Reichman Mira, Grunberg Victoria A, Presciutti Alexander M, Foster Katherine T, Vranceanu Ana-Maria, Creutzfeldt Claire J
Department of Psychology, University of Washington, 3921 W Stevens Way NE, Seattle, WA, 98195, USA.
Department of Psychiatry, Center for Health Outcomes and Interdisciplinary Research, Harvard Medical School, Massachusetts General Hospital, Boston, MA, USA.
Neurocrit Care. 2025 Apr;42(2):690-700. doi: 10.1007/s12028-024-02115-x. Epub 2024 Sep 7.
Approximately 50% of family caregivers of patients with severe acute brain injury (SABI) admitted to intensive care units experience clinically significant anxiety, depression, and posttraumatic stress. Peer-delivered interventions may be a sustainable way to provide social connection, emotional support, and evidence-based coping skills for family caregivers of patients with SABI to improve their mental health and well-being. The aim of this scoping review was to examine existing peer-delivered interventions for family caregivers of adult patients with SABI admitted to neurocritical and other critical care units. We set broad inclusion criteria and identified ten examples of peer-delivered interventions for family caregivers of adult patients with critical illness, of which only two were tailored to the needs of caregivers for patients who had experienced SABI. Our results indicated that (1) very few examples of peer-delivered interventions for this population exist, (2) all existing examples are professional-led (e.g., nurse-led) multifamily support groups, and (3) existing interventions demonstrate mixed results. Future research is needed to develop and evaluate peer-delivered interventions, including testing different models of peer-delivered interventions (e.g., one-to-one peer mentorship), programs that provide skills and support to caregivers after discharge, and skills-based formats that are tailored to the unique needs of SABI caregivers.
入住重症监护病房的重症急性脑损伤（SABI）患者的家庭护理人员中，约50%经历了具有临床意义的焦虑、抑郁和创伤后应激。同伴提供的干预措施可能是一种可持续的方式，为SABI患者的家庭护理人员提供社会联系、情感支持和循证应对技巧，以改善他们的心理健康和幸福感。本范围综述的目的是研究针对入住神经重症监护病房和其他重症监护病房的成年SABI患者家庭护理人员的现有同伴提供的干预措施。我们设定了广泛的纳入标准，并确定了10个针对成年重症患者家庭护理人员的同伴提供的干预措施实例，其中只有两个是根据经历过SABI的患者护理人员的需求定制的。我们的结果表明：（1）针对这一人群的同伴提供的干预措施实例非常少；（2）所有现有实例都是专业主导（如护士主导）的多家庭支持小组；（3）现有干预措施的结果参差不齐。未来需要开展研究来开发和评估同伴提供的干预措施，包括测试不同模式的同伴提供的干预措施（如一对一的同伴指导）、出院后为护理人员提供技能和支持的项目，以及根据SABI护理人员的独特需求定制的基于技能的形式。
