Department of Health Psychology, Miguel Hernandez University of Elche, 03202 Elche, Spain.
Psychology Department, Pontifical University of Salamanca, 37002 Salamanca, Spain.
Int J Environ Res Public Health. 2021 Jul 21;18(15):7728. doi: 10.3390/ijerph18157728.
Along with the burden commonly experienced by informal caregivers (ICs) of people with dementia (PwD), associated with the progressive decline that accompanies dementia, the lockdown due to the public health crisis has had a great negative impact on the emotional wellbeing, physical health, and social relationships of ICs. Support interventions through telemedicine represent an opportunity for ICs to learn the skills required for the care and maintenance of social networks. In this work, a narrative review of the effects of e-health training and social support interventions was carried out. A literature search was conducted using the ProQuest, Ovid, and Scopus databases. Information regarding social support (SS), psychological interventions, and training for the management of medications and behavioral changes was extracted. One hundred and nine studies were included in this review. Forums and training platforms were the main tools for ICs. The most effective platforms to improve SS include the participation of both ICs and health professionals. However, no significant improvements in objective caring skills were identified. Platforms developed specifically for ICs should be based in tools that ICs are familiar with, because many ICs have not yet incorporated Information and Communication Technologies in many activities of their daily lives. Education in the digitalization to ICs of PwD should be one of the priority objectives in telehealth interventions.
与痴呆症患者(PwD)的非正规照护者(ICs)共同经历的负担,以及与痴呆症相伴的进行性下降,由于公共卫生危机而导致的封锁,对 ICs 的情绪健康、身体健康和社会关系产生了巨大的负面影响。通过远程医疗进行的支持干预为 ICs 提供了学习护理和维持社交网络所需技能的机会。在这项工作中,对电子健康培训和社会支持干预的效果进行了叙述性综述。使用 ProQuest、Ovid 和 Scopus 数据库进行了文献检索。提取了关于社会支持(SS)、心理干预和管理药物和行为变化培训的信息。本综述纳入了 109 项研究。论坛和培训平台是 ICs 的主要工具。提高 SS 最有效的平台包括 ICs 和卫生专业人员的共同参与。然而,没有发现客观护理技能有显著改善。专为 ICs 开发的平台应该基于 ICs 熟悉的工具,因为许多 ICs 在日常生活的许多活动中尚未将信息和通信技术融入其中。对 PwD 的 ICs 进行数字化教育应该是远程医疗干预的优先目标之一。