Dhumal Trupti, Siddiqui Zasim Azhar, Kelley George A, Harper Felicity, Kelly Kimberly M
Pharmaceutical Systems and Policy, West Virginia University School of Pharmacy, Health Sciences Center, P.O. Box 9500, Morgantown, WV 26506-9190, USA.
School of Public Health, Department of Biostatistics, Health Sciences Center, West Virginia University, Morgantown, WV 26506-9190, USA.
PEC Innov. 2023 Mar 1;2:100145. doi: 10.1016/j.pecinn.2023.100145. eCollection 2023 Dec.
Informal caregivers (ICs) are vital to supportive cancer care and assisting cancer patients, but this caregiving burden is associated with significant distress. While addressing caregiving, it is important to explore if the caregivers are receiving care they need. Evaluating interventions that address burden and distress is integral to targeting ICs needs. This study evaluated interventions addressing IC burden and distress.
Randomized control trials (RCT) assessing interventions for IC burden and distress and exploring supportive care as an adjunct to the intervention were included. Six electronic databases were searched in accordance with the Preferred Reporting Items for Systematic reviews and Meta-analyses guidelines through October 2021. Effect sizes were estimated, and risk of bias was assessed.
Of 678 studies, 11 were included. Most ICs were spouses, females, and white. Interventions included educational programs, cognitive behavioral treatment, and a telephone support program. Five studies utilized behavioral theories and seven included supportive care. Pooled results showed no significant effect on reducing caregiver distress (ES, -0.26, p<0.001).
Caring for the caregiver with interventions for reducing burden and distress are not efficacious. Innovative, well-designed, more pragmatic RCTs are needed.
This study exclusively focused on interventions and supportive care needs for reducing distress and burden among cancer ICs.
非正式护理人员对于支持性癌症护理和协助癌症患者至关重要，但这种护理负担与显著的痛苦相关。在关注护理工作时，探究护理人员是否得到他们所需的护理很重要。评估针对负担和痛苦的干预措施对于满足非正式护理人员的需求不可或缺。本研究评估了针对非正式护理人员负担和痛苦的干预措施。
纳入评估针对非正式护理人员负担和痛苦的干预措施并探索将支持性护理作为干预辅助手段的随机对照试验（RCT）。按照系统评价和Meta分析的首选报告项目指南，检索了六个电子数据库，检索截至2021年10月。估计效应量，并评估偏倚风险。
在678项研究中，纳入了11项。大多数非正式护理人员为配偶、女性和白人。干预措施包括教育项目、认知行为治疗和电话支持项目。五项研究运用了行为理论，七项研究纳入了支持性护理。汇总结果显示，在减轻护理人员痛苦方面无显著效果（效应量，-0.26，p<0.001）。
通过干预措施照顾护理人员以减轻负担和痛苦并不有效。需要开展创新、设计良好且更务实的随机对照试验。
本研究专门关注了减轻癌症非正式护理人员痛苦和负担的干预措施及支持性护理需求。
