da Silva Jaine Kareny, Dos Anjos Karla Ferraz, Santos Vanessa Cruz, Boery Rita Narriman Silva de Oliveira, Rosa Darci de Oliveira Santa, Boery Eduardo Nagib
Universidade Estadual do Sudoeste da Bahia, Programa de Pós-Graduação em Enfermagem e Saúde, Jequié (BA), Brasil.
Universidade Federal da Bahia (UFBA), Programa de Pós-Graduação em Enfermagem, Salvador (BA), Brasil.
Rev Panam Salud Publica. 2018 Sep 10;42:e114. doi: 10.26633/RPSP.2018.114. eCollection 2018.
To synthesize and critically review the literature on interventions aimed at decreasing the burden of stroke survivor caregivers and other associated factors.
The literature search for the present systematic review was performed in PubMed, SciELO, Coordination for the Improvement of Higher Education Personnel (CAPES) website, and the Virtual Health Library using the following search terms: Stroke AND Caregivers AND Intervention; and Stroke AND Caregivers AND clinical trial. Eight randomized controlled clinical trials (RCT) published between 2008 and 2017 were selected.
The selected studies were performed in Sweden, Taiwan, Germany, China, India, and the United States. Psychoeducational, support, and skill acquisition interventions produced positive results for caregivers - in the psychological, physical, and social domains, in the quality of the care provided, and in the acquisition of knowledge by caregivers - and for stroke survivors - for example, decreased use of health care services and improved capacity for self-care. The critical evaluation of the studies showed that none met all the methodological requirements for RCTs. The main limitations were missing data and the heterogeneity of interventions.
The interventions had positive results for caregivers and survivors. However, future studies should consider long term assessments of the outcomes, with detailed description of the baseline needs that guided the study and the sharing of the support materials used to allow the intervention to be reproduced.
综合并批判性地回顾旨在减轻中风幸存者照料者负担及其他相关因素的干预措施的文献。
在PubMed、SciELO、高等教育人员改进协调机构（CAPES）网站以及虚拟健康图书馆中进行文献检索，使用以下检索词：中风、照料者与干预；以及中风、照料者与临床试验。选取了2008年至2017年间发表的8项随机对照临床试验（RCT）。
所选研究在瑞典、台湾、德国、中国、印度和美国开展。心理教育、支持和技能获取干预措施在心理、身体和社会领域、所提供护理的质量以及照料者的知识获取方面，对照料者产生了积极效果；对中风幸存者也产生了积极效果，例如减少了医疗服务的使用并提高了自我护理能力。对这些研究的批判性评估表明，没有一项研究符合RCT的所有方法学要求。主要局限性在于数据缺失和干预措施的异质性。
这些干预措施对照料者和幸存者产生了积极效果。然而，未来的研究应考虑对结果进行长期评估，详细描述指导研究的基线需求，并分享所使用的支持材料以便能够重复该干预措施。
