Lee Myung-Nam, Suk Jung Won, Lee Hyunsook Zin
Department of Nursing, College of Health Science, Kangwon National University, Samcheok, Korea.
School of Nursing, Sahmyook Health University, Seoul, Korea.
J Hosp Palliat Care. 2023 Sep 1;26(3):126-139. doi: 10.14475/jhpc.2023.26.3.126.
This study aimed to analyze interventions for bereaved families and evaluate their effectiveness, with the ultimate goal of supporting evidence-based nursing for bereaved families.
Research trends were identified based on a search of domestic databases from January 2000 to December 2022, and a meta-analysis was conducted on interventions for bereaved families. Forty-five papers were selected, and information was extracted on participants, research design, and interventions. A meta-analysis of seven papers was performed, and the effect size was calculated.
Fourteen papers dealt with interventions for middle-aged women who had lost their spouses, 20 used qualitative research methods, and 20 were on art therapy programs. Thirty studies had fewer than 10 participants, and most interventions had 60120 minutes per session and 916 sessions in total. There were seven randomized controlled trials, and all studies included in the quality evaluation showed a low risk of bias. Four papers measured grief as an outcome, and the effect size was -1.9577 (95% CI -2.9206 to -0.9947), indicating that the treatment significantly decreased grief (P<0.001). Six papers measured depression as an outcome, and the effect size was -1.6775 (95% CI -2.1835 to -1.1716), showing that the treatment significantly decreased depression (P<0.001).
Intervention programs for bereaved families were shown to be effective in relieving grief and depression. However, programs should be developed that target middle-aged men who have lost their spouses and children who have lost their parents. Randomized controlled trials should also be conducted on interventions to reduce grief and depression.
本研究旨在分析针对丧亲家庭的干预措施并评估其效果,最终目标是为丧亲家庭提供循证护理支持。
通过检索2000年1月至2022年12月的国内数据库确定研究趋势,并对丧亲家庭的干预措施进行荟萃分析。选取了45篇论文,提取了关于参与者、研究设计和干预措施的信息。对7篇论文进行了荟萃分析,并计算了效应量。
14篇论文涉及针对丧偶中年女性的干预措施,20篇采用定性研究方法,20篇关于艺术治疗项目。30项研究的参与者少于10人,大多数干预措施每次疗程为60至120分钟,总共9至16个疗程。有7项随机对照试验,纳入质量评估的所有研究显示偏倚风险较低。4篇论文将悲伤作为结局指标进行测量,效应量为-1.9577(95%CI -2.9206至-0.9947),表明治疗显著降低了悲伤程度(P<0.001)。6篇论文将抑郁作为结局指标进行测量,效应量为-1.6775(95%CI -2.1835至-1.1716),表明治疗显著降低了抑郁程度(P<0.001)。
针对丧亲家庭的干预项目在缓解悲伤和抑郁方面显示出有效性。然而,应制定针对丧偶中年男性和丧亲儿童的项目。还应对减少悲伤和抑郁的干预措施进行随机对照试验。