Caregivers’ misperception of the severity of hip fractures

Sara Elli, Diego Contro, Silvana Castaldi, Marco Fornili, Ilaria Ardoino, Antonello V. Caserta, Lorenzo Panella

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Purpose: The aim of our study was to evaluate how the caregiver of a hip fracture patient perceives the patient’s health status and autonomy in the period immediately preceding the acute event and whether these judgments are actually in line with the prognosis predicted by the medical team caring for the patient in the rehabilitation structure. Patients and methods: We enrolled 147 patients of both sexes, aged ≥65 years, who were referred to our center following surgical treatment of hip fractures of various nature. At the beginning of the rehabilitation program, each patient’s caregiver was asked to complete the Blaylock Risk Assessment Screening Score (BRASS) questionnaire. The same questionnaire was compiled contemporaneously by the doctor taking care of the patient. Results: Analysis of the data shows that the caregivers tend to assign lower scores than the doctor, with a mean difference in agreement with the Bland–Altman plot of-2.43, 95% CI=-2.93 to-1.93, t-test P<0.001. Furthermore, differences in objectivity emerge in the evaluation of the clinical problems of the patient in a borderline clinical condition. Conclusion: This study revealed that caregivers systematically misperceive the clinical situation of hip fracture patients prior to the acute event. Altered perception of such an important factor can lead to a general lack of satisfaction with the outcome achieved by the patient at the end of the rehabilitation process. We therefore believe that an adequate, effective communication between the people making up the health care team and the patient’s social and family network is the foundation of the rehabilitation process. It is precisely on this foundation that the individual’s care and assistance need to be assembled.

Original languageEnglish
Pages (from-to)1889-1895
Number of pages7
JournalPatient Preference and Adherence
Volume12
DOIs
Publication statusPublished - Jan 1 2018

Fingerprint

Hip Fractures
Caregivers
caregiver
rehabilitation
Rehabilitation
questionnaire
event
objectivity
risk assessment
health status
assistance
autonomy
health care
communication
lack
evaluation
Patient Care Team
Social Support
Health Status
Patient Care

Keywords

  • Caregiver expectations
  • Disease perception
  • Effective communication
  • Hip fracture

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Social Sciences (miscellaneous)
  • Pharmacology, Toxicology and Pharmaceutics (miscellaneous)
  • Health Policy

Cite this

Elli, S., Contro, D., Castaldi, S., Fornili, M., Ardoino, I., Caserta, A. V., & Panella, L. (2018). Caregivers’ misperception of the severity of hip fractures. Patient Preference and Adherence, 12, 1889-1895. https://doi.org/10.2147/PPA.S164380

Caregivers’ misperception of the severity of hip fractures. / Elli, Sara; Contro, Diego; Castaldi, Silvana; Fornili, Marco; Ardoino, Ilaria; Caserta, Antonello V.; Panella, Lorenzo.

In: Patient Preference and Adherence, Vol. 12, 01.01.2018, p. 1889-1895.

Research output: Contribution to journalArticle

Elli, S, Contro, D, Castaldi, S, Fornili, M, Ardoino, I, Caserta, AV & Panella, L 2018, 'Caregivers’ misperception of the severity of hip fractures', Patient Preference and Adherence, vol. 12, pp. 1889-1895. https://doi.org/10.2147/PPA.S164380
Elli, Sara ; Contro, Diego ; Castaldi, Silvana ; Fornili, Marco ; Ardoino, Ilaria ; Caserta, Antonello V. ; Panella, Lorenzo. / Caregivers’ misperception of the severity of hip fractures. In: Patient Preference and Adherence. 2018 ; Vol. 12. pp. 1889-1895.
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