Kalça Kırığı Hastasına Bakım Veren Aile Üyelerine Uygulanan Danışmanlığın Bakım Yükü, Stres Düzeyi ve Yaşam Kalitesine Etkisi

Yıl 2024, Cilt: 27 Sayı: 1, 58 - 68, 25.03.2024

Buket Çelik Özlem Bilik

https://doi.org/10.17049/jnursology.1457919

Öz

Amaç: Bu çalışmanın amacı kalça kırığı olan aile üyesi bakım verenlere uygulanan danışmanlığın bakım verenlerin bakım yükü, stress düzeyi ve yaşam kalitesine etkisini incelemektir.

Yöntemler: Bu çalışma yarı deneysel araştırma dizaynındadır. Kontrol grubundaki bakım veren aile üyeleri rutin bakım almıştır. Girişim grubuna yüz yüze ve telefonla bireyselleştirilmiş danışmanlık yapılmıştır. Veriler; hasta tanıtım formu, bakım veren aile üyesi tanıtım formu, Zarit Bakım Yükü, Bakım Veren Stres İndeksi ve Yaşam Kalitesi ölçeği kullanılarak girişim öncesi, taburculukta, ameliyat sonrası birinci ayda ve üçüncü ayda toplanmıştır.

Bulgular: Girişim grubunun; bakım yükü, stress ve yaşam kalitesi mental sağlık, mental rol, enerji/canlılık, sosyal fonksiyon ve genel sağlık alt boyutları puan ortalamalarının birinci ve üçüncü ayda kontrol grubundan daha yüksek olduğu bulunmuştur.

Sonuç: Bu çalışma hemşire tarafından yapılan danışmanlığın bakım veren aile üyelerinin bakım yükünü ve stress düzeyini azalttığını ve yaşam kalitesini iyileştirdiğini göstermektedir.

Anahtar Kelimeler

Kalça kırığı, hemşirelik, bakım veren aile üyesi, danışmanlık, bakım yükü, stress, yaşam kalitesi

The Effect of Consultancy for Family Caregivers with Hip Fractures Caregiver Burden, Stress and Quality of Life

Öz

Objective: The study aimed to examine the effect of consultancy for family caregivers with hip fractures caregiving burden, stress and quality of life.

Methods: The study has quasi-experimental design. The family caregivers in the control group received routine care. Face-to-face and telephone counseling was offered to individuals in the intervention group. The data were collected by using a patient characteristics form, family caregiver characteristics form, Zarit Burden Interview, Caregiver Strain Index and Quality of Life Scale at baseline, discharge, post-op first month and, post-op third month.

Results: The mean scores on the caregiver burden, stress, on mental health, role mental, vitality, social functioning and general health subscales of the Quality of Life Scale of the intervention group in the first and third months after surgery were higher than the control group.

Conclusion: This study shows that counseling given by the nurse decrease caregiving burden and stress and improve the quality of life in family caregivers.

Anahtar Kelimeler

Hip fracture, nursing, family caregiver, consultancy, caregiver burden, stress, quality of life

Kaynakça

• 1. Kim SH, Yi SW, Yi JJ, Kim YM, Won YJ . Association between body mass index and the risk of hip fracture by sex and age: A prospective cohort study. J Bone Miner Res. 2018; 33(9):1603-1611. https://doi.org/10.1002/jbmr.3464
• 2. Gleeson JP, Hsieh CM, Cryer-Coupet, Q. Social support, family competence, and informal kinship caregiver parenting stress: The mediating and moderating effects of family resources. Children and Youth Services Review. 2016; 67: 32-42.
• 3. Eleuteri S, Lima MEBD, Falaschi P, FFN Education Committee. The psychological health of patients and their caregivers. Orthogeriatrics. 2021: 223-237. https://doi.org/10.1007/978-3-030-48126-1_13#DOI
• 4. Asif M, Cadel L, Kuluski K, Everall AC, Guilcher S. Patient and caregiver experiences on care transitions for adults with a hip fracture: a scoping review. Disabil Rehabil. 2020 ;42(24):3549-3558. https://doi.org/10.1080/09638288.2019.1595181
• 5. Parry JA, Langford JR, Koval KJ. Caregivers of hip fracture patients: The forgotten victims? Injury. 2019;50(12):2259-2262. https://doi.org/10.1016/j.injury.2019.09.030
• 6. van de Ree CLP, Ploegsma K, Kanters TA, Roukema JA, De Jongh M, Gosens T. Care-related quality of life of informal caregivers of the elderly after a hip fracture. J Patient Rep Outcomes. 2017;2(1):23. https://doi.org/10.1186/s41687-018-0048-3
• 7. Longo UG, Matarese M, Arcangeli V, Alciati V, Candela V, Facchinetti G., et al. Family Caregiver Strain and Challenges When Caring for Orthopedic Patients: A Systematic Review. J Clin Med. 2020; 9(5):1497. https://doi.org/10.3390/jcm9051497
• 8. Lewis SL, Heikemper MM, Dirksen SR, et al. Medical-Surgical Nursing: Assessment and Management of Clinical Problems. 7th Edition. 2007. Mosby Elsevier, St Louis
• 9. Doody O. The role and development of consultancy in nursing practice. Br J Nurs. 2014;23(1):32-9https://doi.org/10.12968/bjon.2014.23.1.32
• 10. Kennedy F, McDonnell A, Gerrish K, Howarth A, Pollard C, Redman J. Evaluation of the impact of nurse consultant roles in the United Kingdom: a mixed method systematic literature review. J Adv Nurs. 2012 ;68(4):721 42. https://doi.org/10.1111/j.1365-
• 11. Yousefi H, Ziaee ES, Golshiri P. The Role of Nursing Consultant in Iran: A Qualitative Study. Iran J Nurs Midwifery Res. 2019;24(5):387-393. https://doi.org/10.4103/ijnmr.IJNMR_53_19
• 12. Kaya Ç, Bilik Ö. Effect of Counseling on Quality of Life and Self-Care Agency for Patients Who are Scheduled for Total Knee Replacement. Clin Nurs Res. 2022;31(3):519-529. doi:10.1177/10547738211058985
• 13. Ben-Morderchai B, Herman A, Kerzman H, Irony A. Structured discharge education improves early outcome in orthopedic patients. Int J Orthop Trauma Nurs. 2010; 14(2), 66-74. https://doi.org/10.1016/j.joon.2009.02.001
• 14. Zarit SH, Reever KE, Bach-Peterson J. Relatives of the impaired elderly: correlates of feelings of burden. Gerontologist. 1980; 20(6): 649–655. https://doi.org/10.1093/geront/20.6.649
• 15. İnci FH, Erdem M. Validity and reliability of the burden interview and its adaptation to Turkish. Journal of Atatürk University School of Nursing. 2008; 11(4): 86-95.
• 16. Robinson BC. Validation of a caregiver strain ındex. J Gerontol. 1983; 38(3): 344–348. https://doi.org/10.1093/geronj/38.3.344
• 17. Uğur Ö. Examination of the care burden of home caregivers of oncology patients [Doctoral Thesis]. Dokuz Eylul University Institute of Health Sciences, Internal Diseases Nursing. 2006.
• 18. Ware JE, Gandek B. Overview of the SF-36 Health Survey and the International Quality of Life Assessment (IQOLA) Project. J Clin Epidemiol. 1998; 51(11): 903–912. https://doi.org/10.1016/s0895-4356(98)00081-x
• 19. Kocyigit H. Reliability and validity of the Turkish version of short form-36 (SF-36): a study in a group of patients will rheumatic diseases. Turkish Journal of Drugs Theratment. 1999; 12: 102-106.
• 20. Cuesta LS, Tutton E, Langstaff D, Willett K. understanding informal carers’ experiences of caring for older people with a hip fracture: a systematic review of qualitative studies. Disabil Rehabil. 2016;40(7):740-50
• 21. Çelik B, Bilik Ö. The Discharge Needs of Family Caregivers of the Patients Following Hip Fracture Surgery. Turkiye Klinikleri J Nurs Sci. 2020;12(2):173-81.
• 22. Min JW, Barrio C. Cultural values and caregiver preference for Mexican-American and non-Latino White elders. J Cross Cult Gerontol. 2009; 24(3): 225–239. https://doi.org/10.1007/s10823-008-9088-0
• 23. Rocha SA, Avila MA, Bocchi SC. The influence of informal caregivers on the rehabilitation of the elderly in the postoperative period of proximal femoral fracture. Rev Gaucha Enferm. 2016; 37(1): e51069. https://doi.org/10.1590/1983-1447.2016.01.51069
• 24. Crotty M, Whitehead C, Miller M, et al. Patient and caregiver outcomes 12 months after home-based therapy for hip fracture: a randomized controlled trial. Arch Phys Med Rehabil. 2003; 84(8): 1237–1239. https://doi.org/10.1016/s0003-9993(03)00141-2
• 25. Samsuddin MF, Karim J, Salim AA. The outcomes of health education programme on stress level among the caregivers of post total knee replacement surgery. Front Psychiatry. 2021; 12: 571027. https://doi.org/10.3389/fpsyt.2021.571027
• 26. Ariza-Vega P, Ortiz-Piña M, Kristensen MT, Castellote-Caballero Y, Jiménez-Moleón JJ. High perceived caregiver burden for relatives of patients following hip fracture surgery. Disabil Rehabil. 2019; 41(3): 311–318. https://doi.org/10.1080/09638288.2017.13906
• 27. Nahm ES, Resnick B, Orwig D, Magaziner J, Bellantoni M, Sterling R, et al. A theory-based online hip fracture resource center for caregivers: effects on dyads. Nursing Research. 2012; 61(6), 413–422. https://doi.org/10.1097/NNR.0b013e318270712a
• 28. Siddiqui MQ, Sim L, Koh J, Fook-Chong S, Tan C, Howe TS. Stress levels amongst caregivers of patients with osteoporotic hip fractures - a prospective cohort study. Ann Acad Med. Singapore. 2010; 39(1): 38–42.
• 29. Tseng MY, Yang CT, Liang J, Huang HL, Kuo LM, Wu CC, et al. A family care model for older persons with hip-fracture and cognitive impairment: A randomized controlled trial. Int J Nurs Stud. 2021;120: 103995. https://doi.org/10.1016/j.ijnurstu.2021.103995
• 30. Schulz R, Eden J. National Academies of Sciences, Engineering, and Medicine. Older Adults Who Need Caregiving and the Family Caregivers Who Help Them. Committee on Family Caregiving for Older Adults; Board on Health Care Services; Health and Medicine Division; National Academies of Sciences, Engineering, and Medicine; Washington (DC): National Academies Press (US); 2016.
• 31. Cross AJ, Elliott RA, Petrie K, Kuruvilla L, George J. Interventions for improving medication-taking ability and adherence in older adults prescribed multiple medications. Cochrane Database Syst Rev. 2020; 5(5): CD012419. https://doi.org/10.1002/14651858.CD012419.pub2