Chica-Pérez Anabel, Martínez-Sola Lucía, Correa-Casado Matías, Fernández-Sola Cayetano, El Marbouhe El Faqyr Karim, Hernández-Padilla José Manuel
Emera Elderly Care Home, 04007 Almeria, Spain.
Department of Nursing, Physiotherapy and Medicine, University of Almeria, 04120 Almeria, Spain.
Healthcare (Basel). 2024 Dec 13;12(24):2523. doi: 10.3390/healthcare12242523.
To examine and map health programmes that have been implemented and evaluated to improve health outcomes amongst older adults who are the primary family caregivers for their partners. A scoping review was carried out, following the methodology of the Joanna Briggs Institute (JBI) and PRISMA-ScR reporting guidelines. The search was conducted in six databases (PubMed/Medline, Cochrane, CINAHL, Web of Science, Scopus, and EMBASE) between December 2023 and March 2024. Eleven studies were included, covering different health programmes implemented and evaluated with the aim of improving health outcomes in older adults who assume the role of primary family caregiver for their partner. The programmes were carried out by multidisciplinary teams and psychologists. The programmes varied in content, frequency, and duration. Discrepancies were found in the effects of the interventions on stress, depression, quality of life, and caregiver burden. This scoping review shows that programmes aimed at improving health outcomes in older adults who are the primary family caregiver for their partner vary widely in both content and effectiveness. While some interventions reduced the burden and psychological distress, others did not show clear improvements in quality of life. It can be concluded that there is a need for randomised controlled trials that rigorously evaluate the outcomes of long-term, personalised interventions.
考察并梳理已实施和评估的健康项目,这些项目旨在改善那些作为伴侣主要家庭照顾者的老年人的健康状况。按照乔安娜·布里格斯研究所(JBI)的方法和PRISMA-ScR报告指南进行了一项范围综述。于2023年12月至2024年3月期间在六个数据库(PubMed/Medline、Cochrane、CINAHL、Web of Science、Scopus和EMBASE)中进行了检索。纳入了11项研究,涵盖了为改善那些承担伴侣主要家庭照顾者角色的老年人的健康状况而实施和评估的不同健康项目。这些项目由多学科团队和心理学家开展。项目在内容、频率和时长方面各不相同。在干预措施对压力、抑郁、生活质量和照顾者负担的影响方面发现了差异。这项范围综述表明,旨在改善那些作为伴侣主要家庭照顾者的老年人健康状况的项目在内容和效果上差异很大。虽然一些干预措施减轻了负担和心理困扰,但其他措施在生活质量方面并未显示出明显改善。可以得出结论,需要进行随机对照试验,以严格评估长期、个性化干预措施的效果。