Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
The Discharge Needs of Family Caregivers of the Patients Following Hip Fracture Surgery
Kalça Kırığı Nedeniyle Ameliyat Olan Hastalara Bakım Veren Aile Üyelerinin Taburculuktaki Gereksinimleri
Buket ÇELİKa, Özlem BİLİKa
aDokuz Eylül University Faculty of Nursing, Department of Surgical Nursing, İzmir, TURKEY
Turkiye Klinikleri J Nurs Sci. 2020;12(2):173-81
doi: 10.5336/nurses.2019-70706
Article Language: EN
Full Text
ABSTRACT
 Objective: Hip fracture is a common cause of morbidity and mortality, especially in the elderly. After hip fracture, patients need support from their family to adapt to their daily life. The aim of this study was to determine the discharge needs of family caregivers of the patients following hip fracture surgery. Material and Methods: This descriptive qualitative study was conducted with 25 family caregivers who met the inclusion criteria and agreed to participate in the study. Data were collected by using a semi-structured in-depth interview form and an audiotape. The interviews lasted approximately 20 minutes. The transcripts were coded by using content analysis, and themes were created. Results: The content analysis revealed three themes; i.e. 'information needs', 'difficulties encountered in the care of patients with Alzheimer's disease and hip fracture' and 'worry about the patient's recovery and self-sufficiency'. Conclusion: Family caregivers have insufficient knowledge about many issues concerning discharge, which causes them to experience anxiety. Therefore, nurses should offer family caregivers detailed information about the home care process at discharge. Effective education to be offered to family caregivers at discharge will make a positive contribution to their adaptation, facilitate the home care process and decrease their worries.

Keywords: Hip fracture; orthopedic surgery; caregivers; recovery process
ÖZET
 Amaç: Kalça kırığı, özellikle yaşlılarda sık karşılaşılan, önemli bir morbidite ve mortalite nedenidir. Kalça kırığı sonrası hastalar günlük yaşama uyum sağlamada ailelerinin desteğine gereksinim duymaktadır. Çalışmamızın amacı kalça kırığı nedeniyle ameliyat olan hastaya bakım veren aile üyelerinin taburculuk sırasındaki gereksinimlerini ortaya koymaktır. Gereç ve Yöntemler: Tanımlayıcı niteliksel tipteki araştırma örneklem kriterlerini karşılayan ve araştırmaya katılmayı kabul eden 25 bakım veren aile üyesi ile yapılmıştır. Veriler yarı yapılandırılmış derinlemesine görüşme formu ve ses kayıt cihazı kullanılarak toplanmıştır. Görüşmeler yaklaşık 20 dakika sürmüştür. Veriler içerik analizi kullanılarak kodlanmış ve temalar oluşturulmuştur. Bulgular: İçerik analizi sonucunda 'bilgi gereksinimi', 'Alzheimer hastalığı ve kalça kırığı olan hastanın bakımında karşılaşılan güçlükler' ve 'hastanın iyileşmesi ve kendi kendine yeterliliği hakkında endişe' olmak üzere üç tema belirlenmiştir. Sonuç: Bakım veren aile üyelerinin taburculuk ile ilgili pek çok konuda bilgi eksikliği bulunmakta ve bu durum endişe yaşamalarına neden olmaktadır. Bu nedenle hemşireler bakım veren aile üyelerini taburculukta evde bakım verme süreci ile ilgili ayrıntılı bir şekilde bilgilendirmelidir. Bakım veren aile üyelerine yapılacak olan etkin taburculuk eğitiminin uyum sürecine olumlu katkı sağlayacağı, evde bakım sürecini kolaylaştıracağı ve endişeleri azaltacağı düşünülmektedir.

Anahtar Kelimeler: Kalça kırıkları; ortopedik cerrahi; bakım verenler; iyileşme süreci
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