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Interventions to Enhance Resilience Among Family Caregivers: A Systematic Review

机译:加强家庭护理人员恢复能力的干预措施:系统审查

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Abstract Long-term caregiving can negatively impact caregivers’ physical and psychological well-being and are associated with increased morbidity and mortality among caregivers. A more positive caregiving experience is associated with increased coping skills and resilience. Caregiver-targeted interventions designed to promote caregivers’ resilience may lead to improved caregivers’ well-being, the quality of caregiving, and care recipients’ outcome. However, a comprehensive evaluation of effective interventions that enhance resilience among caregivers is lacking. Therefore, the purpose of this study is to critically evaluate existing training programs to inform clinical practice and future program design. A literature review was conducted to search available articles published before June 2018 in databases including PubMed, CINAHL, PsycINFO, and Scopus. Search strategies used index and keyword methods. The inclusion criteria were peer-reviewed, research studies published in English that evaluated an intervention primarily aimed to improve family caregivers of adult patients’ resilience or had a primary outcome of resilience. Seven studies fit the criteria identified. Six studies used psychosocial therapy and one used pharmacological therapy to promote caregivers’ resilience. Several effective resources were identified, such as counseling, self-help manuals, psychoeducation, cognitive behavioral therapies, and the use of an antidepressant. All studies reported positive improvements in caregivers’ outcomes and six studies reported caregivers had improved resilience after receiving interventions. However, most interventions require health professionals to train patients and caregivers for multiple sessions. Future studies should develop feasible, effective, and less labor-intensive interventions, such as self-help manuals, telehealth interventions, or interventions delivered during routine visits.
机译:抽象的长期护理可以产生负面影响护理人员的身心健康,并且与护理人员之间的发病率和死亡率增加有关。更积极的护理经验与增加的应对技能和恢复力有关。旨在推动护理护理人员的护理人员目标的干预措施可能导致护理人员的福祉,护理品质和护理受助者的结果。然而,缺乏综合评价,以加强护理人员在护理人员之间的抵御能力的综合评价。因此,本研究的目的是批判性评估现有的培训计划,以通知临床实践和未来的计划设计。在2018年6月之前的数据库中进行了一个文献综述,在2018年6月之前发布的文章,包括PubMed,Cinahl,Psycinfo和Scopus。搜索策略使用索引和关键字方法。纳入标准是对同行评审的,研究研究以英语发表,评估了一个主要旨在改善成人患者的恢复力的家庭护理人员的干预或具有恢复力的主要结果。七项研究适合确定的标准。六项研究使用了心理社会治疗和一种二手药理治疗,促进护理人员的恢复力。确定了几种有效资源,例如咨询,自助手册,心理教育,认知行为疗法以及使用抗抑郁药。所有研究报告了护理人员结果的积极改善,六项研究报告的护理人员在收到干预后提高了韧性。但是,大多数干预措施要求卫生专业人员培训多次会议的患者和护理人员。未来的研究应制定可行,有效,劳动密集型干预措施,如自助手册,远程医疗干预或在日常访问期间提供的干预措施。

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