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Journal of Orthopaedic Surgery and Research
Published in: Journal of Orthopaedic Surgery and Research 1/2020

Open Access 01-12-2020 | Research article

Factors associated with the burden of family caregivers of elderly patients with femoral neck fracture: a cross-sectional study

Authors: Peifen Xiao, Yongchun Zhou

Published in: Journal of Orthopaedic Surgery and Research | Issue 1/2020

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Abstract

Background

This study aimed to study the factors associated with caregiver burden among caregivers of elderly patients with femoral neck fracture.

Methods

This cross-sectional study was based on a non-probabilistic sampling of 183 elderly postoperative patients (aged 65 years or older) with femoral neck fracture who were hospitalized in the orthopedic center in our hospital and their family caregivers. Data were collected from January 2016 to June 2019. Patients and family caregivers completed the sociodemographic questionnaire. The Social Support Rating Scale (SSRS), the General Self-Efficacy Scale (GSE), and the Chinese version of the Zarit Burden Interview (ZBI) were used to evaluate social support, self-efficacy, and caregiver burden, respectively. By analyzing the clinical data of patients and family caregivers and combining the factors that affect the caregiver burden in parallel studies, we selected the factors that affected the caregiver burden in this study and conducted a multivariate analysis of these factors. P < 0.05 was considered statistically significant.

Results

We observed 176 caregivers aged 69.28 ± 7.19 years old, among whom 52.3% were male, 58.0% lived in the city, 84.0% were spouses of the patients, and 67.0% had a primary school educational background. The ZBI score of the family caregivers was 37.8 ± 8.9, and 82.7% of the caregivers were under a moderate to severe burden. The patient’s functional status, Harris score, and pain score and the caregiver’s SSRS scores, GSE scores, and the ratio of medical expenses to monthly income per capita were factors that affected the caregiver burden.

Conclusions

Most family caregivers of elderly patients with femoral neck fracture are subject to a considerable care burden, and social support and self-efficacy intervention are conducive to reducing the caregiver burden.
Literature
1.
2.
Boylan MR, Riesgo AM, Paulino CB, Tejwani NC. Day of admission is associated with variation in geriatric hip fracture care. J Am Acad Orthop Surg. 2019;27(1):e33–40.PubMedCrossRef
3.
Liodakis E, Antoniou J, Zukor DJ, et al. Major complications and transfusion rates after hemiarthroplasty and total hip arthroplasty for femoral neck fractures. J Arthroplast. 2016;31(9):2008–12.CrossRef
4.
van den Bekerom MP, Hilverdink EF, Sierevelt IN, et al. A comparison of hemiarthroplasty with total hip replacement for displaced intracapsular fracture of the femoral neck: a randomised controlled multicentre trial in patients aged 70 years and over. J Bone Joint Surg Br. 2010;92(10):1422–8.PubMedCrossRef
5.
Avery PP, Baker RP, Walton MJ, et al. Total hip replacement and hemiarthroplasty in mobile, independent patients with a displaced intracapsular fracture of the femoral neck: a seven- to ten-year follow-up report of a prospective randomised controlled trial. J Bone Joint Surg Br. 2011;93(8):1045–8.PubMedCrossRef
6.
Toledano-Toledano F, Contreras-Valdez JA. Validity and reliability of the Beck depression inventory II (BDI-II) in family caregivers of children with chronic diseases. PLoS One. 2018, 28, 13(11):e0206917.
7.
Boylan MR, Riesgo AM, Paulino CB, Tejwani NC. Is patient satisfaction associated with objective measures of geriatric hip fracture care? Bull Hosp Jt Dis (2013). 2018;76(4):252–8.
8.
Raaymakers EL. Fractures of the femoral neck: a review and personal statement. Acta Chir Orthop Traumatol Cechoslov. 2006;73(1):45–59.
9.
Yu Y, Liu ZW, Tang BW, Zhao M, Liu XG, Xiao SY. Reported family burden of schizophrenia patients in rural China. PLoS One. 2017;16(6):e0179425.CrossRef
10.
Li C, Miao J, Gao X, Zheng L, Su X, Hui H, et al. Factors associated with caregiver burden in family caregivers of patients with adolescent scoliosis: a descriptive cross-sectional study. Med Sci Monit. 2018;24:6472–9.PubMedPubMedCentralCrossRef
11.
Saria MG, Courchesne N, Evangelista L, Carter J, MacManus DA, Gorman MK, et al. Cognitive dysfunction in patients with brain metastases: influences on caregiver resilience and coping. Support Care Cancer. 2017;25(4):1247–56.PubMedCrossRef
12.
Linacre JM, Heinemann AW, Wright BD, Granger CV, Hamilton BB. The structure and stability of the functional independence measure. Arch Phys Med Rehabil. 1994;75:127–32.PubMedCrossRef
13.
Luo J, Zhou Y, Liu H, Hu J. Factors related to the burden of family caregivers of elderly patients with spinal Tumours in Northwest China. BMC Neurol. 2020;20(1):69.PubMedPubMedCentralCrossRef
14.
Souza ALR, Guimarães RA, de Araújo VD, de Assis RM, de Almeida Cavalcante Oliveira LM, Souza MR, et al. Factors associated with the burden of family caregivers of patients with mental disorders: a cross-sectional study. BMC Psychiatry. 2017;17(1):353.PubMedPubMedCentralCrossRef
15.
Orr NK, Zarit JM, Zarit SH. The hidden victims of Alzheimer’s disease: families under stress. New York: New York University Press; 1985.
16.
Lu L, Wang L, Yang X, et al. Zarit caregiver burden interview: development, reliability and validity of the Chinese version. Psychiatry Clin Neurosci. 2009;63:730–4.PubMedCrossRef
17.
Xiao SY. Theoretical foundation and research application about the social support rating scale. J Clin Psychiatry. 1994;4:98–100.
18.
Romero-Moreno R, Losada A, Mausbach BT, Márquez-González M, Patterson TL, López J. Analysis of the moderating effect of self-efficacy domains in different points of the dementia caregiving process. Aging Ment Health. 2011;15(2):221–31.PubMedCrossRef
19.
Hileman JW, Lackey NR. Self-identified needs of patients with cancer at home and their home caregivers:a descriptive study. Oncol Nurs Forum. 1990;17(6):907–13.PubMed
20.
Sharpe L, Butow P, Smith C, et al. The relationship between available support, unmet needs and caregiver burden in patients with advanced cancer and their carers. Psychooncology. 2005;14(2):102–14.PubMedCrossRef
21.
Gong G, Mao J. Health-related quality of life among chinese patients with rheumatoid arthritis: the predictive roles of fatigue, functional disability, self-efficacy, and social support. Nurs Res. 2016;65(1):55–67.PubMedCrossRef
22.
Hu X, Hu X, Su Y, Qu M. Quality of life among primary family caregivers of patients with heart failure in Southwest China. Rehabil Nurs. 2018;43(1):26–34.PubMedCrossRef
23.
Bandura A. Self-efficacy oward a unifying theory of behaviod change. PsycholoRev. 1997;84(3):191–215.
24.
Tang WK, Chan CY. Effects of psychosocial interventions on self-efficacy of dementia caregivers: a literature review. Int J Geriatr Psychiatry. 2016;31(5):475–93.PubMedCrossRef
25.
Pinquart M, Sörensen S. Associations of stressors and uplifts of caregiving with caregiver burden and depressive mood: a meta-analysis. J Gerontol B Psychol Sci Soc Sci. 2003;58(2):112–28.CrossRef
26.
Silvers JA, McRae K, Gabrieli JDE. Age-related differences in emotional reactivity, regulation, and rejection sensitivity in adolescence. Emotion. 12(6):1235–47.
Metadata
Title
Factors associated with the burden of family caregivers of elderly patients with femoral neck fracture: a cross-sectional study
Authors
Peifen Xiao
Yongchun Zhou
Publication date
01-12-2020
Publisher
BioMed Central
Published in
Journal of Orthopaedic Surgery and Research / Issue 1/2020
Electronic ISSN: 1749-799X
DOI
https://doi.org/10.1186/s13018-020-01749-9

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