Department of Physical Therapy, Western Michigan University, Kalamazoo, MI, USA.
Department of Physical Therapy & Human Movement Sciences, Northwestern University, Chicago, IL, USA.
Disabil Rehabil. 2022 Sep;44(18):5082-5089. doi: 10.1080/09638288.2021.1923073. Epub 2021 Jun 24.
To complete a systematic review to identify evidence of the effectiveness of informal caregiver training with functional mobility tasks for patients with neurological diagnoses routinely completed by physical therapists (PTs).
Databases searched: PubMed, PEDro, CINAHL, Web of Science, Proquest Health and Medical, and Scopus. Authors included studies with adult patients requiring assistance with functional mobility due to a neurological diagnosis, with the care provided by informal caregivers. Authors excluded studies with paid caregivers, or patient diagnoses of human immunodeficiency virus, dementia, or cancer. Data extracted included type of study, methodological quality review (using Downs and Black scale), number of subjects, outcome measures, interventions, and main results.
Of 2372 total articles screened, 36 full-text articles were analyzed, with seven articles identified for inclusion in the review. All studies showed variability in number of subjects, methods, interventions, outcome measures, and results. Four of the studies showed positive results from the training of informal caregivers.
While there is initial evidence that training informal caregivers in physical mobility tasks may help to lessen caregiver burden, further investigation is warranted. The topics typically addressed by PTs with informal caregiver training, such as transfers and ambulation, have not been extensively studied in the literature.Implications for rehabilitationPhysical therapists routinely complete training for caregivers on functional mobility tasks, with some initial evidence of the effectiveness of this training.Training for informal caregivers assisting individuals with neurological conditions has the potential to reduce injuries and decrease caregiver burden.Rehabilitation professionals should implement effective training methods for caregivers, resulting in a safer home environment for individuals with neurological diagnoses.
系统综述旨在确定对接受物理治疗师常规治疗的神经诊断患者进行非专业护理人员功能性移动任务培训的有效性证据。
检索数据库：PubMed、PEDro、CINAHL、Web of Science、Proquest Health and Medical 和 Scopus。作者纳入了研究对象为因神经诊断而需要他人协助功能性移动的成年患者，且护理由非专业护理人员提供的研究。作者排除了研究对象为有报酬的护理人员或患有人类免疫缺陷病毒、痴呆或癌症的患者的研究。提取的数据包括研究类型、方法学质量评价（使用 Downs 和 Black 量表）、研究对象数量、结局指标、干预措施和主要结果。
在筛查的 2372 篇文章中，有 36 篇全文文章进行了分析，其中 7 篇文章被确定纳入综述。所有研究在研究对象数量、方法、干预措施、结局指标和结果方面均存在差异。其中 4 项研究显示非专业护理人员培训的积极结果。
虽然有初步证据表明，对非专业护理人员进行身体移动任务培训可能有助于减轻护理人员的负担，但仍需要进一步的研究。PT 对非专业护理人员进行的关于转移和行走等功能性移动任务的培训在文献中尚未得到广泛研究。
物理治疗师通常对护理人员进行功能性移动任务的培训，并且有一些关于该培训效果的初步证据。对协助神经疾病患者的非专业护理人员进行培训，有潜力减少伤害和减轻护理人员的负担。康复专业人员应为护理人员实施有效的培训方法，从而为神经诊断患者营造更安全的家庭环境。
