人际关系以及将患者送往护理机构的决定产生负面影响。本研究的目的是评估股骨转子间骨折患者的照护负担，以便更好地为患者和照护者提供咨询，从而预防患者延迟入住护理机构。
对前瞻性收集的老年髋部骨折数据库进行回顾性分析，共纳入 29 名患者及其有完整 6 个月随访的照护者。在围手术期（基线）、3 个月随访和 6 个月随访时，向主要照护者发放照护者负担和抑郁量表。在每个时间点，照护者报告照护对其财务、工作时间、人际关系以及愿意将患者送往长期护理机构的影响。
在 6 个月随访时，<30%的照护者报告照护对其财务、人际关系、工作时间或将患者送往护理机构的意愿产生负面影响，而 77%的照护者表示珍惜作为照护者的时光。在 6 个月的随访过程中，具有高照护负担的照护者人数保持稳定在 20%；这些照护者更有可能情绪低落（p<0.01）、考虑将患者送往长期护理机构（p<0.01）、对财务（p=0.03）和人际关系（p<0.01）产生负面影响。
20%的髋部骨折患者的照护者经历了高度的负担。具有高照护负担的照护者更有可能考虑将患者送往长期护理机构。应确定高照护负担的风险因素，以优化出院后的照护质量，并预防患者延迟入住长期护理机构。
IV 级，病例系列。
