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The SICAM-trial : evaluating the effect of spouses' involvement through case management in older patients' fast-track programmes during and after total hip replacement

Berthelsen, Connie Bøttcher and Kristensson, Jimmie LU (2017) In Journal of Advanced Nursing 73(1). p.112-126
Abstract

Aim: The aim of this study was to evaluate the effect of spouses' involvement in older patients' care trajectories, using case management as intervention in total hip replacement through fast-track programmes. Background: Patients need their spouses to be involved in their fast-track programmes and this involvement is often associated with improvements in patient outcomes. However, the effect of spouses' involvement in older patients' fast-track programmes has not yet been investigated. Design: A two-group quasi-experimental design with pre-test and repeated post-test measures was conducted in an orthopaedic ward of a Danish Regional Hospital from February 2014–June 2015. Spouse–patient dyads were initially recruited for the control... (More)

Aim: The aim of this study was to evaluate the effect of spouses' involvement in older patients' care trajectories, using case management as intervention in total hip replacement through fast-track programmes. Background: Patients need their spouses to be involved in their fast-track programmes and this involvement is often associated with improvements in patient outcomes. However, the effect of spouses' involvement in older patients' fast-track programmes has not yet been investigated. Design: A two-group quasi-experimental design with pre-test and repeated post-test measures was conducted in an orthopaedic ward of a Danish Regional Hospital from February 2014–June 2015. Spouse–patient dyads were initially recruited for the control group (n = 14), receiving usual care; dyads for the intervention group (n = 15) were recruited afterwards, receiving case management intervention elements before, during and after admission. Methods: Face-to-face interviews on questionnaires were conducted with spouses and patients at baseline, 2 weeks and 3 months after discharge, measuring spouses' caregiver satisfaction, difficulties and level of anxiety and patients' functional and nutritional status, pain and level of depression. Results: The results showed that there were no differences between the groups with regard to any of the outcome measures. However, statistically significant improvements were found in the patient groups on functional status, pain and depression and in the groups of spouses on caregiver satisfaction. Conclusion: The case management intervention seemed to have an effect in patient and spousal groups; however, this improvement could also have been caused by the effect of fast-track treatment.

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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
case management, complex intervention, fast-track programme, nursing, older patients, quasi-experimental, spouses, total hip replacement
in
Journal of Advanced Nursing
volume
73
issue
1
pages
15 pages
publisher
Wiley-Blackwell
external identifiers
  • scopus:84992597324
  • wos:000389832100010
ISSN
0309-2402
DOI
10.1111/jan.13091
language
English
LU publication?
yes
id
33af10b4-23ee-4687-8d67-79ade421c9e2
date added to LUP
2017-03-23 09:15:46
date last changed
2017-09-18 11:33:52
@article{33af10b4-23ee-4687-8d67-79ade421c9e2,
  abstract     = {<p>Aim: The aim of this study was to evaluate the effect of spouses' involvement in older patients' care trajectories, using case management as intervention in total hip replacement through fast-track programmes. Background: Patients need their spouses to be involved in their fast-track programmes and this involvement is often associated with improvements in patient outcomes. However, the effect of spouses' involvement in older patients' fast-track programmes has not yet been investigated. Design: A two-group quasi-experimental design with pre-test and repeated post-test measures was conducted in an orthopaedic ward of a Danish Regional Hospital from February 2014–June 2015. Spouse–patient dyads were initially recruited for the control group (n = 14), receiving usual care; dyads for the intervention group (n = 15) were recruited afterwards, receiving case management intervention elements before, during and after admission. Methods: Face-to-face interviews on questionnaires were conducted with spouses and patients at baseline, 2 weeks and 3 months after discharge, measuring spouses' caregiver satisfaction, difficulties and level of anxiety and patients' functional and nutritional status, pain and level of depression. Results: The results showed that there were no differences between the groups with regard to any of the outcome measures. However, statistically significant improvements were found in the patient groups on functional status, pain and depression and in the groups of spouses on caregiver satisfaction. Conclusion: The case management intervention seemed to have an effect in patient and spousal groups; however, this improvement could also have been caused by the effect of fast-track treatment.</p>},
  author       = {Berthelsen, Connie Bøttcher and Kristensson, Jimmie},
  issn         = {0309-2402},
  keyword      = {case management,complex intervention,fast-track programme,nursing,older patients,quasi-experimental,spouses,total hip replacement},
  language     = {eng},
  month        = {01},
  number       = {1},
  pages        = {112--126},
  publisher    = {Wiley-Blackwell},
  series       = {Journal of Advanced Nursing},
  title        = {The SICAM-trial : evaluating the effect of spouses' involvement through case management in older patients' fast-track programmes during and after total hip replacement},
  url          = {http://dx.doi.org/10.1111/jan.13091},
  volume       = {73},
  year         = {2017},
}