University of Colorado, College of Nursing, 13120 E 19th Ave., Aurora, CO 80045, United States.
Columbia University, School of Nursing, 560 W 168th street, New York, NY 10032, United States.
Geriatr Nurs. 2021 Sep-Oct;42(5):1056-1069. doi: 10.1016/j.gerinurse.2021.06.018. Epub 2021 Jul 11.
This systematic review was conducted to analyze and capture the most recent trends in physical activity interventions for family caregivers of older adults with chronic disease as found in randomized clinical trials over the last 10 years (2010-2020). We used PubMed, CINAHL, Embase, PsycInfo, and the Cochrane Library. We synthesized participants' demographics, physical activity interventions and family caregivers' health outcomes. The Cochrane Collaboration Risk of Bias Tool was used to assess risk of bias of the included studies. Sixteen studies were included and most studies (n = 11) had a moderate risk of bias. Physical activity programs with mixed modes (e.g., aerobic and resistance exercise), mixed delivery methods (e.g., in-person and telephone) and mixed settings (e.g., supervised gym-based sessions and unsupervised home-based sessions) were used most frequently. Physical activity interventions significantly improved psychological health but had inconsistent effects on physical health. This review provides current trends and research findings that suggest types of physical activity interventions and components that improve family caregivers' health and wellness.
本系统评价分析和总结了过去 10 年(2010-2020 年)随机临床试验中针对患有慢性病的老年患者的家庭照护者的体力活动干预措施的最新趋势。我们使用了 PubMed、CINAHL、Embase、PsycInfo 和 Cochrane Library。我们综合了参与者的人口统计学特征、体力活动干预措施以及家庭照护者的健康结果。采用 Cochrane 协作风险偏倚工具评估纳入研究的风险偏倚。共纳入了 16 项研究,其中大多数研究(n=11)存在中度偏倚风险。最常使用的体力活动方案是混合模式(如有氧运动和抗阻运动)、混合实施方式(如面对面和电话)和混合场所(如监督健身房内课程和非监督家庭内课程)。体力活动干预措施显著改善了心理健康,但对身体健康的影响不一致。本综述提供了当前的趋势和研究结果,表明了改善家庭照护者健康和幸福感的体力活动干预措施和组成部分的类型。