Patrocinio Ariza-Vega1,2, Herminia Castillo-Pérez3, Mariana Ortiz-Piña2, Lena Ziden4, Jerónimo Palomino-Vidal5, Maureen C Ashe6,7. 1. Physical Medicine and Rehabilitation Service, Virgen de las Nieves University Hospital, Biohealth Research Institute, Granada, Spain. 2. Department of Physiotherapy, PA-HELP "Physical Activity for HEaLth Promotion" research group, University of Granada, Granada, Spain. 3. Ciudad de Berja Nursing Home, Almería, Spain. 4. Department of Health and Rehabilitation, The Sahlgrenska University Hospital, Gothenberg, Sweden; and Institute of Neuroscience and Physiology, University of Gothenburg, Gothenburg, Sweden. 5. Department of Physiotherapy, University of Granada, Granada, Spain. 6. Department of Family Practice, University of British Columbia, Vancouver, Canada. 7. Centre for Hip Health and Mobility, Vancouver, Canada.
Abstract
OBJECTIVE: The objective was to explore family caregivers' perspectives of the recovery process of older adults with hip fracture and describe experiences from caregivers who: (1) used the online intervention, or (2) received home-based care provided by the Andalusian Public Health Care System. METHODS: This was an exploratory secondary study with informal family caregivers who had an older adult family member with hip fracture enrolled in a novel telerehabilitation (telerehab) clinical trial. Forty-four caregivers of older adults with hip fracture were interviewed at 6 to 9 months after their family member's hip fracture. RESULTS: Caregivers shared concerns of family members' survival and recovery; they recounted increased stress and anxiety due to the uncertainty of new tasks associated with providing care and the impact on their lifestyle. Although most caregivers were satisfied with the health care received, they made suggestions for better organization of hospital discharge and requests for home support. The main reasons why caregivers and their family member chose the telerehab program were to enhance recovery after fracture, gain knowledge for managing at home, and because of the convenience of completing the exercises at home. There were more family caregivers in the control group who expressed a high level of stress and anxiety, and they also requested more social and health services compared with caregivers whose family member received telerehab. CONCLUSION: Family caregivers are an essential component of recovery after hip fracture by providing emotional and physical support. However, future clinical interventions should evaluate person-centered interventions to mitigate possible stress and anxiety experienced by family caregivers. IMPACT: Family caregivers' perspectives are necessary in the co-design of management strategies for older adults after hip fracture.
OBJECTIVE: The objective was to explore family caregivers' perspectives of the recovery process of older adults with hip fracture and describe experiences from caregivers who: (1) used the online intervention, or (2) received home-based care provided by the Andalusian Public Health Care System. METHODS: This was an exploratory secondary study with informal family caregivers who had an older adult family member with hip fracture enrolled in a novel telerehabilitation (telerehab) clinical trial. Forty-four caregivers of older adults with hip fracture were interviewed at 6 to 9 months after their family member's hip fracture. RESULTS: Caregivers shared concerns of family members' survival and recovery; they recounted increased stress and anxiety due to the uncertainty of new tasks associated with providing care and the impact on their lifestyle. Although most caregivers were satisfied with the health care received, they made suggestions for better organization of hospital discharge and requests for home support. The main reasons why caregivers and their family member chose the telerehab program were to enhance recovery after fracture, gain knowledge for managing at home, and because of the convenience of completing the exercises at home. There were more family caregivers in the control group who expressed a high level of stress and anxiety, and they also requested more social and health services compared with caregivers whose family member received telerehab. CONCLUSION: Family caregivers are an essential component of recovery after hip fracture by providing emotional and physical support. However, future clinical interventions should evaluate person-centered interventions to mitigate possible stress and anxiety experienced by family caregivers. IMPACT: Family caregivers' perspectives are necessary in the co-design of management strategies for older adults after hip fracture.
Authors: Mariana Ortiz-Piña; Pablo Molina-Garcia; Pedro Femia; Maureen C Ashe; Lydia Martín-Martín; Susana Salazar-Graván; Zeus Salas-Fariña; Rafael Prieto-Moreno; Yolanda Castellote-Caballero; Fernando Estevez-Lopez; Patrocinio Ariza-Vega Journal: Int J Environ Res Public Health Date: 2021-05-20 Impact factor: 3.390