Bourgeault-Gagnon Yoan, Patel Mansi, Walker Madison, Khalik Hassaan Abdel, Duong Andrew, Simunovic Nicole, Ayeni Olufemi R
Division of Orthopaedic Surgery, Department of Surgery, McMaster University, Hamilton, Ontario, Canada.
Knee Surg Sports Traumatol Arthrosc. 2025 Feb;33(2):728-738. doi: 10.1002/ksa.12414. Epub 2024 Aug 15.
To evaluate the burden experienced by primary informal caregivers of patients who have undergone hip arthroscopy and to identify factors that predict increased caregiver burden.
A cross-sectional study was conducted at a single academic hospital centre, enroling caregivers of patients who underwent hip arthroscopy between November 2018 and November 2023. Caregiver burden was assessed using the Caregiver Burden Inventory (CBI) survey. Multivariable linear regression models were used to identify predictors of caregiver burden, with the global CBI score serving as the primary outcome measure. Secondarily, open-ended survey questions were analyzed qualitatively to elucidate specific challenges and facilitators of caregiving, as reported by the caregivers themselves.
The study involved 99 eligible caregivers (mean [standard deviation] age; 47 [11] years), 58% were female, and 85% were relatives of the patient. The median global CBI score was 13.0 (interquartile range: 8.0-22.4), indicating a moderate burden. Regression analyses demonstrated that younger caregiver age and a higher number of caregiving tasks were significant predictors of increased global burden. Additionally, nonweightbearing status of patients, female gender of caregivers and working full-time statistically significantly increased specific dimensions of caregiver burden.
This study highlights the meaningful burden faced by caregivers of patients undergoing hip arthroscopy, despite its minimally invasive nature and outpatient setting. Identified risk factors such as younger caregiver age, female gender of the caregiver, nonweight-bearing status and increased caregiving tasks suggest targeted areas for intervention. The qualitative analysis revealed that caregivers struggle with time management and physical and emotional strain, yet better communication and practical support from healthcare teams could help to alleviate these challenges.
Level IV, prognostic study.
评估接受髋关节镜手术患者的主要非正式照护者所承受的负担，并确定预测照护者负担加重的因素。
在一家学术医院中心进行了一项横断面研究，纳入了2018年11月至2023年11月期间接受髋关节镜手术患者的照护者。使用照护者负担量表（CBI）调查评估照护者负担。采用多变量线性回归模型确定照护者负担的预测因素，以CBI全球得分作为主要结局指标。其次，对开放式调查问卷问题进行定性分析，以阐明照护者自身报告的具体照护挑战和促进因素。
该研究纳入了99名符合条件的照护者（平均[标准差]年龄；47[11]岁），58%为女性，85%是患者的亲属。CBI全球得分中位数为13.0（四分位间距：8.0 - 22.4），表明负担中等。回归分析表明，照护者年龄较小和照护任务数量较多是全球负担加重的显著预测因素。此外，患者的非负重状态、照护者为女性以及全职工作在统计学上显著增加了照护者负担的特定维度。
本研究强调了接受髋关节镜手术患者的照护者所面临的切实负担，尽管该手术具有微创性且为门诊手术。已确定的风险因素，如照护者年龄较小、照护者为女性、非负重状态和照护任务增加，提示了有针对性的干预领域。定性分析显示，照护者在时间管理以及身体和情感压力方面存在困难，但医疗团队更好的沟通和实际支持有助于缓解这些挑战。
IV级，预后研究。
