正念干预对成年慢性病患者护理者的护理负担、生活质量和心理压力的影响:随机对照试验的系统回顾和荟萃分析。

IF 3.4 2区 医学 Q1 NURSING
Worldviews on Evidence-Based Nursing Pub Date : 2024-10-01 Epub Date: 2024-06-13 DOI:10.1111/wvn.12736
Gülyeter Erdoğan Yüce, Ayser Döner, Aylin Bilgin, Gamze Muz
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引用次数: 0

摘要

背景:需要长期治疗、护理和随访的慢性疾病会对照顾者的健康和福祉产生负面影响。基于正念的干预(MBIs)越来越多地被用作一种心理健康干预措施,以控制照顾者经历的心理问题并改善他们的生活质量。目的:本系统综述和荟萃分析旨在为全面评估和综合应用于慢性病成人照顾者的MBIs对负担、生活质量和心理困扰的影响提供证据:使用 PubMed、Web of Science、Scopus 和 EBSCO 对 2023 年 9 月之前发表的评估正念干预对成年慢性病患者护理人员影响的研究进行了检索。方法学质量采用修改后的 JADAD 量表进行评估,偏倚采用 Cochrane 随机试验偏倚风险工具进行评估。随机对照研究被纳入其中。计算了标准化平均差异和 95% 的置信区间。使用 I2 检验和 Q 统计量分析异质性。采用 Egger 回归检验评估发表偏倚:这项荟萃分析包括 12 项研究。汇总证据发现,MBIs 能显著改善慢性病成人护理者的压力、焦虑、抑郁和护理负担,但对生活质量、恢复力和正念没有显著影响。Egger测试显示,没有证据表明存在发表偏差:MBIs 可被视为一种有益的方法,可提高慢性病成人护理者的心理健康水平并减轻其护理负担。这些发现可能会指导临床医生对成年慢性病患者的照顾者进行正念干预。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The effect of mindfulness-based interventions on caregiver burden, quality of life and psychological distress in caregivers of adults with chronic diseases: Systematic review and meta-analysis of randomized controlled trials.

Background: Chronic diseases requiring long-term treatment, care, and follow-up can negatively affect the health and well-being of caregivers. Mindfulness-based interventions (MBIs) are increasingly used as a mental health intervention to control the psychological problems experienced by caregivers and improve their quality of life.

Aims: This systematic review and meta-analysis aimed to provide evidence for a holistic evaluation and synthesis of the effects of MBIs applied to caregivers of adults with chronic disease on the burden, quality of life, and psychological distress.

Methods: Studies evaluating the effects of mindfulness-based interventions on caregivers of adults with chronic diseases and published through September 2023 were searched using PubMed, Web of Science, Scopus, and EBSCO. Methodological quality was assessed with the modified JADAD scale, and bias was assessed with the Cochrane risk-of-bias tool for randomized trials. Randomized controlled studies were included. The standardized mean difference with a 95% confidence interval was calculated. Heterogeneity was analyzed using the I2 test and Q statistic. Publication bias was assessed with the Egger regression test.

Results: This meta-analysis included 12 studies. Pooled evidence found that MBIs resulted in significant improvements in stress, anxiety, depression, and caregiver burden in caregivers of adults with chronic illness but had no significant effects on quality of life, resilience, and mindfulness. The Egger's test showed no evidence of publication bias.

Linking evidence to action: MBIs can be considered as a helpful method to increase psychological well-being and reduce caregiver burden in caregivers of adults with chronic diseases. These findings may direct clinicians to conduct mindfulness-based interventions for caregivers of adults with chronic diseases.

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来源期刊
CiteScore
6.10
自引率
11.60%
发文量
72
审稿时长
>12 weeks
期刊介绍: The leading nursing society that has brought you the Journal of Nursing Scholarship is pleased to bring you Worldviews on Evidence-Based Nursing. Now publishing 6 issues per year, this peer-reviewed journal and top information resource from The Honor Society of Nursing, Sigma Theta Tau International, uniquely bridges knowledge and application, taking a global approach in its presentation of research, policy and practice, education and management, and its link to action in real world settings. Worldviews on Evidence-Based Nursing is written especially for: Clinicians Researchers Nurse leaders Managers Administrators Educators Policymakers Worldviews on Evidence­-Based Nursing is a primary source of information for using evidence-based nursing practice to improve patient care by featuring: Knowledge synthesis articles with best practice applications and recommendations for linking evidence to action in real world practice, administra-tive, education and policy settings Original articles and features that present large-scale studies, which challenge and develop the knowledge base about evidence-based practice in nursing and healthcare Special features and columns with information geared to readers’ diverse roles: clinical practice, education, research, policy and administration/leadership Commentaries about current evidence-based practice issues and developments A forum that encourages readers to engage in an ongoing dialogue on critical issues and questions in evidence-based nursing Reviews of the latest publications and resources on evidence-based nursing and healthcare News about professional organizations, conferences and other activities around the world related to evidence-based nursing Links to other global evidence-based nursing resources and organizations.
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