Family caregivers' mental health is associated with postoperative recovery of elderly patients with hip fracture: A sample in Taiwan

Liu, Hsin‐Yun; Yang, Ching‐Tzu; Cheng, Huey‐Shinn; Wu, Chi‐Chuan; Chen, Ching-Yen; Shyu, Yea‐Ing Lotus

doi:10.1016/j.jpsychores.2015.02.002

Cited by 32 publications

(24 citation statements)

References 41 publications

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“… 21 – 24 In addition, most of the greatest recovery takes place within the first 6 months as documented by 12 studies, 25 – 36 while some improvement in the physical status is observed up to a year postoperatively. The SF-36 score was used in eleven articles, 31 , 34 , 36 – 40 , 43 , 44 , 54 , 66 the SF-12 score in five articles, 29 , 44 , 67 – 69 the EQ-5D score in 21 articles, 12 , 21 , 22 , 25 , 26 , 28 , 32 , 33 , 38 , 40 , 43 – 45 , 47 , 48 , 53 , 57 – 61 and the Barthel index score in 19 articles. 21 – 23 , 29 , 38 , 44 , 50 – 53 , 55 – 57 , 60 – 63 , 65 , 67 …”

Section: Resultsmentioning

confidence: 99%

“…Early, upon admission, the identification of a patient and application of counseling throughout the perioperative and postoperative courses could improve the patients’ pain perception and their overall HS, particularly for those patients who receive a low score on the SF-36 evaluation scale. Most importantly, Liu et al 43 reported that when a family caregiver’s mental health was “poor,” the patient recovering after a hip fracture surgery was more likely to reach a poor outcome.…”

Section: Resultsmentioning

confidence: 99%

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Quality of life and psychological consequences in elderly patients after a hip fracture: a review

Alexiou¹,

Roushias²,

Varitimidis³

et al. 2018

CIA

222

175

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Fractures due to fragility of the bone around the hip joint have become a major public health issue, presenting with an increasing incidence due to the growth of the elderly population. The purpose of this review was to evaluate the impact of hip fractures on the quality of life (QoL), health status (HS), functioning, and psychological parameters, and factors influencing the outcome and the appropriate interventions for improvement of elderly patients. A systematic electronic search of the relevant literature was carried out using the CINAHL, Cochrane, EMBASE, Medline (OvidSP), and PubMed databases spanning the time period from their establishment up to January 2017. Forty-nine randomized controlled trials or prospective cohort studies reporting the QoL and psychological outcomes were assessed by using standardized questionnaires. Patients with a hip fracture who were older than 65 years, were included in the analysis. In the majority of elderly patients, the hip fracture seriously affected physical and mental functioning and exerted a severe impact on their HS and health-related QoL (HRQoL). Moreover, most of the patients did not return to prefracture levels of performance regarding both the parameters. The levels of mental, physical, and nutritional status, prior to the fracture, comorbidity, and female gender, in addition to the postoperative pain, complications, and the length of hospital stay, were the factors associated with the outcome. Psychosocial factors and symptoms of depression could increase pain severity and emotional distress. For the displaced femoral neck fractures, the treatment with total hip arthroplasty or hemiarthroplasty, when compared to the treatment with internal fixation, provided a better functional outcome. Supportive rehabilitation programs, complemented by psychotherapy and nutritional supplementation prior to and after surgery, provided beneficial effects on the HS and the psychosocial dimension of the more debilitated patients’ lives. Lack of consensus concerning the most appropriate HRQoL questionnaires to screen and identify those patients with more difficulties in the psychosocial functions, demonstrates the necessity for further research to assess the newer outcome measurement tools, which might improve our understanding for better care of patients with hip fractures.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Quality of life and psychological consequences in elderly patients after a hip fracture: a review

Alexiou¹,

Roushias²,

Varitimidis³

et al. 2018

CIA

222

175

View full text Add to dashboard Cite

show abstract

“…These results also suggest that, when estimating recovery times and healthrelated outcomes of patients who have suffered from hip fractures, healthcare providers should also consider the mental well-being of family caregivers. An understanding of the relationships between caregiver-related predictors and the recovery of elderly persons after hip-fracture surgery might provide a more holistic view of that recovery [20]. The perspective that tends to dominate much of the literature is that care by family members is provided solely to older adults living at home.…”

Section: Consequences Of Caregivingmentioning

confidence: 99%

The Psychological Health of Patients and their Caregivers

Falaschi

Eleuteri

2020

Practical Issues in Geriatrics

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Hip-fracture (HF) patients are among the most vulnerable of hospitalised patients. The associated caregiving rehabilitation task often falls to a member of the patient’s family. Informal caregivers are an important resource for elderly patients suffering from a hip fracture because they play a key role during their recovery. A mutual relationship seems to exist between the patient’s psychological well-being and the caregiver’s burden, so that improvements in the state of health of the one boost that of the other, and vice versa. This datum confirms the importance of using a bio-psycho-social approach when dealing with both patients and caregivers and evaluating the HF patient’s and caregiver’s psychological status. In this chapter, we illustrate why the psychological status of patients and their caregivers is important in the management and outcome of hip fracture, how it should be assessed and how it could be positively influenced by the orthogeriatric team.

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“…Recent reviews have demonstrated that caregivers are more likely to experience depressive symptoms and have poorer health outcomes relative to non-caregivers (Pinquart & Sörensen, 2003; Schulz & Sherwood, 2008; Vitaliano, Zhang, & Scanlan, 2003). From a healthcare perspective, this is highly problematic because impaired caregiver mental health is directly related to adverse patient outcomes (Graneheim, Johansson, & Lindgren, 2014; Liu et al, 2015; Rohrbaugh, Shoham, Cleary, Berman, & Ewy, 2009) and may result in caregivers relinquishing their role and seeking out costly institutional care despite a strong desire to keep the patient at home.…”

Section: Introductionmentioning

confidence: 99%

Depression in individuals with chronic obstructive pulmonary disease and their informal caregivers

Badr

Federman

Wolf

et al. 2016

Aging & Mental Health

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Objective Individuals with chronic obstructive pulmonary disease (COPD) and their caregivers are at high risk for developing depression. Depression can adversely affect the quality of life of patients and caregivers; however, studies in COPD have largely examined predictors of patient and caregiver depression in isolation. This dyadic study examined individual-level predictors of patient and caregiver depression in COPD (i.e., actor effects) as well as how dyad members effect each other’s depression (i.e., partner effects). Methods Survey data was collected from 89 patient-caregiver dyads that were enrolled in a multi-site cohort study. Results Participants were predominantly women (61% of patients and 76% of caregivers) and racial/ethnic minorities (65% of patients and 63% of caregivers). Based on PHQ9 cutoffs, 30% of patients and 20% of caregivers had mild depression; 30% of patients and 8% of caregivers had moderate to severe depression. Multilevel models with the dyad as the unit of analysis showed that less frequent patient self-management, higher levels of caregiver burden, and being in poorer health were associated with higher levels of depression for both dyad members. Higher levels of depression in a partner were also associated with higher levels of depression for women, regardless of whether women were patients or caregivers. Conclusion Findings suggest that similar factors predict patient and caregiver depression in COPD and that women are at increased risk for developing depression when their partners are depressed. Dyadic psychosocial interventions that target patients and their caregivers may thus be beneficial in terms of addressing depression in this this vulnerable population.

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Family caregivers' mental health is associated with postoperative recovery of elderly patients with hip fracture: A sample in Taiwan

Cited by 32 publications

References 41 publications

Quality of life and psychological consequences in elderly patients after a hip fracture: a review

Quality of life and psychological consequences in elderly patients after a hip fracture: a review

The Psychological Health of Patients and their Caregivers

Depression in individuals with chronic obstructive pulmonary disease and their informal caregivers

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