Isac Chandrani, Lee Premila, Arulappan Judie
Lecturer, Adult Health & Critical Care, College of Nursing, Sultan Qaboos University, Muscat, Oman.
Professor, Medical Surgical Department, College of Nursing, Christian Medical College, Vellore, India.
Patient Educ Couns. 2021 Dec;104(12):2912-2921. doi: 10.1016/j.pec.2021.04.021. Epub 2021 Apr 29.
Upsurge in life expectancy, filial responsibility of caring, and healthcare advances have increased the older adult population in Asia. The last decade has witnessed nuclear families' proliferation in Asia, leaving family caregivers with more accountability and responsibility. This review explores the pattern of caregiver burden among caregivers of older adults with chronic illness in Asia.
PRISMA guidelines serves as the framework for this systematic review. Studies from selected databases assessed caregivers' physical state, psychological dysfunction, and or burden as an outcome measure. The Newcastle - Ottawa Quality Assessment Scale appraised the quality of the selected studies.
The review included 12 research articles. Caregivers consistently report mild to a moderate burden. Care recipient with functional dependency, comorbidities, memory, and sleep impairments, escalate caregiver burden. Caregiver variables intensifying burden were advancing age, male gender, spouse as a care recipient, longer care provision duration, and no assistance.
Optimal levels of emotional well-being, significant family/social support, and self-preparedness among caregivers are grounds for their empowerment.
A paradigm shift from 'caregiver burden' to 'caregiver resilience' is advocated. Routine screening, preventive measures (skill-building and psychosocial empowerment), and restorative services (respite care and problem-based home visiting) for caregivers are forecasted.
预期寿命的提高、照顾的孝顺责任以及医疗保健的进步使得亚洲老年人口增加。过去十年见证了亚洲核心家庭的激增，这使得家庭照顾者承担了更多的责任。本综述探讨了亚洲慢性病老年人照顾者的照顾负担模式。
PRISMA指南作为本系统综述的框架。从选定数据库中选取的研究将照顾者的身体状况、心理功能障碍和/或负担作为结果指标进行评估。纽卡斯尔-渥太华质量评估量表对所选研究的质量进行评估。
该综述纳入了12篇研究文章。照顾者一致报告有轻度至中度负担。受照顾者的功能依赖、合并症、记忆和睡眠障碍会加重照顾者的负担。加重负担的照顾者变量包括年龄增长、男性、配偶作为受照顾者、照顾时间延长以及无人协助。
照顾者的最佳情绪健康水平、重要的家庭/社会支持以及自我准备是增强其能力的基础。
提倡从“照顾者负担”向“照顾者复原力”的范式转变。预计将对照顾者进行常规筛查、采取预防措施（技能培养和心理社会赋权）以及提供恢复性服务（临时照顾和基于问题的家访）。
