Dehbozorgi Raziye, Shahriari Mohsen, Fereidooni-Moghadam Malek, Moghimi-Sarani Ebrahim
School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
Nursing and Midwifery Care Research Center, Department of Adult Health Nursing, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
J Res Med Sci. 2023 Feb 21;28:6. doi: 10.4103/jrms.jrms_410_22. eCollection 2023.
Chronic mental illnesses (CMI) are long lasting and reoccurring and require continuous care as well as an integrated and collaborative approach to organize the care. This study sought to examine whether family centered collaborative care is an acceptable treatment option for individuals with CMI.
From the years 2000 to 2021, ten electronic databases relating to family centered collaborative care for mental illness were searched adopting Preferred Reporting Items for Systematic Reviews and Meta Analysis checklist. Twenty seven relevant articles and a thesis from among 6956 studies retrieved, were assessed their quality appraisal through four standardized tools. The studies were rated as good, moderate, or poor. Studies were calibrated, different opinions were discussed, and extracted data were done.
Evidence included 11 randomized controlled trials (from 19 articles), one randomized control trial, three mixed methods studies (from 3 articles and 1 thesis), and a qualitative study (from 4 articles). The quality of seven studies was good, 15 were moderate quality, and seven were poor quality. According to moderate to high quality qualitative research, family centered collaborative care was considered an acceptable intervention; though a few studies supported it.
The findings demonstrated that family involvement in the care of patients with CMI affects no recurrence of the disease, and no re hospitalization of patients with this disorder. As a result, engaging family members in the care process can have a positive impact on the health and well being of these patients.
慢性精神疾病(CMI)病程持久且反复发作,需要持续护理以及采用综合协作的方法来组织护理。本研究旨在探讨以家庭为中心的协作护理对于慢性精神疾病患者是否是一种可接受的治疗选择。
从2000年至2021年,采用系统评价和Meta分析的首选报告项目清单,检索了10个与精神疾病家庭中心协作护理相关的电子数据库。从检索到的6956项研究中筛选出27篇相关文章和1篇论文,通过四种标准化工具对其进行质量评估。这些研究被评为良好、中等或较差。对研究进行校准,讨论不同意见,并进行数据提取。
证据包括11项随机对照试验(来自19篇文章)、1项随机对照试验、3项混合方法研究(来自3篇文章和1篇论文)以及1项定性研究(来自4篇文章)。7项研究质量良好,15项质量中等,7项质量较差。根据中高质量的定性研究,以家庭为中心的协作护理被认为是一种可接受的干预措施;尽管只有少数研究支持这一点。
研究结果表明,家庭参与慢性精神疾病患者的护理可降低疾病复发率,减少该疾病患者的再次住院率。因此,让家庭成员参与护理过程可对这些患者的健康和幸福产生积极影响。