Needs of Family Caregivers of Older Adults with Trauma Admitted to the Emergency Department: A Cross‑Sectional Study

Maryam Tavangar, Azade Safa,, Mohsen Adib‑Hajbaghery

Abstract


Background: Family caregivers (FCs) play a vital role in supporting the care of older adults with trauma admitted to the emergency departments (EDs). However, their needs are often unmet and overlooked by healthcare providers. This study aimed to assess the needs of FCs of older adults with trauma admitted to the EDs in Iran. Materials and Methods: A cross‑sectional study was conducted in 2024 at Shahid‑Beheshti Hospital in Kashan, Iran, involving 402 FCs of older adult trauma patients. Participants were recruited through consecutive sampling. Data were collected using the Questionnaire for the Assessment of the Needs of Caregivers of Patients with Trauma in the Emergency Department (QANCPT). Descriptive statistics and regression analysis were performed using. Results: The mean (SD) age of FCs was 44.80 (12.90) years, and 52.98% were female. Among patients, 45.02% were female, and falls were the most common cause of their injury (50.25%). The mean (SD) overall needs score was 2.47 (0.32) out of 4. In regression analysis, caregiver needs were associated with their own education level and gender, as well as patient‑related factors, including age, number of children, length of ED stay, and cause and location of injury. Conclusions: FCs of older trauma patients reported substantial unmet needs in the ED. Acknowledging and addressing these needs is essential for healthcare providers in the ED. Doing so can significantly improve both the patient care process and recovery outcomes.

 


Keywords


Aged, family caregivers, hospital emergency service, injuries, needs assessment

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References


Bray F, Laversanne M, Sung H, Ferlay J, Siegel RL, Soerjomataram I, et al. Global cancer statistics 2022: Globocan estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin 2024;74:229‑63.

Aryannejad A, Saeedi Moghaddam S, Mashinchi B, Tabary M, Rezaei N, Shahin S, et al. National and subnational burden of female and male breast cancer and risk factors in Iran from 1990 to 2019: Results from the Global Burden of Disease study 2019. Breast Cancer Res 2023;25:47.

Meshkat M, Baghestani AR, Zayeri F, Khayamzadeh M, Akbari ME. Survival rate and prognostic factors among Iranian breast cancer patients. Iran J Public Health 2020;49:341‑50.

Kang D, Kang M, Hong YS, Park J, Lee J, Seo HJ, et al. Temporal patterns of chronic disease incidence after breast cancer: A nationwide population‑based cohort study. Sci Rep 2022;12:5489.

Ghosn B, Benisi‑Kohansal S, Ebrahimpour‑Koujan S, Azadbakht L, Esmaillzadeh A. Association between healthy lifestyle score and breast cancer. Nutr J 2020;19:4.

Antoni MH, Moreno PI, Penedo FJ. Stress Management interventions to facilitate psychological and physiological adaptation and optimal health outcomes in cancer patients and survivors. Annu Rev Psychol 2023;74:423‑55.

Adam A, Koranteng F. Availability, accessibility, and impact of social support on breast cancer treatment among breast cancer patients in Kumasi, Ghana: A qualitative study. PLoS One 2020;15:e0231691.

Wang X, Wang N, Zhong L, Wang S, Zheng Y, Yang B, et al. Prognostic value of depression and anxiety on breast cancer recurrence and mortality: A systematic review and meta‑analysis of 282,203 patients. Mol Psychiatry 2020;25:3186‑97.

Wang F, Cai H, Gu K, Shi L, Yu D, Zhang M, et al. Adherence to dietary recommendations among long‑term breast cancer survivors and cancer outcome associations. Cancer Epidemiol Biomarkers Prev 2020;29:386‑95.

Welch WA, Solk P, Auster‑Gussman L, Gavin KL, Whitaker M, Cullather E, et al. User‑centered development of a smartphone application (Fit2Thrive) to promote physical activity in breast cancer survivors. Transl Behav Med 2022;12:203‑13.

Abdous N, Nazarali P, Ramezankhani A, Fallah F. The assessment of knowledge, attitude, nutritional practice and physical activity and its relation with quality of life in patients with breast cancer. Basic Clin Cancer Res 2021;13:72‑83.

Chang YC, Yeh TL, Chang YM, Hu WY. Short‑term effects of randomized mindfulness‑based intervention in female breast cancer survivors: A systematic review and meta‑analysis. Cancer Nurs 2021;44:E703‑14.

Peixoto NMDSM, Peixoto TADSM, Pinto CAS, Santos CSVB. Nursing intervention focusing on health promotion behaviors in adult cancer patients: A scoping review. Rev Esc Enferm USP 2021;55:e03673.

Kugbey N, Oppong Asante K, Meyer‑Weitz A. Illness perception and coping among women living with breast cancer in Ghana: An exploratory qualitative study. BMJ Open 2020;10:e033019.

Mirzaei F, Nourizadeh R, Farshbaf‑Khalili A. Understandings of illness and its predictors in Iranian women with breast cancer referring to oncology centers of ARAK, 2017‑2018. Nurs Midwifery J 2020;18:662‑71.

Breland JY, Wong JJ, McAndrew LM. Are Common Sense Model constructs and self‑efficacy simultaneously correlated with self‑management behaviors and health outcomes: A systematic review. Health Psychol Open 2020;7:2055102919898846.

Hagger MS, Orbell S. The common sense model of illness self‑regulation: A conceptual review and proposed extended model. Health Psychol Rev 2022;16:347‑77.

Shen Z, Xu J, Yin W, Liu Q, Fan M, Luo C. Common Sense Model program on illness perceptions in patients with impaired awareness of hypoglycemia. Contemp Nurse 2022;58:171‑91.

Yasmin F, Ain Q, Liaqat A, Danish AH, Saddique H. Role of home based educational intervention on illness perception and health services utilization among chronic obstructive pulmonary disease patients. J Health Rehabil Res 2024;4:502‑8.

Kordvarkane Z, Oshvandi K, Mohammadi Y, Azizi A. Effect of education based on the Common‑Sense Model of Self‑Regulation on blood pressure and self‑management of hypertensive patients: A clinical trial study. Int J Nurs Sci 2023;10:294‑301.

Fann WC, Hung CC, Chaboyer W, Lee BO. Effectiveness of a nurse‑delivered intervention on illness perceptions and quality of life in patients with injury. J Nurs Res 2021;29:e163.

Ginnerup‑Nielsen E, Jørgensen TS, Dew‑Hattens C, Christensen R, Berg JI, Vase L, et al. The impact of an illness perception conversation on open‑label placebo response in knee osteoarthritis: A randomised controlled trial. Osteoarthritis Cartilage 2024;32:1610‑9.

Sadeh Tabarian M, Ghyasvandian S, Haghani S. Effect of education based on illness perception on glycemic control in diabetic patients. Iran J Endocrinol Metab 2020;21:364‑71.

Soleimani MA, Tabiban S, Bakhshande H, Asghary M. Effect of illness perception intervention on death anxiety in hemodialysis patients: A randomized clinical trial. J Mazandaran Univ Med Sci 2018;28:12‑24.

Hamed Bieyabanie M, Mohammad‑Alizadeh Charandabi S, Mirghafourvand M. Effect of counseling on the health‑promoting lifestyle and quality of life among mastectomised women. Health Educ Health Promot 2021;9:317‑24.

Stan DL, Cutshall SM, Adams TF, Ghosh K, Clark MM, Wieneke KC, et al. Wellness coaching intervention for increasing healthy behaviors in breast cancer survivors. Clin J Oncol Nurs 2020;24:305.

Veličković K, Borrebaeck CAK, Bendahl PO, Hegardt C, Johnsson P, Richter C, et al. One‑year recovery from breast cancer: Importance of tumor and treatment‑related factors, resilience, and sociodemographic factors for health‑related quality of life. Front Oncol 2022;12:891850.

Sadeghi E, Gozali N, Tabrizi FM. Effects of energy conservation strategies on cancer related fatigue and health promotion lifestyle in breast cancer survivors: A randomized control trial. APJCP 2016;17:4783.

Karabulutlu EY, Avcı İA, Karayurt Ö, Gürsoy A, Köşgeroğlu N, Tuna A, et al. Evaluation of illness perception of women with breast cancer in Turkey. Eur J Breast Health 2019;15:98‑104.

Rakhshan M, Rahimi M, Zarshenas L. The effect of an education program based on illness perception on the lifestyle of patients with metabolic syndrome: A randomized controlled clinical trial. Int J Community Based Nurs Midwifery 2019;7:279‑87.

Basharpoor S, NasriNasrabadi B, Heidari F, Molavi P. The role of health beliefs and illness perceptions in predicting health‑promoting behaviors in cancer patients. Iran J Health Educ Health Promot 2018;6:102‑13.


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