照顾者能力:发育性残疾儿童的保健干预措施。

IF 1.3 Q4 HEALTH CARE SCIENCES & SERVICES
African Journal of Disability Pub Date : 2025-06-26 eCollection Date: 2025-01-01 DOI:10.4102/ajod.v14i0.1563
Lumka Magidigidi-Mathiso, Jose Frantz, Gerard C Filies
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引用次数: 0

摘要

背景:发育障碍(Developmental disability, dd)是指影响儿童能力、影响儿童发展和需要特殊护理的缺陷。许多护理人员在照顾这些儿童时面临挑战,缺乏获得支持性卫生保健干预措施的机会。解决这一问题符合联合国确保残疾儿童及其照顾者获得优质服务的目标。目的:本研究旨在系统地回顾和综合医疗干预措施的证据,提高照顾者的能力,为患有障碍的儿童,确定干预类型,组成部分和有效性。方法:系统回顾分析了2014年至2024年同行评审的英语研究,重点关注dd儿童照顾者的干预措施。本综述调查了旨在提高不同文化背景下照顾者能力的卫生保健干预措施,并检查了国际研究,以了解支持残疾儿童照顾者的策略。结果:我们发现通过五种干预措施显著改善了护理人员的幸福感。父母教育可以减轻压力,提高教养水平。同伴支持减少了孤独感,而咨询则增强了家庭功能。特定条件的干预增加了少数群体的干预依从性。综合干预措施显示出强烈的积极效果,特别是在量身定制的情况下。综合规划大大提高了照护者的生活质量。需要对服务不足的社区和文化适应性干预措施进行进一步研究。结论:我们的综述显示了父母潜在的积极影响,但证据有限。小样本保证了未来使用更大规模的研究,强调严格的方法、文化适应和多样化的社区代表。贡献:我们的综述确定了有希望的干预类型,并强调了进一步研究以优化护理人员支持和促进获得优质服务的必要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Caregiver capabilities: Healthcare interventions for children with developmental disabilities.

Background: Developmental disabilities (DDs) involve impairments affecting children's abilities, impacting development and necessitating specialised care. Many caregivers face challenges caring for these children, lacking access to supportive healthcare interventions. Addressing this issue aligns with United Nations (UN) goals for ensuring access to quality services for children with disabilities and their caregivers.

Objectives: This study aimed to systematically review and synthesise evidence on healthcare interventions enhancing caregiver capabilities for children with DDs, identifying intervention types, components and effectiveness.

Method: Our systematic review analysed peer-reviewed English-language studies from 2014 to 2024, focusing on interventions for caregivers of children with DDs. The review investigated healthcare interventions designed to enhance caregiver capabilities across diverse cultural contexts, examining international research to understand strategies supporting caregivers of children with DDs.

Results: We found significant improvements in caregiver well-being through five interventions. Parent education reduces stress and improves parenting. Peer support decreased isolation while counselling enhanced family functioning. Condition-specific interventions increased intervention adherence among minorities. Combined interventions showed strong positive effects, especially when tailored. Comprehensive programmes greatly improved caregiver quality of life. Further research is needed for underserved communities and culturally adaptive interventions.

Conclusion: Our review indicates potential positive parental impacts with limited evidence. Small samples warrant future research using larger studies, emphasising rigorous methods, cultural adaptation and diverse community representation.

Contribution: Our review identifies promising intervention types and highlights the need for further research to optimise caregiver support and promote access to quality services.

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来源期刊
African Journal of Disability
African Journal of Disability HEALTH CARE SCIENCES & SERVICES-
CiteScore
2.10
自引率
5.90%
发文量
50
审稿时长
20 weeks
期刊介绍: The African Journal of Disability, the official journal of CRS, AfriNEAD and CEDRES, introduce and discuss issues and experiences relating to and supporting the act of better understanding the interfaces between disability, poverty and practices of exclusion and marginalisation. Its articles yield new insight into established human development practices, evaluate new educational techniques and disability research, examine current cultural and social discrimination, and bring serious critical analysis to bear on problems shared across the African continent. Emphasis is on all aspects of disability particularity in the developing African context. This includes, amongst others: -disability studies as an emerging field of public health enquiry -rehabilitation, including vocational and community-based rehabilitation -community development and medical issues related to disability and poverty -disability-related stigma and discrimination -inclusive education -legal, policy, human rights and advocacy issues related to disability -the role of arts and media in relation to disability -disability as part of global Sustainable Development Goals transformation agendas -disability and postcolonial issues -globalisation and cultural change in relation to disability -environmental and climate-related issues linked to disability -disability, diversity and intersections of identity -disability and the promotion of human development.
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