Warwick Medical School, University of Warwick, Coventry, CV4 7AL, UK.
Faculty of Medicine and Health Sciences, University of East Anglia, Norwich, UK.
Eur Geriatr Med. 2023 Dec;14(6):1249-1260. doi: 10.1007/s41999-023-00843-5. Epub 2023 Aug 3.
To determine the provision and its change over time in unpaid care for people following hip fracture.
Data were sought from the English Longitudinal Study of Ageing (ELSA) cohort. We identified participants who self-reported experiencing a hip fracture, who had clinical and caregiving data in the previous and subsequent two data collection waves. Demographic and clinical data were collected in addition to data on provision of unpaid care, who provided care and the frequency of needs being met.
The analysed cohort consisted of 246 participants [150 females (61%), mean age 78.9 years (standard deviation: 8.6)]. There was an increase in the number of participants requiring unpaid care between the Pre-Fracture and Fracture Wave (29% vs. 59%), which plateaued in the subsequent two waves (56%; 51%). Although both spouse and daughters provided the most unpaid care to participants over this study period, there was an increase in support provided during the Fracture Wave by both sons and daughters. This increased support offered by spouses continued until Post-Fracture Wave 2 when this plateaued. Support provided by friends increased from 3 to 8% and brothers and sisters increased from 0 and 1% Pre-Fracture to 8% by Post-Fracture Wave 2.
These findings provide insights into who, what and how unpaid carers support people following hip fracture over time. Given the level of support unpaid carers offer, and previously reported carer stress and burden, undertaking clinical trials to assess the effectiveness of carer-patient support interventions would be valuable.
确定髋部骨折后患者接受无偿护理的提供情况及其随时间的变化。
数据来自英国纵向老龄化研究（ELSA）队列。我们确定了报告经历髋部骨折的参与者，这些参与者在前两次和后两次数据收集波次中都有临床和护理数据。除了提供无偿护理、谁提供护理以及需求满足频率的数据外，还收集了人口统计学和临床数据。
分析队列包括 246 名参与者[150 名女性（61%），平均年龄 78.9 岁（标准差：8.6）]。在骨折前波次和骨折波次之间，需要无偿护理的参与者人数增加（29%对 59%），在随后的两个波次中趋于稳定（56%；51%）。尽管在研究期间配偶和女儿为参与者提供了最多的无偿护理，但在骨折波次期间，儿子和女儿提供的支持有所增加。配偶提供的这种增加的支持一直持续到骨折后波次 2，随后趋于稳定。朋友提供的支持从 3%增加到 8%，兄弟姐妹的支持从骨折前的 0%和 1%增加到骨折后波次 2 的 8%。
这些发现提供了有关髋部骨折后患者随时间接受无偿护理的人员、内容和方式的见解。鉴于无偿护理人员提供的支持水平，以及之前报告的护理人员压力和负担，进行临床试验评估护理人员-患者支持干预措施的有效性将是有价值的。
