痴呆症对亚洲非正规照顾者社会心理健康的影响:比较高收入国家和中低收入国家的范围研究

Psych Pub Date : 2024-02-20 DOI:10.3390/psych6010016
Aiza Amor Padre-e Abayon, Millicent Raymonds, Priya Brahmbhatt, Shelina Samnani, Fahad Hanna
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摘要

对非正式护理的需求已成为研究人员和政策制定者的一个重要课题。本综述探讨了在亚洲高收入和中低收入国家提供痴呆症护理的护理人员所受到的社会心理影响。我们按照乔安娜-布里格斯研究所(JBI)的协议进行了范围界定综述。对四个数据库(PubMed、ProQuest、Medline 和 Medline Complete)进行了系统检索。按照《系统综述和元分析首选报告项目》(PRISMA)指南对文章进行了筛选。最终分析选取了 14 篇文章(11 篇横断面研究、1 篇纵向研究、1 篇病例对照研究和 1 篇描述性现象学研究)。中低收入国家报告最多的研究结果是痴呆症照护者工作时间更长、经济状况不佳、身体健康状况不佳、生活满意度较低,这些因素共同影响着照护者的社会心理健康和生活质量。然而,在高收入的亚洲国家,尤其是那些正在努力确定与照顾痴呆症患者相关的负担并提供适当支持的国家,这种影响并不明显。本综述清楚地表明,照顾痴呆症患者可能会影响非正式照顾者的生活质量,尤其是在中低收入的亚洲国家。可能需要进行系统回顾和荟萃分析来证实这些研究结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Impact of Dementia on the Psychosocial Well-Being of Informal Caregivers in Asia: A Scoping Review Comparing High-Income and Low–Middle-Income Countries
The need for informal caregiving has become a crucial topic for researchers and policymakers. This review explores the psychosocial impact on caregivers providing dementia care in high-income and low–middle-income Asian countries. A scoping review was undertaken following the Joanna Briggs Institute (JBI) protocol. A systematic search of four databases (PubMed, ProQuest, Medline, and Medline Complete) was conducted. Articles were screened following the Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA) guidelines. Fourteen articles (11 cross-sectional, 1 longitudinal, 1 case-control, and 1 descriptive phenomenological study) were selected for the final analysis. The most frequently reported findings from low–middle-income countries were dementia caregivers working longer hours and experiencing financial issues, poor physical health, and lower life satisfaction, which progressively and collectively affected caregivers’ psychosocial well-being and quality of life. However, the impact was less significant in high-income Asian countries, particularly those where efforts are being made to identify the burdens associated with caring for people with dementia and providing appropriate support. This review demonstrates clear evidence that caring for people with dementia may affect informal caregivers’ quality of life, particularly in low–middle-income Asian countries. Systematic reviews and meta-analyses may be needed to confirm these findings.
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