Care Needs and Level of Care Difficulty Related to Hip Fractures in Geriatric Populations during the Post-Discharge Transition Period

髖部骨折老人出院過度期照顧需求與照顧困難度

林碧珠(Pi-Chu Lin) ； 洪世欣(Shih-Hsin Hung) ； 廖孟雪(Meng-Hsueh Liao) ； 沈淑怡(Shu-Yi Sheen) ； 鍾淑媛(Shwu-Yuan Jong)

《The Journal of Nursing Research》 14卷4期 (2006/12) Pp. 251-260

摘要

The objective of this study was to understand the following: (1) the specific care needs of geriatric hip fracture patients; (2) the level of care difficulty during the transition period following discharge; and (3) the correlation amongst demographics, the physical function status of the elderly, and care needs. Purposive sampling was used, and a total of 71 hip fracture cases and their caregivers were selected. A survey was carried out to collect data just before discharge and one week following discharge. Statistical methods included descriptive statistics, correlation analysis, one-way ANOVA, and a paired t-test. Results were as follows: Most geriatric patients depended upon care from family members before discharge, with an average physical function status score of 6.99 (0 to 18) that improved significantly after one week to 10.27; paired t=-7.956 (p＜.000). The mean age of primary caregivers was 51.72 years old (SD=14.05). Most caregivers (47, or 66.2%) were female. The relationship between elderly participants and their primary caregiver was predominantly that of husband and wife (22 people; 31.0%). Participant care needs identified included return visit assistance, awareness of safety at all times, assistance with cleaning and maintaining living quarters, and so on. Caring tasks that were identified as more difficult for the primary caregivers includes providing stair climbing assistance, emotional problems management assistance, walking training assistance, rehabilitation assistance, and emergency disease management assistance. The care needs of the elderly in this study and level of execution difficulty for caregivers was found to be negatively related to the physical function status of the elderly. The study results suggest that providing patient-related home care knowledge to primary caregivers prior to discharge from the hospital and enhancement of the social support system are both needed.

關鍵字

髖部骨折 ； 老人 ； 照顧需求

並列摘要

The objective of this study was to understand the following: (1) the specific care needs of geriatric hip fracture patients; (2) the level of care difficulty during the transition period following discharge; and (3) the correlation amongst demographics, the physical function status of the elderly, and care needs. Purposive sampling was used, and a total of 71 hip fracture cases and their caregivers were selected. A survey was carried out to collect data just before discharge and one week following discharge. Statistical methods included descriptive statistics, correlation analysis, one-way ANOVA, and a paired t-test. Results were as follows: Most geriatric patients depended upon care from family members before discharge, with an average physical function status score of 6.99 (0 to 18) that improved significantly after one week to 10.27; paired t=-7.956 (p＜.000). The mean age of primary caregivers was 51.72 years old (SD=14.05). Most caregivers (47, or 66.2%) were female. The relationship between elderly participants and their primary caregiver was predominantly that of husband and wife (22 people; 31.0%). Participant care needs identified included return visit assistance, awareness of safety at all times, assistance with cleaning and maintaining living quarters, and so on. Caring tasks that were identified as more difficult for the primary caregivers includes providing stair climbing assistance, emotional problems management assistance, walking training assistance, rehabilitation assistance, and emergency disease management assistance. The care needs of the elderly in this study and level of execution difficulty for caregivers was found to be negatively related to the physical function status of the elderly. The study results suggest that providing patient-related home care knowledge to primary caregivers prior to discharge from the hospital and enhancement of the social support system are both needed.

並列關鍵字

hip fracture ； geriatric population ； care needs

參考文獻

Lin, P. C.,Chang, S. Y.(2004).Functional recovery among elderly people one year after hip fracture surgery.Journal of Nursing Research.12(1),72-82.

Anders, R. L.,Ornellas, E. M.(1997).Acute management of patients with hip fracture: A research literature review.Orthopaedic Nursing.16(2),31-46.

Bluvol, A.,Ford-Gilboe, M.(2004).Hope, health work and quality of life in families of stroke survivors.Journal of Advanced Nursing.48(4),322-332.

Bull, M. J.(1992).Managing the transition from hospital to home.Qualitative Health Research.2(1),27-41.

Bull, M. J.,Jervis, L. L.(1997).Strategies used by chronically ill older women and their caregiving daughters in managing posthospital care.Journal of Advanced Nursing.25,541-547.