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Hip fracture patients’ cognitive state affects family members’ experiences: a diary study of the hip fracture recovery
Röda Korsets Högskola. Division of Nursing, Department of Neurobiology, Caring Sciences and Society, Karolinska Institutet, Stockholm.ORCID-id: 0000-0001-6883-3154
Röda Korsets Högskola. Department of Clinical Science, Intervention and Technology, Karolinska Institutet, Stockholm.
Division of Nursing, Department of Neurobiology, Caring Sciences and Society, Karolinska Institutet, Stockholm.
Linnaeus University, School of Health and Caring Sciences, Växjö.
2011 (Engelska)Ingår i: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 25, nr 3, s. 451-458Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Background:  Many patients with hip fractures suffer from dementia disease, which has shown to affect the outcome of recovery strongly, as well as care and treatment. As most hip fracture patients are discharged home early after surgery, caregiving often falls on family members – spouses, daughters, sons, or even neighbours become informal carers.

Aim:  To explore how hip fracture patients’ cognitive state affect family members’ experiences during the recovery period.

Methods:  Eleven diaries written by family members’ of hip fracture patients were analysed by means of qualitative content analysis.

Findings:  The analysis generated two main categories with four categories. The first main category was; ‘Being a family member of a cognitively impaired patient’ with the categories ‘Dissatisfaction with lack of support’ and ‘Emotional distress due to the patient’s suffering’. The second main category was ‘Being a family member of a cognitively intact patient’ with the categories ‘Satisfaction with a relative’s successful recovery’ and ‘Strain due to their caring responsibilities’. Being a family member of a patient with cognitive impairment and a hip fracture meant being solely responsible for protecting the interests of the patient; in regard to care, rehabilitation and resources. The family members were also burdened with feelings of powerlessness and sadness due to the patients’ suffering. On the contrary, family members of cognitively intact hip fracture patients had positive experiences. The family members expressed pleasure from seeing their close ones make progress. However, when the healing process was delayed this led to strain on the family members.

Conclusions:  The findings suggest the hip fracture patient’s cognitive state is more decisive than the hip fracture itself for the family members’ experiences.

Ort, förlag, år, upplaga, sidor
Wiley-Blackwell, 2011. Vol. 25, nr 3, s. 451-458
Nyckelord [en]
cognitive impairment, diary, family member, hip fracture, qualitative content analysis
Nationell ämneskategori
Omvårdnad Hälsovetenskaper
Identifikatorer
URN: urn:nbn:se:rkh:diva-443DOI: 10.1111/j.1471-6712.2010.00848.xPubMedID: 21175729OAI: oai:DiVA.org:rkh-443DiVA, id: diva2:561930
Anmärkning

Som manuskript i avhandling. As manuscript in dissertation.

Relatives experiences of the hip fracture recovery period of older patients with and without cognitive impairment

Tillgänglig från: 2012-10-22 Skapad: 2012-10-22 Senast uppdaterad: 2017-12-07Bibliografiskt granskad
Ingår i avhandling
1. Unequal opportunities for patients with and without cognitive impairment: relatives' and significant others' views on care and rehabilitation after hip fracture
Öppna denna publikation i ny flik eller fönster >>Unequal opportunities for patients with and without cognitive impairment: relatives' and significant others' views on care and rehabilitation after hip fracture
2007 (Engelska)Doktorsavhandling, sammanläggning (Övrigt vetenskapligt)
Ort, förlag, år, upplaga, sidor
Stockholm: Karolinska institutet, 2007. s. 57
Nyckelord
hip fracture, cognition disorders, caregivers
Nationell ämneskategori
Omvårdnad
Identifikatorer
urn:nbn:se:rkh:diva-450 (URN)978-91-7357-118-0 (ISBN)
Anmärkning

 Institutionen för neurobiologi, vårdvetenskapoch samhälle, Karolinska Institutet.                    

Tillgänglig från: 2014-07-04 Skapad: 2012-10-23 Senast uppdaterad: 2014-10-21Bibliografiskt granskad

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Rydholm Hedman, Ann-Marie

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