Health Ethics and Diversity Lab, University of British Columbia Okanagan, School of Nursing Asc, Kelowna, BC, Canada.
Palliative and End of Life Care, University of British Columbia Okanagan, School of Nursing Asc, Kelowna, BC, Canada.
Can J Aging. 2023 Sep;42(3):425-433. doi: 10.1017/S0714980823000016. Epub 2023 Feb 17.
This rapid review of systematic reviews examines non-professional interventions that have been implemented to support family caregivers of older adults with dementia who are living in the community. There is a robust body of empirical literature examining such interventions for family caregivers; therefore, this rapid review includes only systematic reviews. MEDLINE, CINAHL, and EMBASE databases were searched from September 2020 to December 2020, and 19 systematic reviews were selected for a full review. Psychosocial, psychoeducational, social support, and multicomponent interventions consistently show positive impacts on a variety of outcomes. The evidence suggests that multicomponent interventions that are tailored to the needs of individual caregivers are the most impactful interventions and should be utilized in future program development. The most effective combination of interventions is unknown and warrants further investigation. However, the repeated success of psychoeducational, psychosocial, and social support interventions suggests that when used together, they may be a successful combination that contributes to positive impacts on caregivers. This multicomponent intervention should be flexible, as interventions are most effective when they are tailored to the individual needs of caregivers and adapted over time as the needs of the caregiver and person living with dementia change with disease progression.
本快速系统评价审查了旨在为居住在社区中的老年痴呆症患者的家庭照顾者提供支持的非专业干预措施。针对家庭照顾者的此类干预措施已经有大量的实证文献，因此，本快速评价仅纳入了系统评价。从 2020 年 9 月至 2020 年 12 月，我们检索了 MEDLINE、CINAHL 和 EMBASE 数据库，选择了 19 项系统评价进行全面审查。心理社会、心理教育、社会支持和多组分干预措施一致显示对各种结局有积极影响。证据表明，针对个别照顾者需求进行定制的多组分干预措施是最有影响力的干预措施，应在未来的方案制定中加以利用。最有效的干预措施组合尚不清楚，需要进一步研究。然而，心理教育、心理社会和社会支持干预措施的反复成功表明，当它们一起使用时，它们可能是一种成功的组合，有助于对照顾者产生积极影响。这种多组分干预措施应该具有灵活性，因为当干预措施针对照顾者的个体需求进行定制并随着时间的推移适应照顾者和痴呆症患者的需求随着疾病的进展而变化时，干预措施最有效。
