Lee JuHee, Soeken Karen, Picot Sandra J
University of Maryland School of Nursing, 655 W. Lombard Street, Baltimore, MD, USA.
West J Nurs Res. 2007 Apr;29(3):344-56; discussion 357-364. doi: 10.1177/0193945906296564.
The purpose of this study is to examine the effectiveness of the interventions for improving mental health of caregivers of people with stroke by synthesizing individual studies. A meta-analysis was performed to summarize findings of intervention studies of caregivers of elderly stroke patients. Additionally, a sensitivity analysis and a publication bias were tested. The overall mean weighted effect size (MWES) for the four studies is 0.277 (Z = 3.432, p = .001) with a 95% CI .118 to .435 (N = 718) indicating that the intervention was effective in improving the mental health of informal stroke caregivers. The MWES for the education program was 0.354 (Z= 2.613, p < .01) and for the support program was .234 (Z = 2.335, p= .02). The MWES for the Europe study was .219 (Z= 2.613, p < .01) and for the United States was .922 (Z = 3.287, p = .001). The results show that overall interventions improved mental health of informal stroke caregivers. The small number of studies included in the meta-analysis limits the generalizability of results while supporting the need for more research in this area.
本研究的目的是通过综合个体研究来检验改善中风患者照料者心理健康的干预措施的有效性。进行了一项荟萃分析，以总结老年中风患者照料者干预研究的结果。此外，还进行了敏感性分析和发表偏倚检验。四项研究的总体平均加权效应量（MWES）为0.277（Z = 3.432，p = .001），95%置信区间为.118至.435（N = 718），表明该干预措施在改善中风非正式照料者的心理健康方面是有效的。教育项目的MWES为0.354（Z = 2.613，p < .01），支持项目的MWES为.234（Z = 2.335，p = .02）。欧洲研究的MWES为.219（Z = 2.613，p < .01），美国研究的MWES为.922（Z = 3.287，p = .001）。结果表明，总体干预措施改善了中风非正式照料者的心理健康。荟萃分析中纳入的研究数量较少，限制了结果的普遍性，同时也支持了在该领域开展更多研究的必要性。
