Corry Margarita, While Alison, Neenan Kathleen, Smith Valerie
Trinity College Dublin, School of Nursing, Ireland.
J Adv Nurs. 2015 Apr;71(4):718-34. doi: 10.1111/jan.12523. Epub 2014 Sep 16.
To evaluate the effectiveness of interventions to support caregivers of people with selected chronic conditions.
Informal caregivers provide millions of care hours each week contributing to significant healthcare savings. Despite much research evaluating a range of interventions for caregivers, their impact remains unclear.
A systematic review of systematic reviews of interventions to support caregivers of people with selected chronic conditions.
The electronic databases of PubMed, CINAHL, British Nursing Index, PsycINFO, Social Science Index (January 1990-May 2014) and The Cochrane Library (Issue 6, June 2014), were searched using Medical Subject Heading and index term combinations of the keywords caregiver, systematic review, intervention and named chronic conditions.
Papers were included if they reported a systematic review of interventions for caregivers of people with chronic conditions. The methodological quality of the included reviews was independently assessed by two reviewers using R-AMSTAR. Data were independently extracted by two reviewers using a pre-designed data extraction form. Narrative synthesis of review findings was used to present the results.
Eight systematic reviews were included. There was evidence that education and support programme interventions improved caregiver quality of life. Information-giving interventions improved caregiver knowledge for stroke caregivers.
Education, support and information-giving interventions warrant further investigation across caregiver groups. A large-scale funded programme for caregiver research is required to ensure that studies are of high quality to inform service development across settings.
评估支持特定慢性病患者照料者的干预措施的有效性。
非正式照料者每周提供数百万小时的照料服务，为显著节省医疗保健费用做出了贡献。尽管有大量研究评估了针对照料者的一系列干预措施，但其影响仍不明确。
对支持特定慢性病患者照料者的干预措施的系统评价进行的系统综述。
使用医学主题词和关键词照料者、系统评价、干预措施及特定慢性病的索引词组合，检索了PubMed、CINAHL、英国护理索引、PsycINFO、社会科学索引（1990年1月至2014年5月）以及考克兰图书馆（2014年6月第6期）的电子数据库。
如果论文报告了对慢性病患者照料者干预措施的系统评价，则将其纳入。两名评审员使用R-AMSTAR独立评估纳入综述的方法学质量。两名评审员使用预先设计的数据提取表独立提取数据。采用综述结果的叙述性综合来呈现结果。
纳入了八项系统评价。有证据表明，教育和支持项目干预措施改善了照料者的生活质量。信息提供干预措施提高了中风患者照料者的知识水平。
教育、支持和信息提供干预措施值得在不同照料者群体中进一步研究。需要一个大规模的资助照料者研究项目，以确保研究具有高质量，为不同环境下的服务发展提供信息。
