School of Rehabilitation Sciences-Speech-Language Pathology, McMaster University, Hamilton, ON, Canada.
Speech-Language Pathology, McMaster University, Hamilton, ON, Canada.
Int J Lang Commun Disord. 2023 Jul-Aug;58(4):1335-1356. doi: 10.1111/1460-6984.12856. Epub 2023 Jan 31.
BACKGROUND: Previous research has demonstrated that many caregivers of care recipients with communication and swallowing impairments suffer from caregiver burden. Existing research sheds light on the presence of burden and various predicting factors, but little information on interventions to reduce caregiver burden. AIMS: To determine how speech-language pathologists (SLPs) address caregiver burden in clinical practice. METHODS: A systematic review was conducted according to PRISMA guidelines and 1898 unique articles were assessed for eligibility from nine electronic databases. Only 11 studies carried out a caregiver burden intervention involving an SLP. Details of the interventions were extracted per the Rehabilitation Treatment Specification System (RTSS) guidelines. MAIN CONTRIBUTION: Results of the review revealed that SLP-led caregiver burden interventions can be effective in reducing burden. Multiple aspects of the intervention approaches, such as multidisciplinary care and targeting emotional burden, are discussed. Demographic factors, such as gender and socio-economic status (SES), are also taken into consideration. CONCLUSIONS & IMPLICATIONS: This review suggests that SLPs can be effective at reducing caregiver burden through interventions involving caregivers across the lifespan and continuum of care. WHAT THIS PAPER ADDS: What is already known on this subject Previous research has demonstrated that many caregivers of care recipients with communication and swallowing impairments suffer from caregiver burden. These caregivers range from parents of young children to spouses of individuals with dementia. However, it is unclear if and how SLPs address caregiver burden in clinical practice. What this paper adds to existing knowledge Using the RTSS, details of various caregiver burden interventions involving SLPs were identified. This review revealed that SLP-led caregiver burden interventions can be effective in reducing emotional and financial burden, as well as play a part in improving care-recipient outcomes. What are the potential or actual clinical implications of this work? This systematic review demonstrates that efforts to reduce caregiver burden within SLP practice may yield benefits for both caregivers and care recipients. It provides clinicians with a preliminary resource to help consider caregiver burden interventions that best suit the needs of the caregivers and their care recipients.
背景:先前的研究表明,许多照顾有沟通和吞咽障碍的患者的照顾者都承受着照顾者负担。现有研究揭示了负担的存在以及各种预测因素,但关于减轻照顾者负担的干预措施的信息却很少。
目的:确定言语语言病理学家(SLP)在临床实践中如何解决照顾者负担问题。
方法:根据 PRISMA 指南进行了系统综述,从九个电子数据库中评估了 1898 篇独特文章的资格。只有 11 项研究进行了涉及 SLP 的照顾者负担干预,根据康复治疗规范系统(RTSS)指南提取干预措施的详细信息。
主要贡献:综述结果表明,SLP 主导的照顾者负担干预可以有效减轻负担。讨论了干预方法的多个方面,例如多学科护理和针对情绪负担,同时还考虑了人口统计学因素,如性别和社会经济地位(SES)。
结论和意义:这项综述表明,SLP 通过涉及整个生命周期和护理连续体的照顾者的干预措施,可以有效减轻照顾者负担。
这篇综述增加了什么内容:
关于这个主题,目前已知的内容:先前的研究表明,许多照顾有沟通和吞咽障碍的患者的照顾者都承受着照顾者负担。这些照顾者的范围从幼儿的父母到痴呆症患者的配偶。然而,尚不清楚 SLP 是否以及如何在临床实践中解决照顾者负担问题。
这篇综述增加了哪些新的知识:使用 RTSS,确定了涉及 SLP 的各种照顾者负担干预措施的详细信息。本综述表明,SLP 主导的照顾者负担干预可以有效减轻情绪和经济负担,并在改善患者结果方面发挥作用。
这些工作的潜在或实际临床意义是什么?这项系统综述表明,在 SLP 实践中减轻照顾者负担的努力可能对照顾者和患者都有益。它为临床医生提供了一个初步资源,以帮助考虑最适合照顾者及其患者需求的照顾者负担干预措施。
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