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Hip fracture patients’ cognitive state affects family members’ experiences: a diary study of the hip fracture recovery
Red Cross University College of Nursing. Division of Nursing, Department of Neurobiology, Caring Sciences and Society, Karolinska Institutet, Stockholm.ORCID iD: 0000-0001-6883-3154
Red Cross University College of Nursing. 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 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 25, no 3, 451-458 p.Article in journal (Refereed) 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.

Place, publisher, year, edition, pages
Wiley-Blackwell, 2011. Vol. 25, no 3, 451-458 p.
Keyword [en]
cognitive impairment, diary, family member, hip fracture, qualitative content analysis
National Category
Nursing Health Sciences
Identifiers
URN: urn:nbn:se:rkh:diva-443DOI: 10.1111/j.1471-6712.2010.00848.xPubMedID: 21175729OAI: oai:DiVA.org:rkh-443DiVA: diva2:561930
Note

Som manuskript i avhandling. As manuscript in dissertation.

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

Available from: 2012-10-22 Created: 2012-10-22 Last updated: 2017-12-07Bibliographically approved
In thesis
1. Unequal opportunities for patients with and without cognitive impairment: relatives' and significant others' views on care and rehabilitation after hip fracture
Open this publication in new window or tab >>Unequal opportunities for patients with and without cognitive impairment: relatives' and significant others' views on care and rehabilitation after hip fracture
2007 (English)Doctoral thesis, comprehensive summary (Other academic)
Place, publisher, year, edition, pages
Stockholm: Karolinska institutet, 2007. 57 p.
Keyword
hip fracture, cognition disorders, caregivers
National Category
Nursing
Identifiers
urn:nbn:se:rkh:diva-450 (URN)978-91-7357-118-0 (ISBN)
Note

 Institutionen för neurobiologi, vårdvetenskapoch samhälle, Karolinska Institutet.                    

Available from: 2014-07-04 Created: 2012-10-23 Last updated: 2014-10-21Bibliographically approved

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Rydholm Hedman, Ann-Marie

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