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心理教育对精神分裂症成年患者家庭照顾者负担的有效性:一项系统评价与荟萃分析

Effectiveness of Psychoeducation on Burden among Family Caregivers of Adults with Schizophrenia: A Systematic Review and Meta-Analysis.

作者信息

Okafor Akunna Jane, Monahan Mark

机构信息

School of Nursing and Midwifery, Trinity College Dublin, Dublin, Ireland.

出版信息

Nurs Res Pract. 2023 Sep 19;2023:2167096. doi: 10.1155/2023/2167096. eCollection 2023.

Abstract

Caring for relatives living with schizophrenia could lead to caregivers' burden. It is believed that lack of information and understanding about schizophrenia and lack of skills to cope effectively while caring for their adult relatives largely contribute to the burden they experience. The burden is assessed using assessment scales. This review aims to assess the effectiveness of psychoeducation in alleviating the burden experienced by family caregivers of adults living with schizophrenia and to identify essential factors that facilitate positive outcomes. Five databases (ASSIA, CINAHL, Embase, MEDLINE EBSCO, and PsycINFO) were systematically searched using combinations of the following key terms: "family caregivers," "schizophrenia," "burden," "psychoeducation," and "adults." Meta-analysis of included studies was conducted using RevMan 5.4. Five RCTs with 320 family caregivers were included in the review. Overall, none of the studies showed a low risk of bias. The evidence suggests that face-to-face group psychoeducation reduced family caregivers' burden when measured across different time points: one-week postintervention (mean difference -3.87 and Cl -6.06 to -1.70), six months (MD -8.76 and Cl -12.38 to -5.13), and twelve months (MD -7.38 and Cl -9.85 to -4.91). Measurements immediately after the intervention, one month, and three months postintervention when reported narratively also showed a reduction in family caregivers' burden. Face-to-face group psychoeducation provided for family caregivers effectively alleviates the burden they experience. Factors such as program content and teaching methods facilitated positive outcomes. It is recommended that psychoeducation should be integrated as a routine intervention for family caregivers.

摘要

照顾患有精神分裂症的亲属可能会导致照顾者负担。据信,对精神分裂症缺乏信息和了解,以及在照顾成年亲属时缺乏有效应对的技能,在很大程度上导致了他们所经历的负担。使用评估量表来评估负担。本综述旨在评估心理教育在减轻成年精神分裂症患者家庭照顾者所经历的负担方面的有效性,并确定促进积极结果的关键因素。使用以下关键术语的组合对五个数据库(ASSIA、CINAHL、Embase、MEDLINE EBSCO和PsycINFO)进行了系统检索:“家庭照顾者”、“精神分裂症”、“负担”、“心理教育”和“成年人”。使用RevMan 5.4对纳入研究进行荟萃分析。该综述纳入了五项随机对照试验,涉及320名家庭照顾者。总体而言,没有一项研究显示出低偏倚风险。证据表明,在不同时间点进行测量时,面对面小组心理教育减轻了家庭照顾者的负担:干预后一周(平均差-3.87,可信区间-6.06至-1.70)、六个月(平均差-8.76,可信区间-12.38至-5.13)和十二个月(平均差-7.38,可信区间-9.85至-4.91)。干预后立即、干预后一个月和三个月以叙述形式报告的测量结果也显示家庭照顾者的负担有所减轻。为家庭照顾者提供的面对面小组心理教育有效地减轻了他们所经历的负担。项目内容和教学方法等因素促进了积极结果。建议将心理教育作为家庭照顾者的常规干预措施。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ab1/10522442/824915c65522/NRP2023-2167096.001.jpg

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