Baylor University, Dallas, Texas, USA.
Nam Dinh University of Nursing, Nam Dinh, Vietnam.
Nurs Open. 2023 Sep;10(9):5797-5812. doi: 10.1002/nop2.1858. Epub 2023 May 22.
To evaluate how family support affects cardiometabolic outcomes.
Integrative literature review.
PubMed, CINAHL, EMBASE and Scopus were searched for peer-reviewed primary research published between 2016 and 2021.
Independent screening of 1661 citations resulted in 17 international publications involving 16 experimental studies selected. Data were analysed using a constant comparison method.
While the interventions varied regarding target, duration, setting and the profession of the interventionists, all studies demonstrated some level of the effectiveness for family involvement and support in the management of cardiometabolic diseases. The studies found improvement in health behaviours and clinical/psychosocial outcomes for the patients and the family members.
Based on the findings from this review, we recommend utilizing the following for future family interventions in the management of diabetes and/or hypertension: (1) broader definitions of family and structures; (2) a community participatory/action-research method with embedded healthcare workers; (3) an interdisciplinary approach with attention to goal-setting; (4) multimodal interventions including technology; (5) culturally tailoring interventions for relevance as needed; and (6) clear direction regarding support role and tools.
评估家庭支持对心脏代谢结局的影响。
综合文献回顾。
在 2016 年至 2021 年期间，在 PubMed、CINAHL、EMBASE 和 Scopus 中搜索了同行评审的原始研究。
对 1661 条引文进行独立筛选，最终有 17 项国际出版物入选了 16 项实验研究。使用恒定性比较方法分析数据。
虽然干预措施在目标、持续时间、设置以及干预者的专业方面有所不同，但所有研究都表明，在心脏代谢疾病的管理中，家庭参与和支持具有一定程度的有效性。这些研究发现，患者及其家庭成员的健康行为和临床/心理社会结局有所改善。
根据本综述的结果，我们建议在未来的糖尿病和/或高血压管理家庭干预中采用以下方法：（1）更广泛的家庭和结构定义；（2）采用社区参与/行动研究方法，并嵌入医疗保健工作者；（3）关注目标设定的跨学科方法；（4）包括技术在内的多种模式干预；（5）根据需要进行文化调整以确保相关性；（6）明确支持角色和工具的方向。
