Abstract
BackgroundThis study aimed to study the factors associated with caregiver burden among caregivers of elderly patients with femoral neck fracture.MethodsThis 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.ResultsWe 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.ConclusionsMost 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.
Highlights
This study aimed to study the factors associated with caregiver burden among caregivers of elderly patients with femoral neck fracture
A total of 63.1% of the patients had an educational background of primary school or below, 12.5% of the patients were dependent on daily activities, 44.3% had moderate or severe pain, 80.7% had a Harris score greater than 70, and 27.2% had a bilateral femoral neck fracture (Table 1)
Combined with reported factors that affect the caregiver burden, this study analyzed the burden-related factors of caregivers of patients who underwent an operation after femoral neck fracture and primarily revealed the burden borne by caregivers who cared for patients with femoral neck fracture in this area of China
Summary
This study aimed to study the factors associated with caregiver burden among caregivers of elderly patients with femoral neck fracture. Rehabilitation management of patients with femoral neck fracture remains a complex and perennial health issue, and nursing for patients with femoral neck fracture calls for long-term caregiver support. In most areas in China, due to the lack of human resources for nursing and unsound social medical insurance systems, many patients with femoral neck fractures need to be cared for at home. Caregivers play a key role in the management of patients with femoral neck fracture, as they take on the physical, emotional, medical, and financial responsibilities of caring for their sick relatives and thereby experience tremendous pressure and caregiver burden [7, 8]
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