Vandepitte Sophie, Van Den Noortgate Nele, Putman Koen, Verhaeghe Sofie, Verdonck Caroline, Annemans Lieven
Department of Public Health, Ghent University, Ghent, Belgium.
Department of Internal Medicine, Ghent University, Ghent, Belgium.
Int J Geriatr Psychiatry. 2016 Dec;31(12):1277-1288. doi: 10.1002/gps.4504. Epub 2016 Jun 1.
Supporting informal caregivers of persons with dementia is considered to be an effective strategy for improving the well-being of caregivers and care recipients and for delaying nursing home placement. Although considerable research has been conducted to investigate the effectiveness of psychoeducational interventions, cognitive behavioral therapy, and occupational therapy, research into the effectiveness of respite care is rare. This systematic review aims to investigate the effectiveness of different types of respite care in supporting informal caregivers of persons with dementia.
A systematic literature search was conducted using Web of Science and PubMed, and the Quality Assessment Tool for Quantitative Studies was used to assess the methodological quality. Randomized controlled trials, quasi-experimental studies, pretest-posttest studies without a control group, and cohort studies were included.
Seventeen papers met the inclusion criteria. Day care services are effective in decreasing caregiver burden and behavioral problems in persons with dementia, but they also accelerate time to nursing home admission. The results of temporary residential admission are rather mixed and show unexpected adverse effects on both caregivers and care recipients. High-quality comparable evidence on community-based respite care is still lacking, although earlier qualitative evidence indicated promising results.
Unlike in previous reviews, we were able to draw some conclusions about the effectiveness of some types of respite care. There is nonetheless still a need for new intervention studies measuring the impact of respite care, especially in-home respite care programs, on the caregiver, the care recipient, and health care resource utilization. Copyright © 2016 John Wiley & Sons, Ltd.
支持痴呆症患者的非正式照护者被认为是改善照护者和受照护者福祉以及延迟养老院安置的有效策略。尽管已经进行了大量研究来调查心理教育干预、认知行为疗法和职业疗法的有效性，但对喘息服务有效性的研究却很少。本系统评价旨在调查不同类型的喘息服务在支持痴呆症患者非正式照护者方面的有效性。
使用科学网和PubMed进行系统的文献检索，并使用定量研究质量评估工具评估方法学质量。纳入随机对照试验、准实验研究、无对照组的前后测试研究和队列研究。
17篇论文符合纳入标准。日托服务在减轻照护者负担和痴呆症患者行为问题方面有效，但也会加快入住养老院的时间。临时住院的结果好坏参半，对照护者和受照护者都显示出意外的不良影响。尽管早期的定性证据表明有 promising 的结果，但仍缺乏关于社区喘息服务的高质量可比证据。
与以往的综述不同，我们能够就某些类型的喘息服务的有效性得出一些结论。然而，仍然需要新的干预研究来衡量喘息服务，特别是居家喘息服务计划，对照护者、受照护者和医疗资源利用的影响。版权所有©2016约翰威立父子有限公司。
