Functional Recovery and Caregiver Burden Following Surgery in the Elderly
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 123
- 试验地点
- 1
- 主要终点
- Functional Autonomy Measurement System (SMAF)
研究概览
简要总结
The purpose of this study is to assess the functional recovery of older ambulatory surgical patients and the impact of the current model of care on the caregivers of these patients. This study will provide unique insight into the challenges patients and their families face following surgery.
The primary objective of this study is to:
- Assess the impact of ambulatory surgery on functional capacity as assessed by the Système de Mesure de l'Autonomie Fonctionnelle (SMAF) one week and one month following surgery in a population of surgical patients 65 years of age and older.
Secondary objectives are to determine if: 2. Changes in the patient's functional capacity result in increased burden of care as assessed by the Zarit Burden Interview (ZBI) in the patient's primary caregiver. 3. Changes in functional capacity are correlated with decrements in quality of life as assessed by the Short Form 12 (SF12). 4. Changes in functional capacity are correlated with inadequate postoperative analgesia as assessed by the Brief Pain Inventory (BPI).
研究设计
- 研究类型
- Observational
- 时间视角
- Prospective
入排标准
- 年龄范围
- 65 Years 至 —（Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •aged 65 years and older
- •elective surgery with a planned discharge to the community on the day of the surgical procedure.
- •Eligible surgical procedures include: inguinal herniorrhaphy, ventral herniorrhaphy, laparoscopic cholecystectomy,laparoscopic salpingoophorectomy, urethropexy, cystocoele/rectocoele repair, vaginal hysterectomy, arthroscopic debridement (knee, hip, shoulder), arthroscopic repair (knee, hip, shoulder), removal of hardware from lower extremity, foot surgery, and lumbar discectomy.
- •spouses, family members, or friends identified as the patient's primary source of support in the community.
排除标准
- •Reside in a nursing home providing professional support services;
- •Are unable to complete the study instruments due to cognitive (MMSE <24) or physical impairment;
- •Are unable to speak English or French
- •Professional caregivers (nurse, personal care assistant, etc) hired to care for the patient;
- •Unable to complete the study instruments due to physical impairment;
- •Unable to Speak English or French
结局指标
主要结局
Functional Autonomy Measurement System (SMAF)
时间窗: Baseline, one week, and one month following surgery
29-item scale, each item graded on a four-point scale. 0= independent, 1= needs supervision,2 = needs help, 3 = dependent. Total score ranges from 0 to 87 with higher scores indicating increased disability
次要结局
- Brief Pain Inventory (BPI) Functional Interference Score.(Baseline, one week, and one month following surgery)
- Zarit Burden Interview (ZBI)(Baseline, one week, and one month following surgery)
- Short Form 12(Baseline, one week, and one month following surgery)