Amiresmaili Mohammadreza, Goudarzi Reza, Agoush Leila
Health in Disasters and Emergencies Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran.
Modeling in Health Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran.
Iran J Nurs Midwifery Res. 2023 Nov 9;28(6):649-658. doi: 10.4103/ijnmr.ijnmr_343_21. eCollection 2023 Nov-Dec.
The increase in the average age of the population, the decrease in the size of the household and rising in the number of working women impose an increasing burden on home caregivers in Iran. The aim of this study was to measure care burden of informal caregivers in Iran through systematic review and meta-analysis of existing literature.
A systematic review was conducted by using national and international databases of Scopus, PubMed, Embase, Web of Science, SID, Magiran, and IranDoc papers in English and Persian language up to the first half of 2020. In this meta-analysis, we calculated the pooled care burden and 95% confidence intervals in Statistical Software For Data Science (STATA) V.15.
Forty-four papers were included in the current study based on inclusion and exclusion criteria comprising of 8626 samples. Pooled mean of Burden of Care was 52.01 (95% CI: 48.21-55.82). Highest pooled mean(SD) of care burden (64.37) was related to caregivers of schizophrenia patients (95% CI: 56.09-72.64). Highest care burden (53.45) was observed in most deprived areas (95%CI = 47.05-59.86). A statistically significant relationship was observed between caregivers gender and care burden (p < 0.05).
The reported care burden of informal caregivers requires the establishment of a support system to control mental and physical stress. Due to the dispersion and cultural diversity in Iran, more studies are needed to obtain more accurate data.
伊朗人口平均年龄的增长、家庭规模的缩小以及职业女性数量的增加，给家庭照顾者带来了越来越大的负担。本研究的目的是通过对现有文献进行系统评价和荟萃分析，来衡量伊朗非正式照顾者的照顾负担。
利用Scopus、PubMed、Embase、Web of Science、SID、Magiran和IranDoc等国内外数据库，对截至2020年上半年的英文和波斯文论文进行了系统评价。在这项荟萃分析中，我们在数据科学统计软件（STATA）V.15中计算了合并照顾负担和95%置信区间。
根据纳入和排除标准，本研究纳入了44篇论文，共8626个样本。照顾负担的合并均值为52.01（95%置信区间：48.21-55.82）。照顾负担合并均值（标准差）最高（64.37）的是精神分裂症患者的照顾者（95%置信区间：56.09-72.64）。在最贫困地区观察到最高的照顾负担（53.45）（95%置信区间=47.05-59.86）。照顾者性别与照顾负担之间存在统计学显著关系（p<0.05）。
所报告的非正式照顾者的照顾负担需要建立一个支持系统来控制心理和身体压力。由于伊朗地域分散和文化多样，需要更多的研究来获得更准确的数据。
