title: Association of home care needs and functional recovery among community-dwelling elderly hip fracture patients.
abstract: The aim of this study was to assess the home care needs and task difficulty of community-dwelling aged hip fracture and the association of functional recovery with care received. A cohort of hip fracture patients admitted to orthopedic wards for surgery was collected from August 2009 to December 2010. Patients transferred to long-term care facilities after surgery were excluded. Functional status (feeding, clothing, grooming, bathing, getting in/out of bed, walking, toileting, standing up/sitting down, and walking up/down stairs) and task difficulty for caregivers were recorded at discharge, one week and one month after discharge. In total, 116 patients (mean age: 79.4 ± 8.5 years, 51.7% males) were enrolled. The mean age of primary caregivers was 53.4 ± 14.2 years, and most were daughters or sons (54.3%), spouses (34.5%) or foreign workers (11.0%). The most common care needs were wound care (95.7%), medical visits (94.8%), cleaning and maintaining living quarters (92.2%) and vigilance to ensure patient safety (92.2%). The care needs and task difficulty significantly correlated with physical function before, one week and one month after discharge (r=-0.530, p<0.001; r=-0.326, p=0.001; r=-0.432, p<0.001; r=-0.684, p<0.001; and r=-0.475, p<0.001, respectively). The complex and taxing home care needs of community-dwelling elderly hip fracture patients were significantly associated with functional recovery. Comprehensive geriatric assessment and related special medical services may greatly help caregivers and promote the practice of aging in place. Further study is needed to develop appropriate caregiver education to promote the functional recovery of elderly hip fracture patients at home.
authors.affiliation: Department of Nursing, Kaohsiung Veterans General Hospital, No. 386, Ta-Chung 1st Road, Kaohsiung 81346, Taiwan.
authors.forename: Li-Chu
authors.initials: LC
authors.lastname: Wu
authors.forename: Ming-Yueh
authors.initials: MY
authors.lastname: Chou
authors.forename: Chih-Kuang
authors.initials: CK
authors.lastname: Liang
authors.forename: Yu-Te
authors.initials: YT
authors.lastname: Lin
authors.forename: Yan-Chiou
authors.initials: YC
authors.lastname: Ku
authors.forename: Ruey-Hsia
authors.initials: RH
authors.lastname: Wang
mesh_terms: D000203:Activities of Daily Living; D000368:Aged; D000369:Aged, 80 and over; D017028:Caregivers / Q000706:statistics & numerical data; D005260:Female; D006620:Hip Fractures / Q000534:rehabilitation / Q000628:therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D020380:Needs Assessment; D011446:Prospective Studies; D020127:Recovery of Function; D011795:Surveys and Questionnaires
keywords: Caregivers; Elderly; Hip fractures; Postoperative care