Impact of health interventions on informal caregivers: A systematic review and meta-analysis

IF 1.6 4区医学 Q2 NURSING

Collegian Pub Date : 2024-12-01 DOI:10.1016/j.colegn.2024.10.005

Diego J. Caicedo-Fajardo , Alix Y. Perdomo-Romero , Claudia P. Cantillo-Medina , Maria L. de Souza , Claudia A. Ramírez-Perdomo

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引用次数: 0

Abstract

Background

Chronic noncommunicable diseases are the leading cause of death worldwide, affecting the quality of life of patients and their informal caregivers.

Aim

To assess the impact of health interventions on informal caregivers and compare the results with standard care.

Methods

A systematic review and meta-analysis of randomised clinical trials identified from six databases was conducted. We included intervention studies by a healthcare team for caregivers of persons with chronic noncommunicable diseases. The risk of bias was assessed using a risk-of-bias tool, and the meta-analysis was conducted using the software Review Manager. The certainty of the evidence was assessed using the Grading of Recommendations Assessment, Development and Evaluation.

Findings

Ten articles were selected, which included 1088 participants (average age of 55 years). A meta-analysis was performed with four studies using the same evaluation instrument (Zarit Burden Interview).

Discussion

Interventions to decrease caregiver overload were assessed through the effect estimation of the mean score of the Zarit Burden Interview of −5 (95% confidence interval, p < 0.00001).

Conclusion

The findings show a gap in the knowledge about interventions and analyses of quality of life, social support, and caregiver roles. Conducting further methodologically rigorous research to yield valid results is essential for ensuring the well-being of informal caregivers and reducing their burden and overload.

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健康干预对非正式护理人员的影响：系统回顾和荟萃分析

慢性非传染性疾病是世界范围内导致死亡的主要原因，影响着患者及其非正式照护者的生活质量。目的评估卫生干预对非正规护理人员的影响，并将结果与标准护理进行比较。方法对来自6个数据库的随机临床试验进行系统评价和荟萃分析。我们纳入了一个医疗团队对慢性非传染性疾病患者护理人员的干预研究。使用偏倚风险工具评估偏倚风险，使用Review Manager软件进行meta分析。证据的确定性是用分级建议评估、发展和评估来评估的。研究结果选择了10篇文章，其中包括1088名参与者（平均年龄55岁）。采用相同的评估工具（Zarit Burden访谈）对四项研究进行荟萃分析。通过Zarit负担访谈平均得分- 5的效果估计来评估减少照顾者负担的干预措施(95%置信区间，p <；0.00001)。结论研究结果表明，在干预和分析生活质量、社会支持和照顾者角色方面存在差距。为了确保非正规照料者的福祉并减轻其负担和负担过重，开展进一步的方法上严谨的研究以产生有效的结果至关重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Collegian NURSING-

CiteScore

2.70

自引率

6.70%

发文量

127

审稿时长

72 days

期刊介绍： Collegian: The Australian Journal of Nursing Practice, Scholarship and Research is the official journal of Australian College of Nursing (ACN). The journal aims to reflect the broad interests of nurses and the nursing profession, and to challenge nurses on emerging areas of interest. It publishes research articles and scholarly discussion of nursing practice, policy and professional issues. Papers published in the journal are peer reviewed by a double blind process using reviewers who meet high standards of academic and clinical expertise. Invited papers that contribute to nursing knowledge and debate are published at the discretion of the Editor. The journal, online only from 2016, is available to members of ACN and also by separate subscription. ACN believes that each and every nurse in Australia should have the opportunity to grow their career through quality education, and further our profession through representation. ACN is the voice of influence, providing the nursing expertise and experience required when government and key stakeholders are deciding the future of health.