A family care model for older persons with hip-fracture and cognitive impairment: A randomized controlled trial

Tseng, Ming‐Yueh; Yang, Ching‐Tzu; Liang, Jersey; Huang, Huei‐Ling; Kuo, Li Min; Wu, Chi‐Chuan; Cheng, Huey‐Shinn; Chen, Ching-Yen; Hsu, Y.F.; Lee, Po-Cheng; Shyu, Yea‐Ing Lotus

doi:10.1016/j.ijnurstu.2021.103995

Cited by 17 publications

(25 citation statements)

References 32 publications

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“…The majority of studies focused on and included older adults (defined as 60, 65, or 70 years and older) [ 41 – 48 , 50 , 52 , 54 – 57 ] and all but one study [ 49 ] had participants with a mean age of 75 years or older. Six articles included only participants with cognitive impairment and hip fracture [ 41 , 42 , 47 , 50 , 53 , 57 ], while the remaining 11 articles included both those with and without cognitive impairment [ 43 – 46 , 48 , 49 , 51 , 52 , 54 – 56 ]. The Mini Mental State Examination (MMSE) was most commonly used to assess cognitive status followed by the Short Portable Mental Status Questionnaire (SPMSQ).…”

Section: Resultsmentioning

confidence: 99%

“…About half of the interventions (n = 8) were specific to physical rehabilitation [ 41 – 43 , 47 , 50 – 53 ], while the other half (n = 9) incorporated content into the intervention that addressed additional aspects of the patients’ care journey or support (e.g. discharge planning, patient and family education, nutrition) [ 44 – 46 , 48 , 49 , 54 – 57 ]. The physical rehabilitation component of the interventions most commonly incorporated standing, walking with or without support, range of motion, balance exercises, and functional strength.…”

Section: Resultsmentioning

confidence: 99%

“…The physical rehabilitation component of the interventions most commonly incorporated standing, walking with or without support, range of motion, balance exercises, and functional strength. As measured by the primary or secondary outcomes, the focus of the majority of interventions was to improve participants’ physical functioning (walking ability) and ability to perform activities of daily living [ 41 , 42 , 44 – 48 , 50 – 52 , 54 , 56 , 57 ]. Other outcomes assessed less frequently were mortality [ 42 , 43 , 46 , 50 , 53 , 54 , 56 ], length of stay [ 43 – 46 , 56 ], readmissions [ 45 , 46 , 54 , 56 ], and quality of life [ 42 , 57 ].…”

Section: Resultsmentioning

confidence: 99%

“…As measured by the primary or secondary outcomes, the focus of the majority of interventions was to improve participants’ physical functioning (walking ability) and ability to perform activities of daily living [ 41 , 42 , 44 – 48 , 50 – 52 , 54 , 56 , 57 ]. Other outcomes assessed less frequently were mortality [ 42 , 43 , 46 , 50 , 53 , 54 , 56 ], length of stay [ 43 – 46 , 56 ], readmissions [ 45 , 46 , 54 , 56 ], and quality of life [ 42 , 57 ]. The experiences of patients and families were not qualitatively explored in any of the included articles.…”

Section: Resultsmentioning

confidence: 99%

“…This was usually dependent on how the patient was progressing with their physical rehabilitation [ 43 – 46 , 52 , 54 ]; however, one article described modifications or adaptations that were made for individuals depending on their level of cognitive impairment [ 42 ]. All interventions were initiated face-to-face in hospital (in acute care or inpatient rehabilitation) and six included cross-sectoral components [ 44 – 46 , 54 , 55 , 57 ] in the form of in-home rehabilitation [ 44 – 46 , 54 , 55 , 57 ], in-home training for families [ 57 ], community and long-term care assessments, referrals, or initiation of services [ 54 , 55 , 57 ], and telephone follow-ups [ 54 , 55 ]. There was wide variation in the length, frequency, and duration of the interventions.…”

Section: Resultsmentioning

confidence: 99%

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Rehabilitation interventions for persons with hip fracture and cognitive impairment: A scoping review

et al. 2022

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Background Hip fractures are common fall-related injuries, with rehabilitation and recovery often complicated by cognitive impairment. Understanding what interventions exist, and in what settings, for people with hip fracture and co-occurring cognitive impairment is important in order to provide more evidence on rehabilitation and related outcomes for this population. Objective To examine the extent, nature, and range of literature on rehabilitation interventions for adults with hip fracture and cognitive impairment. Methods Articles were required to: include an adult population with hip fracture and cognitive impairment, include a rehabilitation intervention, and be published between January 1, 2000 and November 19, 2021. Articles were excluded if they were opinion pieces, study protocols, conference abstracts, or if they did not describe the rehabilitation intervention. Relevant articles were searched on the following electronic databases: MEDLINE, EMBASE, CINAHL Plus, APA PsycINFO, Cochrane Library, Web of Science, and the Physiotherapy Evidence Database. All articles were double-screened by two reviewers and disagreements were resolved through consensus. Data were extracted and synthesized using descriptive approaches. Results Seventeen articles were included in this scoping review. We identified a variety of interventions targeting this population; about half were specific to physical rehabilitation, with the other half incorporating components that addressed multiple aspects of the care journey. Interventions had varying outcomes and no studies qualitatively explored patient or family experiences. All intervations were initiated in hospital, with less than half including cross-sectoral components. About half of the articles described modifying or tailoring the intervention to the participants’ needs, but there was limited information on how to adapt rehabilitation interventions for individuals with cognitive impairment. Conclusions More work is need to better understand patient, family, and provider experiences with rehabilitation interventions, how to tailor interventions for those with cognitive impairment, and how to successfully implement sustainable interventions across sectors.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Rehabilitation interventions for persons with hip fracture and cognitive impairment: A scoping review

et al. 2022

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Family Partnerships, Patient and Carer Education and Support

de Lima,

Ariza-Vega,

Forte

et al. 2023

Perspectives in Nursing Management and Care for Older Adults

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The involvement of the family, friends, and other people who are important to the patient has always been at the centre of any person-centred care process. Following a fragility fracture, many patients want their family and significant others to be involved in their care, both during hospitalisation and after discharge, and it is often expected that families will provide or lead ongoing care after discharge.It is well documented that postoperative functional decline is influenced by a great complexity of factors and that care aimed at preserving patients’ maximum autonomy, improving their perception of their health status, maintaining their social support network, and ensuring healthy living conditions is essential. The introduction of orthogeriatric units has made it possible to reduce the average length of stay and mortality, improve diagnostic accuracy, and reduce the cost of caring for these patients.The World Health Organization (WHO) recognises that the patient’s home is the natural environment in which they can develop their maximum functional and health potential. There is also considerable evidence that educational interventions can effectively contribute to functional recovery and improved patient compliance. Education has also been identified as a key element in the effectiveness of fracture coordination units. Health education aimed at preparing patients and their carers for a safe transition home can help during the first days after discharge from hospital and contribute to a reduction in rehospitalisation and an improvement in functional recovery and quality of life.This chapter will explore the importance of patient and family partnership in healthcare following fragility fracture and the importance of educational support from health professionals to ensure better functional recovery, quality of life and reduction of care-related burden.

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Influence of Nutritional Status on a Family-Centered Care Intervention for Older Adults with Cognitive Impairment following Hip-Fracture Surgery: Secondary Data Analysis of a Randomized Controlled Trial

Tseng

Liang

et al. 2022

The Journal of nutrition, health and aging

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A family care model for older persons with hip-fracture and cognitive impairment: A randomized controlled trial

Cited by 17 publications

References 32 publications

Rehabilitation interventions for persons with hip fracture and cognitive impairment: A scoping review

Rehabilitation interventions for persons with hip fracture and cognitive impairment: A scoping review

Family Partnerships, Patient and Carer Education and Support

Influence of Nutritional Status on a Family-Centered Care Intervention for Older Adults with Cognitive Impairment following Hip-Fracture Surgery: Secondary Data Analysis of a Randomized Controlled Trial

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