An Assessment of the Family Functionality of Orthopedics Clinic In-Patients

Abstract views: 34 / PDF downloads: 24




Family, family health, family members, nursing care, hospitalization



The present study was conducted with an aim to determine the family functioning of the patients hospitalized in orthopedics clinic. Type of this study is cross-sectional. Data were collected from 281orthopedics patients. Sociodemographic form and Assessment of Strategies in Families Scale were used. The majority of patients (92.2%) needed care. The respective percentages of individuals who reported that they felt insufficient, hopelessness, anger, decreased sexual activity, and separation from the society were 52.7%, 32.0%, 39.5%, 17.8%, and 29.9%. There was a statistically significant difference between the mean score of ASF-E scale and the educational status, marital status, family type, family crisis in the last year, sharing the feelings about the condition, and experiencing role tension of the individuals involved. Activities of daily living of individuals with orthopedic condition were limited and they needed a great deal of care.


Åstedt-Kurki, P., Friedemann, M. L., Paavilainen, E., Tammentie, T., Paunonen-Ilmonen, M. 2001a. Assessment of strategies in families tested by Finnish families. International Journal Oof Nursing Studies, 38(1): 17-24.

Åstedt-Kurki, P., Paavilainen, E., Tammentie, T., Paunonen-Ilmonen, M. 2001b. Interaction between family members and health care providers in an acute care setting in Finland. Journal of Family Nursing, 7(4): 371-390.

Akpınar, N.B., Ceran, M.A. 2019. Chronic Diseases and Rehabilitation Nursing. Journal of Adnan Menderes University Health Sciences Faculty, 3(2): 140-152.

Altuğ Özsoy, S., Bayık Temel, A., Ergül, Ş., Kıray Vural, B., Yıldırım, B., Başalan İz, F. 2008. Evaluating behavioral strategies in the functional effectiveness of families. Unpublished Project. Ege University Administrative and Financial Affairs Department Scientific Research Projects, NO:04-HYO-008.2008.

Arslan, G., Şekir, U.K. 2016. Psychological Effects of Physical Activity and Quality of Life in Chronic Diseases. Turkiye Klinikleri Sports Medicine-Special Topics, 2(2): 32-38.

Aydın, M., Dişcigil, G. 2017. Social isolation in patients taking home care services. The Journal of Turkish Family Physician, 8(4): 95-99.

Bayramova, N., Karadakovan, A. 2004. Kronik hastalığı olan bireylerin umutsuzluk durumlarının incelenmesi. Investigation of hopelessness status of individuals with chronic diseases Journal of Ataturk University School of Nursing, 7(2): 39-47.

Bettelli, G. 2011. Preoperative evaluation in geriatric surgery: comorbidity, functional status and pharmacological history. Minerva anestesiologica, 77(6): 637.

Centers for Disease Control and Prevention (CDC). [Internet]. Hip Fractures Among Older Adults. Available from:, 2019). [cited 2019 Aug 05]

Coates, V. 2017. Role of nurses in supporting patients to self-manage chronic conditions. Nursing Standard, 31(38): 42-46.

Corey G. 2015. Psychological Counseling, Psychotherapy Theory and Practices.Ankara: Mentis Yayıncılık.

Dal, Ü., Bulut, H., Demir, S.G. 2012. The problems experienced by the patients at home after surgery. Bakırkoy Journal of Medicine, 8(1): 34-40.

Eriksson, E., Wejåker, M., Danhard, A., Nilsson, A., Kristofferzon, M.L. 2019. Living with a spouse with chronic illness–the challenge of balancing demands and resources. BMC Public Health, 19(1): 1-9.

Erdil, F., Bayraktar, N. 2010. Nursing Approaches Related to Musculo-Skeletal Problems in Geriatrics. Florence Nightingale Journal of Nursing, 18(2): 106-113.

Erdil F., Çelik, S.Ş. Postoperative care of elderly patient with hip fracture.. Gebam Bulletin. 2019). [cited 2019 Aug 26]. Available from: http://www.geb

Flippo, R., NeSmith, E., Stark, N., Joshua, T., Hoehn, M. 2015. Reduction of 30-day preventable pediatric readmission rates with postdischarge phone calls utilizing a patient-and family-centered care approach. Journal of Pediatric Health Care, 29(6): 492-500.

Friedemann, M.L., Mouch, J., Racey, T. 2002. Nursing the spirit: The framework of systemic organization. Journal of Advanced Nursing, 39(4): 325-332.

Friedemann M.L. 1995. The framework and its propositions, the framework of systemic organization-a conceptual approach families and nursing. California: Sage Publications.

Friedman M.L. ASF-E Instrument. [cited 2018 Nov 26] Available from

General Directorate of the Republic of Turkey Ministry of Health, Public Hospitals. Public Hospitals Statistics Report, 2017, Ankara – 2018. [cited 2019 Sep 05]. Available from:

Golics, C. J., Basra, M. K. A., Finlay, A. Y., Salek, S. 2013a. The impact of disease on family members: a critical aspect of medical care. Journal of the Royal Society of Medicine, 106(10): 399-407.

Golics, C.J., Basra, M.K.A., Salek, M.S., Finlay, A.Y. 2013b. The impact of patients’ chronic disease on family quality of life: an experience from 26 specialties. International journal of general medicine, 6, 787.

Ibrahim, N.I., Ahmad, M. S., Zulfarina, M. S., Zaris, S.N.A.S.M., Mohamed, I.N., Mohamed, N., et al. 2018. Activities of daily living and determinant factors among older adult subjects with lower body fracture after discharge from hospital: a prospective study.

International journal of environmental research and public health, 15(5): 1002.

Karadakovan A, Eti Aslan F. 2010. Care in internal and surgical diseases. Adana: Nobel Tıp Kitapevleri.

Kaya Akı, M. Demir, Y. 2013. A review on caregiver burden and quality of life of primary family caregivers for hemodalysis patients. Düzce University Journal of Health Sciences Institute,2(3),24-28. [cited 2019 Aug 23]. Avaible from:

Kes, D. 2009. The relations between fatigue and health perception of the patients undergoing coronary artery bypass graft surgery. Master Thesis. Izzet Baysal University. Health Sciences Institute.

Koç, D. 2013. Burden of the care of orthopedic patients. Master Thesis. İnönü University, Institute of Health Sciences.

Kouta, C., Kaite, C.P., Papadopoulos, I., Phellas, C.N. 2015. Evaluation of home care nursing for elderly people in Cyprus. International Journal of Caring Sciences, 8(2): 376-384.

Lee, I., Lee, E. O., Kim, H. S., Park, Y. S., Song, M., Park, Y. H. 2004. Concept development of family resilience: A study of Korean families with a chronically ill child. Journal of Clinical Nursing, 13(5): 636-645.

Lewis, J.M., Beawers, R.W., Gosset, J.T., Philips, V.,Aktaran:Bulut, I. Aile Değerlendirme Ölçeği (ADÖ). Ankara: Özgeliş Matbaası; 1990, 10-25.

Lise, F., Schwartz, E., Anderson, K.H., Friedemann, M.L. 2019. Integrative literature review article. J Nurs UFPE on line, 13, e242282.

Longo, U.G; Matarese, M., Arcangeli, V., Alciati, V., Candela, V., Facchinetti, G., Marchetti, A., Marinis, M.G., Denaro, V. 2020. Family caregiver strain and challenges when caring for orthopedic patients: A systematic review. Journal of Clinical Medicine. 9:1-19.

McCreary, L.L., Dancy, B.L. 2004. Dimensions of family functioning: Perspectives of low‐income African American single‐parent families. Journal of Marriage and Family, 66(3): 690-701.

Mete, H.E. 2008. Chronic illness and depression. Clinical Psychiatry. 11(3): 3-18.

Ministry of Health & General Directorate of Basic Health Services, Turkey. 2011. Policies to combat non-communicable diseases and risk factors in Turkey. Ed: Erkoç Y, Yardım N. ISBN:978-975-590-340-8. Ministry of Health Publication No: 809, Ankara.

Işık O., Kandemir, A., Erişen, M.A., Fidan, C. 2016. Profile of patients receiving home health services and evaluation of the service provided. Hacettepe Journal of Health Administration, 19(2):171-186.

Özdemir, Ü., Taşçı S. 2013. Psychosocial problems and care of chronic diseases. Journal of Erciyes University Faculty of Health Sciences, 1(1): 57-72.

Pınar R. 2006. The use of health-related quality of life in patients with chronic renal failure). Celal Bayar University, Journal of Birikim, 1(2): 71-76.

Pıerce, L.L. 1997. The framework of systemic organization applied to older adults as family caregivers of persons with chronic illness and disability. Gastroenterology Nursing, 20(5): 168-175.

Quality, D. 2010. Serving Communities: Nurses Leading Chronic Care. International Council of Nurses, Geneva. International Nurses Day. 1-69. Geneva, Switzerland, [cited 2018 Aug 26]. Available from:

Savcı, A., Bilik, Ö. 2014. Assessment of geriatric patients in the clinic of orthopaedic and traumatology. E-Journal of Dokuz Eylul University Nursing Faculty, 7(2): 156-163.

Selçuk, K.T., Avcı, D. 2016. The Care Burden of Caregivers Caring for Elderly with Chronic Diseases and Affecting Factors, Suleyman Demirel University The Journal of Health Science, 7(1): 1-9.

Schulman‐Green, D., Jaser, S., Martin, F., Alonzo, A., Grey, M., McCorkle, R., Redeke. N.S., Reynolds, N., Whittemore, R. 2012. Processes of self‐management in chronic illness. Journal of nursing scholarship, 44(2): 136-144.

Simpson, P., Yeung, F.K.K., Kwan, A.T.Y., Wah, W.K. 2006. Family systems nursing: A guide to mental health care in Hong Kong. Journal of Family Nursing, 12(3): 276-291.

Tezcan, S., Altıntaş, H., Kaya, M., Koçoğlu, O.G., Kahveci, F.O., Alpua, M., Karagöz, E., Kevlekci, C., Kart, C. 2005. Articles on coronary artery disease and risk factors published in ten national daily newspapers. TAF Preventive Medicine Bulletin, 4(5): 253-264.

Wennick, A., Hallström, I. 2006. Swedish families’ lived experience when a child is first diagnosed as having insulin-dependent diabetes mellitus: An ongoing learning process. Journal of Family Nursing, 12(4): 368-389.

World Health Organization. 2011. Noncommunicable Diseases Country Profiles 2011. [cited 2019 May 20]. Available from:

Yıldırım, S., Gürkan, A. 2010. Psychosocial aspects of cancer and the role of psychiatriy nurse. Journal of Ege University Nursing Faculty, 26(1): 87-98.

Zhang, J.P., Liu, H.R. 2001. Family support and quality of life among hemodialysis patients. Hunan yi ke da xue xue bao= Hunan Yike Daxue Xuebao= Bulletin of Hunan Medical University, 26(4): 359-362.

Zuhur, Ş., Özpancar, N. 2017. The use of nursing models in the management of chronic diseases in Turkey: A systematic review. Turkish Journal of Research & Development in Nursing, 19(2): 57-74.




How to Cite

ZENCİR, G., & VURAL, B. K. (2022). An Assessment of the Family Functionality of Orthopedics Clinic In-Patients. MAS Journal of Applied Sciences, 7(Özel Sayı), 1222–1233.