Abstract
Aim: To understand the experience of informal caregivers in the care of the elderly victims of fall and proximal fracture of the femur and surgery. Method: This is a qualitative study carried out in a teaching hospital, using Bardin's content analysis as a methodological reference, and Orem's General Theory of Nursing as a theoretical reference. Results: Of the 14 informal caregivers, the majority were female and daughters of the patients. From the speeches of the participants, the thematic categories emerged: The day of the fall, a traumatic event; agony and tension by waiting for the bed and surgery; fear, frustration, and lack of preparedness of the informal caregiver; changes in the life, deprivation and overload of the caregiver; resilient care. Conclusion: Informal caregivers should be trained from the prevention of the event to the transition from hospital care to home rehabilitation, rescuing the role of the nurse within the multidisciplinary team, and with the support by the General Theory of Nursing.References
- Santos SSC, Silva ME, Pinho LB, Gautério DP, Pelzer MT, Silveira RS. Risk of falls in the elderly: an integrative review based on the North American Nursing. Rev esc enferm USP [Internet]. 2012 [cited 2013 Mar 04]; 46(5):1227-36. Available from: http://www.scielo.br/scielo.php?script=sci_ arttext&pid= S0080-62342012000500027&lng=en.
- Fhon JRS, Fabrício-Wehbe SCC, Vendruscolo TRP, Stackfleth R, Marques S, Rodrigues RAP. Accidental falls in the elderly and their relation with functional capacity. Rev Latino-Am Enferm. 2012;20(5):927-34.
- Bliemel C, Sielski R, Doering B, Dodel R, Balzer-Geldsetzer M, Ruchholtz S, Buecking B. Pre-fracture quality of life predicts 1-year survival in elderly patients with hip fracture-development of a new scoring system. Osteoporos Int. 2016; 27:1979–87. DOI 10.1007/s00198-015-3472-8 Available from : http://www.ncbi.nlm.nih.gov/pubmed/26733375
- Hu F, Jiang C, Shen J, Tang P, Wang Y. Preoperative predictors for mortality following hip fracture surgery: a systematic review and meta-analysys. Injury. 2012; 43(6):676-85.
- Almeida ST, Soldera CLC, Carli GA, Gomes I, Resende TL. Análise de fatores extrínsecos e intrínsecos que predispõem a quedas em idosos. Rev Assoc Med Bras. 2012;58(4):427-33.
- Rosa TSM, Moraes AB de, Peripolli A, Santos FVAV dos. Epidemiologic profile of elderly people who died because of falls in Rio Grande do Sul state, Brazil. Rev bras geriatr gerontol. [Internet]. 2015 Mar [cited 2016 July 11] ; 18( 1 ): 59-69. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1809-98232015000100059&lng=en. http://dx.doi.org/10.1590/1809-9823.2015.14017.
- Avila MAG, Pereira GJC, Bocchi SCM. Family participation to elderly rehabilitation with femoral fracture. Rev Bras Enferm. 2015;68(5):601-7. DOI: http://dx.doi.org/10.1590/0034-7167.2015680517i
- Rocha SA, Avila MAG, Bocchi SCM. The influence of informal caregivers on the rehabilitation of the elderly in the postoperative period of proximal femoral fracture. Rev Gaúcha Enferm. 2016;37(1):e51069. doi: http://dx.doi. org/10.1590/1983-1447.2016.01.51069.
- Fuhrmann AC, Bierhals CCBK, Santos NO dos, Paskulin LMG. Association between the functional capacity of dependant elderly people and the burden of family caregivers. Rev. Gaúcha Enferm. [Internet]. 2015 Mar [cited 2016 July 11] ; 36( 1 ): 14-20. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1983-14472015000100014&lng=en. http://dx.doi.org/10.1590/1983-1447.2015.01.49163.
- Manoel MF, Teston EF, Waidman MAP, Decesaro MN, Marcon SS. The family relationship and the burden level on family caregivers. Esc. Anna Nery [Internet]. 2013 June [cited 2016 July 18] ; 17( 2 ): 346-353. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1414-81452013000200020&lng=en. http://dx.doi.org/10.1590/S1414-81452013000200020.
- Louie S W-S, Poon M-Y, Yu S-Y, Chan W-L, Au K-M, Wong K-M. Effectiveness of a patient/carer in an empowerment programme for people with hip fractures. IJTR. 2012;19(12):673-81.
- Nahm ES, Resnick B, Orwig D, Magaziner J, Bellantoni M, Sterling R, et al. A theory-based online hip fracture resource center for caregivers. Nurs Res. 2012;61(6):413-22.
- Fontanella BJ, Ricas J, Turato ER. Amostragem por saturação em pesquisas qualitativas em saúde: contribuições teóricas. Cad Saúde Pública. [periódico online]. 2008 [acesso em: 13 jun 2016]. 24(1): 17-27. Disponível em: http://www.scielosp.org/pdf/csp/v24n1/02.pdf.
- Bardin L. Análise de conteúdo. São Paulo: Edições 70; 2011. 279p.
- Foster PC, Benett AM. Dorothea E. Orem: In:George JB. Teorias de Enfermagem: os fundamentos à pratica professional [tradução de Ana Maria Vasconcellos Thorell]. 4 ed. Porto Alegre (RS): Artmed; 2000. 375p. p.83-101
- Avila MAG, Pereira GJC, Bocchi SCM. Informal caregivers of older people recovering from surgery for hip fractures caused by a fall: fall prevention. Ciênc saúde coletiva 2015; 20(6):1901-7.
- Giordani AT, Stadler DV, Paulino GME, Zanardo RR, Sonobe HM, Valerio MA. Demand of hospitalized surgical patients information: a descriptive and prospective study. Online braz j nurs [internet] 2016 Jun [2016 August 12]; 15 (2):124-133. Available from: http://www.objnursing.uff.br/index.php/nursing/article/view/5286
- Fontes AP, Neri AL. Resilience in aging: literature review. Ciênc. saúde coletiva [Internet]. 2015 May [cited 2016 July 28] ; 20( 5 ): 1475-1495. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-81232015000501475&lng=en. http://dx.doi.org/10.1590/1413-81232015205.00502014.
- Gaioli CCLO, Furegato ARF, Santos JLF. Profile of caregivers of elderly people with Alzheimer disease associated to resilience. Texto contexto - enferm. [Internet]. 2012 Mar [cited 2016 July 28] ; 21( 1 ): 150-157. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0104-07072012000100017&lng=en. http://dx.doi.org/10.1590/S0104-07072012000100017.