Understanding informal carers’ experiences of caring for older people with a hip fracture: a systematic review of qualitative studies

Saletti‐Cuesta, Lorena; Tutton, Elizabeth; Langstaff, Debbie; Willett, Keith

doi:10.1080/09638288.2016.1262467

Cited by 28 publications

(20 citation statements)

References 65 publications

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“…This may be because we invited family caregivers to support patients to use the online platform and supervise the exercises at home. Caregiver involvement is a positive predictive factor on patients' recovery [39]: We acknowledge that it also increases the demands on caregivers, as highlighted previously [40]. Nevertheless, to our knowledge, this is the first tele-rehabilitation program for older adults with hip fracture that gives an active role to caregivers who considered the program as an opportunity to increase their knowledge for patients management at home and enhance their functional recovery [41].…”

Section: Discussionmentioning

confidence: 72%

Effects of Tele-Rehabilitation Compared with Home-Based in-Person Rehabilitation for Older Adult’s Function after Hip Fracture

Ortiz-Piña

Molina-García

Femia

et al. 2021

IJERPH

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This study aimed to examine the effect of a multidisciplinary tele-rehabilitation program on functional recovery of older adults with hip fracture compared with home-based in-person rehabilitation. In this single-blinded, non-randomized clinical trial, we included older with hip fracture. The tele-rehabilitation group received a 12-week tele-rehabilitation program (supervised by their family caregivers). The control group received the usual postoperative rehabilitation provided by the Andalusian health system (Spain). The primary outcome was the patient-reported functional status assessed with the Functional Independence Measure. We also measured performance-based functional recovery using the Timed Up and Go Test and Short Physical Performance Battery. We performed both a per-protocol (62 participants; 28 tele-rehabilitation and 34 control groups) and an intention-to-treat analysis (71 participants; 35 tele-rehabilitation and 36 control groups). Participants who used the tele-rehabilitation program had higher Functional Independence Measure scores (high effect size: 0.98 Cohen’s d; p < 0.001) and better performance in the Timed Up and Go Test (medium effect size: 0.63 Cohen’s d; p = 0.025) compared with the control group. Differences between groups post-intervention were not statistically significant in the Short Physical Performance Battery. The tele-rehabilitation intervention proposed in this study is a valuable treatment option in the recovery process for older adults with hip fracture. ClinicalTrials.gov Identifier: NCT02968589.

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Section: Discussionmentioning

confidence: 72%

Effects of Tele-Rehabilitation Compared with Home-Based in-Person Rehabilitation for Older Adult’s Function after Hip Fracture

Ortiz-Piña

Molina-García

Femia

et al. 2021

IJERPH

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“…This evidence adds depth to previous understanding of quantitative trajectories for recovery [11,12] as well as patient and carer's perspectives of care received in support of recovery after hip fracture [10,13]. This evidence has been recognized through the publication of reviews synthesizing the evidence related to care about hip fracture from the informal carer's perspective [14] and the patient's perspective of community-based rehabilitation [15].…”

Section: Introductionmentioning

confidence: 83%

Patient perspectives of recovery after hip fracture: a systematic review and qualitative synthesis

Riffat

Volkmer

Wyatt

et al. 2021

Disability and Rehabilitation

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Purpose: The purpose of the current review is to synthesize the evidence of patients' perspectives of recovery after hip fracture across the care continuum. Methods: A systematic search was conducted, focusing on qualitative data from hip fracture patients. Screening, quality appraisal, and a subset of articles for extraction were completed in duplicate. Themes were generated using a thematic synthesis of data from original studies. Results: Fourteen high-quality qualitative studies were included. Four review themes were identified: recovery as participation, feelings of vulnerability, driving recovery, and reliance on support. Patients considered recovery as a return to pre-fracture activities or "normal" enabling independence. Feelings of vulnerability were observed irrespective of the time since hip fracture and only diminished when recovery of function and activities enabled participation in valued activities, e.g., outdoor mobility. Participants expressed a desire to engage in recovery with realistic expectations and the benefits of meaningful feedback reported. While reliance on healthcare professionals decreased towards a later stage of recovery, reliance on social support persisted until recovery was perceived to have been achieved. Conclusion: Patient perspectives highlighted hip fracture as a major life event requiring health professional and social support to overcome feelings of vulnerability and enable active engagement in recovery. ä IMPLICATIONS FOR REHABILITATIONRehabilitation professionals should ensure expectations and goals are set early in the recovery process. Rehabilitation professionals should ensure goals set with patients are tailored to the individual's prefracture activities or "normal" promoting independence. Rehabilitation professionals should monitor goals ensuring they are providing support, motivation, and managing expectations across the care continuum. Rehabilitation professionals should address patients' feelings of vulnerability, particularly in the absence of social support, and ensure appropriate ongoing input to maximize recovery.

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“…This may be due to HCPs having limited specialized skills to educate caregivers in Nigeria. A recent systematic review on informal caregivers’ role in hip fracture management highlights that untrained family caregivers lack the necessary coping skills needed to cater for themselves and their wards; the review further reported that informal caregivers who had a caregiving training had a better ability to cope in a caregiving role than those who did not have any prior training ( Saletti-Cuesta, Tutton, Langstaff, & Willett, 2016 ). Emotional and mental burdens were also associated more with informal caregivers.…”

Section: Discussionmentioning

confidence: 99%

The Burden Experience of Formal and Informal Caregivers of Older Adults With Hip Fracture in Nigeria

Diameta¹,

Adandom

Jumbo

et al. 2018

SAGE Open Nursing

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Introduction: The incidence of hip fracture among older adults in Nigeria is on the rise. As a result, there is increased frequency of hospitalization, patient suffering, family burden, and societal cost. One dimension that has not been sufficiently explored is the burden of care experienced by informal and formal caregivers. Objectives: To describe the care burden experience of informal and formal caregivers for older adults with hip fractures in a specialized orthopedic center in Nigeria and to explore in detail how their experience differs in caregiving roles. Method: This study was conducted in the phenomenological approach of qualitative methods. Face-to-face interviews and focus group interaction with 12 family caregivers and 5 health-care professionals were carried out until data saturation was achieved. Data were analyzed using thematic analysis. Results: The physical, emotional, and general health of elderly hip fracture patients are issues that affect caregiving. Factors that contribute to increased caregivers' burden include system factors (lack of personnel and health-care facilities) and patient factors: comorbidity, patient's cognitive status, and challenges completing activities of daily living (ADL). Social and financial barriers to care contribute to the type of burden experienced by the participants. Conclusions: Caregivers experience difficulty in helping patients complete their ADL because patients with hip fracture have mobility issues that are often complicated by comorbid physical and cognitive problems. Strategies to reduce caregivers' burden for older adults with hip fracture in Nigeria are needed. Greater access to health-care services and ADL aids, and training of caregivers on how to deal with cognitive and multimorbid health problems are potential solutions.

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Understanding informal carers’ experiences of caring for older people with a hip fracture: a systematic review of qualitative studies

Cited by 28 publications

References 65 publications

Effects of Tele-Rehabilitation Compared with Home-Based in-Person Rehabilitation for Older Adult’s Function after Hip Fracture

Effects of Tele-Rehabilitation Compared with Home-Based in-Person Rehabilitation for Older Adult’s Function after Hip Fracture

Patient perspectives of recovery after hip fracture: a systematic review and qualitative synthesis

The Burden Experience of Formal and Informal Caregivers of Older Adults With Hip Fracture in Nigeria

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