Vidal-Thomàs M C, Alorda-Terrasa C, Adrover-Barceló R M, Ripoll-Amengual J, Taltavull-Aparicio J M, de Ormijana-Hernández A Sáenz
Gabinete Técnico de la Gerencia de Atención Primaria de Mallorca, Servicio de Salud Illes Barlears, Palma de Mallorca, España.
Enferm Clin. 2009 Mar-Apr;19(2):83-9. doi: 10.1016/j.enfcli.2008.10.014. Epub 2009 Mar 13.
To perform a structured review of the literature from 2000 to 2007 on the needs of the caregivers of stroke survivors in the postacute phase of the illness process at home.
Searches were conducted in the CINAHL, MEDLINE, EMBASE, PSYCHINFO, Cochrane Library Plus, CDSR (coch), DARE, CCTR, ACP Journal Club (ACP), IBECS, LILACS and IME databases using the terms "stroke", "caregiver" and "needs (assessment)".
We selected 270 abstracts for review. Of these, only 53 met the inclusion criteria and just 12 achieved preestablished quality standards. Despite wide variability among the selected studies, the literature reviewed revealed that the two most prevalent needs for the caregivers of stroke survivors were information and support in the development of caregiving skills. Care for the caregiver herself, as well as the development and provision of support services, were defined as the two main areas where these participants seem to need support while adapting to and performing this newly adopted role.
The studies reviewed show an increasing demand for support and care for stroke survivors' caregivers. Because of the highly diverse contexts of these studies, the lack of an explicit definition on the concept of "need", and the wide heterogeneity in caregivers' situations, summarizing the results of these studies is difficult. New studies are required in our context that take these limitations into account and try to overcome them.
对2000年至2007年关于卒中幸存者家庭康复期照料者需求的文献进行结构化综述。
使用“卒中”“照料者”和“需求（评估）”等术语在CINAHL、MEDLINE、EMBASE、PSYCHINFO、Cochrane Library Plus、CDSR（coch）、DARE、CCTR、ACP Journal Club（ACP）、IBECS、LILACS和IME数据库中进行检索。
我们选择了270篇摘要进行综述。其中，只有53篇符合纳入标准，仅有12篇达到既定的质量标准。尽管所选研究差异很大，但综述的文献表明，卒中幸存者照料者最普遍的两项需求是信息以及照料技能培养方面的支持。照料者自身的护理以及支持服务的开发与提供，被确定为这些参与者在适应并履行这一新角色时似乎需要支持的两个主要领域。
所综述的研究表明，对卒中幸存者照料者的支持和护理需求日益增加。由于这些研究的背景高度多样，对“需求”概念缺乏明确界定，且照料者情况存在广泛异质性，总结这些研究的结果很困难。在我们的环境中需要开展新的研究，考虑到这些局限性并努力克服它们。
