痴呆症患者家庭护理中的韧性:系统评价。

Resilience in family caregiving for people with dementia: A systematic review.

机构信息

School of Nursing, Midwifery and Health Systems, University College Dublin, Dublin, Ireland.

Care Alliance Ireland, Coleraine House, Dublin, Ireland.

出版信息

Int J Geriatr Psychiatry. 2018 Dec;33(12):1582-1595. doi: 10.1002/gps.4972. Epub 2018 Sep 19.

Abstract

OBJECTIVE

The objective of this review is to critically examine, evaluate, and synthesize the literature on resilience in family caregiving for people with dementia.

METHODS

A systematic literature review was conducted according to PRISMA guidelines to identify articles which examined resilience and related concepts in family caregiving for people with dementia. The review was based on a systematic search of scholarly databases, to yield peer-reviewed articles and grey literature, published between 2006 and 2016. Two independent reviewers prescreened the search results and conducted formal assessments and quality appraisals of the retrieved articles.

RESULTS

A total of 13 863 articles were identified by the systematic search, and 52 articles were included in the review. Based on a critical narrative synthesis of the literature, the study proposes a model of resilience for family carers of people with dementia, which incorporates the context of caring, social and cultural characteristics, and psychological dimensions of caring.

CONCLUSIONS

The results indicate that there is no single approach to enhancing resilience among family carers of people with dementia. Resilience is a multifaceted response to the caregiving role, and is influenced by a multitude of interrelated factors. However, the factors and resources outlined have been addressed, with limited success in some cases, by psychosocial interventions in the field. While the work conducted to date to develop resilience-enhancing interventions has been marked with some success, the next wave of carer research could usefully examine ecological perspectives on carer outcomes, including carer resilience.

摘要

目的

本综述的目的是批判性地检查、评估和综合关于痴呆症患者家庭护理中韧性的文献。

方法

根据 PRISMA 指南进行了系统的文献回顾,以确定研究韧性和痴呆症患者家庭护理相关概念的文章。该综述基于对学术数据库的系统搜索,以获得 2006 年至 2016 年间发表的同行评议文章和灰色文献。两名独立的审查员对搜索结果进行了预筛选,并对检索到的文章进行了正式评估和质量评估。

结果

系统搜索共确定了 13863 篇文章,其中 52 篇文章被纳入综述。基于对文献的批判性叙述性综合,该研究提出了一个痴呆症患者家庭照顾者韧性模型,该模型包含了照顾的背景、社会和文化特征以及照顾的心理维度。

结论

结果表明,没有一种单一的方法可以提高痴呆症患者家庭照顾者的韧性。韧性是对照顾角色的多方面反应,受到许多相互关联的因素的影响。然而,通过该领域的心理社会干预,已经解决了一些因素和资源,在某些情况下取得了有限的成功。虽然迄今为止为开发增强韧性的干预措施所做的工作取得了一些成功,但下一阶段的照顾者研究可以有用地研究照顾者结果的生态视角,包括照顾者的韧性。

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