Baskent University, Faculty of Health Sciences, Ankara, Turkey.
Baskent University, Faculty of Health Sciences, Ankara, Turkey.
Arch Gerontol Geriatr. 2019 Jul-Aug;83:66-74. doi: 10.1016/j.archger.2019.02.006. Epub 2019 Mar 25.
The steady increase in the number of people suffering from chronic diseases and increasing life expectancy raises new demands on health care. At the same time, the need for informal caregivers is increasing. This study aims to perform a systematic review of the methodologies used to identify effect of different types of training on informal caregivers and their older persons.
MEDLINE (PubMed), CINAHL and Ovid were searched from December 2016 and April 2017. The following keywords were used; "informal caregiver", "training" "elderly", older persons". Identified publications were screened by using the following inclusion criteria; systematic reviews, randomized controlled trials, prospective cohort and multicentre studies, English language full text journals, samples or interventions that included caregivers of older persons and published in last 10 years.
Twenty four studies (12 randomised control trials, 8 intervention studies and 4 systematic reviews) were included. Most of the randomized controlled trials involved both caregivers and elderly. Pretests and post-tests were used in intervention studies (5 out of the 8 studies). ICT-based, psychosocial interventions on family caregivers' education program for caregivers were applied. Caregivers following a supportive educative learning had a significantly better quality of life.
The findings of this systematic review suggest that support interventions for caregivers can be effective in reducing caregivers' stress, with a consequent improvement of the quality of care. However, results are based on relatively small studies, reporting somewhat controversial findings supporting the need to perform further research in this field.
慢性病患者人数的稳步增加和预期寿命的延长对医疗保健提出了新的要求。与此同时，对非正式护理人员的需求也在增加。本研究旨在对不同类型培训对非正式护理人员及其老年人的影响进行系统评价。
2016 年 12 月至 2017 年 4 月，在 MEDLINE（PubMed）、CINAHL 和 Ovid 上进行了检索。使用了以下关键词：“非正式护理人员”、“培训”、“老年人”。使用以下纳入标准筛选已识别的出版物；系统评价、随机对照试验、前瞻性队列和多中心研究、英文全文期刊、包括老年人护理人员的样本或干预措施以及在过去 10 年中发表的文献。
共纳入 24 项研究（12 项随机对照试验、8 项干预研究和 4 项系统评价）。大多数随机对照试验都涉及护理人员和老年人。干预研究中使用了预测试和后测试（8 项研究中有 5 项）。针对家庭护理人员教育计划的护理人员开展了基于信息和通信技术的心理社会干预。接受支持性教育性学习的护理人员生活质量显著提高。
本系统评价的结果表明，支持护理人员的干预措施可以有效减轻护理人员的压力，从而提高护理质量。然而，这些结果是基于相对较小的研究，得出的结果存在一些争议，这表明需要在这一领域进行进一步的研究。
