Söylemez Burcu Akpınar, Özgül Ecem, Küçükgüçlü Özlem, Yener Görsev
Department of Internal Medicine Nursing, Faculty of Nursing, Dokuz Eylul University, Izmir, Turkey.
Department of Internal Medicine Nursing, Faculty of Health Sciences, Izmir University of Economics, İzmir, Turkey.
Geriatr Nurs. 2023 Jan-Feb;49:178-192. doi: 10.1016/j.gerinurse.2022.12.001. Epub 2022 Dec 22.
BACKGROUND: The effectiveness of telehealth applications for family caregivers of individuals with dementia remains unclear. The aim of this study is to investigate how telehealth-based interventions applied for family caregivers of individuals with dementia affect their self-efficacy levels, caregiving burden, stress, depression, and quality of life. MATERIALS AND METHODS: This was a systematic review. Screening took place between April 30 and May 5, 2022, for the scope of the past 10 years (January 2012/May 2022). The related studies were screened over ten (10) databases and search engines both in English and Turkish, including CINAHL, Cochrane Library, MEDLINE, PsycINFO, PubMed and Web of Science, ULAKBIM, Turkish Medline, Türkiye Klinikleri, and YOK National Thesis Center. Keywords included in various medical topic titles identified upon consultation with literature review experts from a library. Methodological quality of the studies was evaluated using Critical Appraisal Checklists developed by the Joanna Briggs Institute for experimental and quasi-experimental studies. The data were synthesized by meta-analysis. RESULTS: Two hundred and twelve (212) records were accessed in the databases. Of that, 12 studies (covering 1,013 caregivers) were selected for the meta-analysis. Statistically, the self-efficacy mean score was significantly higher in the intervention group than the control group after the intervention (SMD: 1.08, Z= 3.12, p= 0.002). The effectiveness of telehealth-based applications for caregivers' caregiving burden, stress, depression and quality of life -- except for self-efficacy - was evaluated. The results of the intervention and control groups were similar after the intervention (SMD: -0.17, Z= 0.82, p= 0.41; MD: -0.60, Z= 0.49, p= 0.63, SMD: -0.04, Z= 0.13, p= 0.98; SMD: 0.15, Z= 0.47, p= 0.64, respectively). CONCLUSIONS: This systematic review and meta-analysis showed that telehealth applications were effective in elevating the self-efficacy levels of caregivers of individuals with dementia. However, no statistically significant difference was observed in terms of caregiving burden, stress, depression, or quality of life for caregivers.
背景：远程医疗应用于痴呆症患者家庭照护者的有效性尚不清楚。本研究旨在调查基于远程医疗的干预措施对痴呆症患者家庭照护者的自我效能水平、照护负担、压力、抑郁和生活质量有何影响。 材料与方法：这是一项系统评价。于2022年4月30日至5月5日期间，针对过去10年（2012年1月/2022年5月）的范围进行筛选。通过十个英文和土耳其文数据库及搜索引擎筛选相关研究，包括护理学与健康领域数据库、考科蓝图书馆、医学索引数据库、心理学文摘数据库、医学期刊数据库及科学网、土耳其国家信息中心数据库、土耳其医学索引数据库、土耳其临床数据库和土耳其国家论文中心。通过与图书馆文献综述专家协商确定的各种医学主题标题中包含的关键词。使用乔安娜·布里格斯研究所编制的批判性评价清单对研究的方法学质量进行评估，以用于实验性和准实验性研究。数据通过荟萃分析进行综合。 结果：数据库中检索到212条记录。其中，12项研究（涵盖1013名照护者）被选入荟萃分析。从统计学角度来看，干预后干预组的自我效能平均得分显著高于对照组（标准化均数差：1.08，Z = 3.12，p = 0.002）。除自我效能外，还评估了基于远程医疗的应用对照护者的照护负担、压力、抑郁和生活质量的有效性。干预后干预组和对照组的结果相似（标准化均数差：-0.17，Z = 0.82，p = 0.41；均数差：-0.60，Z = 0.49，p = 0.63；标准化均数差：-0.04，Z = 0.13，p = 0.98；标准化均数差：0.15，Z = 0.47，p = 0.64）。 结论：这项系统评价和荟萃分析表明，远程医疗应用能有效提高痴呆症患者照护者的自我效能水平。然而，在照护者的照护负担、压力、抑郁或生活质量方面未观察到统计学上的显著差异。
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