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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
Author(s) -
Berthelsen Connie Bøttcher,
Kristensson Jimmie
Publication year - 2017
Publication title -
journal of advanced nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.948
H-Index - 155
eISSN - 1365-2648
pISSN - 0309-2402
DOI - 10.1111/jan.13091
Subject(s) - medicine , spouse , intervention (counseling) , anxiety , physical therapy , depression (economics) , randomized controlled trial , fast track , repeated measures design , nursing , psychiatry , surgery , sociology , anthropology , economics , macroeconomics , statistics , mathematics
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.