Neurology Department, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
School of Nursing, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Nurs Open. 2024 Sep;11(9):e2223. doi: 10.1002/nop2.2223.
To understand the perceptions and experiences of family caregivers of adult patients with dysphagia.
Dysphagia is a common symptom and burdens caregivers greatly. There is a growing body of studies concentrating on caregivers and caregiving experiences. However, no qualitative meta-synthesis has been conducted to explore the perceptions and experiences of family caregivers.
A qualitative meta-ethnography.
A search was conducted for relevant articles in six electronic databases (PubMed, Web of Science, CINAHL, Ovid, Cochrane Library, ProQuest) and two Chinese databases (CNKI, Wanfang Data) from inception to February 2023. The Joanna Briggs Institute Qualitative Assessment and Review Instrument (JBI-QARI) was used to evaluate study quality. The meta-ethnographic method was used to synthesize data from qualitative studies. The study was reported according to EQUATOR guidelines.
Eleven studies were included and three themes emerged: (1) emotion and perception, (2) change and challenge (3) adaption and coping.
This review highlighted the challenges and positive coping experienced by caregivers. Findings directly inform the development and implementation of supportive interventions to reduce caregivers' stress and promote adaptive coping.
Pay attention to the needs of family caregivers of dysphagia. Family caregivers' perceived severity of dysphagia requires assessment. Caregivers need knowledge, support, and guidance to reduce their burden and fulfill their role.
了解成人吞咽困难患者家属的认知和体验。
吞咽困难是一种常见症状,给照顾者带来了很大的负担。越来越多的研究集中在照顾者和照顾体验上。然而,目前还没有进行定性元分析来探讨家庭照顾者的认知和体验。
定性元分析。
从建库至 2023 年 2 月,在 6 个电子数据库(PubMed、Web of Science、CINAHL、Ovid、Cochrane Library、ProQuest)和 2 个中文数据库(CNKI、万方数据)中检索相关文章。使用 Joanna Briggs 研究所定性评估和审查工具(JBI-QARI)评估研究质量。使用元分析方法对定性研究数据进行综合。研究报告符合 EQUATOR 指南。
共纳入 11 项研究,出现 3 个主题:(1)情感和认知,(2)变化和挑战,(3)适应和应对。
本综述强调了照顾者所经历的挑战和积极应对。研究结果直接为支持性干预措施的制定和实施提供了信息,以减轻照顾者的压力,促进适应性应对。
关注吞咽困难患者的家庭照顾者的需求。需要评估照顾者对吞咽困难严重程度的感知。照顾者需要知识、支持和指导,以减轻负担,履行其角色。