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对痴呆症患者照料者的技术干预效果的系统评价:对生活质量和心理情绪变量的影响。

A systematic review of the effectiveness of technological interventions for caregivers of people with dementia: effects on quality of life and psychoemotional variables.

作者信息

Ferrero-Sereno Patricia, Mendoza-Muñoz María, Palomo-López Patricia, Carlos-Vivas Jorge, Luna-Castaño Patricia, Caballero-De la Calle Raquel, Ángel García-Garrido Miguel, Muñoz-Bermejo Laura

机构信息

Nurse-In Research Group, University Alfonso X El Sabio, Madrid, Spain.

Social Impact and Innovation in Health (InHEALTH) Research Group, University Centre of Mérida, University of Extremadura, Mérida, Spain.

出版信息

Front Public Health. 2025 May 14;13:1579239. doi: 10.3389/fpubh.2025.1579239. eCollection 2025.


DOI:10.3389/fpubh.2025.1579239
PMID:40438051
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12116304/
Abstract

BACKGROUND: Informal caregivers of people with dementia present high levels of burden, emotional distress and low social support. Technology-based home-based interventions are presented as an alternative to providing health education, emotional support and caregiver training. OBJECTIVE: To evaluate the effectiveness of technological interventions on health-related quality of life (HRQoL) and the management of psychoemotional aspects in family caregivers of people with dementia. METHODS: A systematic literature review (SLR) was conducted using the Web of Science, PubMed and Scopus electronic databases, including all studies up to 7 February 2025. RESULTS: In the review, 7,230 studies were initially identified, but only 13 met the eligibility criteria. The interventions reviewed differed in methodology when examining their impact on target variables. However, on-demand, internet- or telephone-based interventions with training activities and contact with professionals seem to improve quality of life and psychoemotional variables such as anxiety, depression and overload. CONCLUSION: Technological interventions using the internet and mobile applications may be useful for informal caregivers of people with dementia as they can improve quality of life and psychoemotional aspects. The interventions reviewed differed in terms of instruments and protocols when examining their impact on caregiver well-being. Therefore, more research is needed to further investigate these methodologies in order to optimize their impact and adapt them to the diverse realities of caregivers of people with dementia.

摘要

背景:痴呆症患者的非正式照护者负担重、情绪困扰大且社会支持少。基于技术的居家干预被视为提供健康教育、情感支持和照护者培训的一种替代方式。 目的:评估技术干预对痴呆症患者家庭照护者与健康相关的生活质量(HRQoL)及心理情绪管理方面的有效性。 方法:利用科学网、PubMed和Scopus电子数据库进行系统文献综述(SLR),纳入截至2025年2月7日的所有研究。 结果:在该综述中,最初识别出7230项研究,但只有13项符合纳入标准。所综述的干预措施在考察其对目标变量的影响时,方法有所不同。然而,基于需求、通过互联网或电话开展的干预措施,结合培训活动以及与专业人员的联系,似乎能改善生活质量以及焦虑、抑郁和负担过重等心理情绪变量。 结论:使用互联网和移动应用程序的技术干预可能对痴呆症患者的非正式照护者有用,因为它们可以改善生活质量和心理情绪方面。所综述的干预措施在考察其对照护者幸福感的影响时,在工具和方案方面存在差异。因此,需要更多研究来进一步探究这些方法,以优化其影响并使其适应痴呆症患者照护者的不同实际情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/978e/12116304/5722d68142b6/fpubh-13-1579239-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/978e/12116304/5722d68142b6/fpubh-13-1579239-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/978e/12116304/5722d68142b6/fpubh-13-1579239-g001.jpg

相似文献

[1]
A systematic review of the effectiveness of technological interventions for caregivers of people with dementia: effects on quality of life and psychoemotional variables.

Front Public Health. 2025-5-14

[2]
Remotely delivered information, training and support for informal caregivers of people with dementia.

Cochrane Database Syst Rev. 2021-1-4

[3]
Internet-Based Supportive Interventions for Family Caregivers of People With Dementia: Systematic Review and Meta-Analysis.

J Med Internet Res. 2020-9-9

[4]
Telephone interventions, delivered by healthcare professionals, for providing education and psychosocial support for informal caregivers of adults with diagnosed illnesses.

Cochrane Database Syst Rev. 2019-5-14

[5]
Effectiveness of a psychoeducational intervention for caregivers of People With Dementia with regard to burden, anxiety and depression: A systematic review.

J Adv Nurs. 2020-1-13

[6]
Comparative efficacy of 11 non-pharmacological interventions on depression, anxiety, quality of life, and caregiver burden for informal caregivers of people with dementia: A systematic review and network meta-analysis.

Int J Nurs Stud. 2022-5

[7]
Caregiver- and patient-directed interventions for dementia: an evidence-based analysis.

Ont Health Technol Assess Ser. 2008

[8]
Effectiveness of health web-based and mobile app-based interventions designed to improve informal caregiver's well-being and quality of life: A systematic review.

Int J Med Inform. 2019-11-23

[9]
A systematic review of Internet-based supportive interventions for caregivers of patients with dementia.

Int J Geriatr Psychiatry. 2013-8-20

[10]
Online Training and Support Programs Designed to Improve Mental Health and Reduce Burden Among Caregivers of People With Dementia: A Systematic Review.

J Am Med Dir Assoc. 2018-1-4

本文引用的文献

[1]
Telephone-Based Acceptance and Commitment Therapy for Caregivers of Persons with Dementia: Results of a Randomized Controlled Trial.

Clin Gerontol. 2024-8-21

[2]
Caregiver burden, mental health, quality of life and self-efficacy of family caregivers of persons with dementia in Malaysia: baseline results of a psychoeducational intervention study.

BMC Geriatr. 2024-8-5

[3]
Effectiveness of Technology-Delivered Psychosocial Interventions for Family Caregivers of Patients With Dementia: A Systematic Review, Meta-Analysis and Meta-Regression.

Int J Ment Health Nurs. 2024-12

[4]
Effectiveness of a tablet-based intervention for people living with dementia in primary care-A cluster randomized controlled trial.

Int J Geriatr Psychiatry. 2023-12

[5]
Effectiveness of digital technologies to engage and support the wellbeing of people with dementia and family carers at home and in care homes: A scoping review.

Dementia (London). 2023-8

[6]
Technology-Based Counselling for People with Dementia and Their Informal Carers: A Systematic Review and Meta-Analysis.

J Alzheimers Dis. 2023

[7]
2023 Alzheimer's disease facts and figures.

Alzheimers Dement. 2023-4

[8]
Effects of telehealth intervention for people with dementia and their carers: A systematic review and meta-analysis of randomized controlled studies.

J Nurs Scholarsh. 2022-11

[9]
Feasibility of an online training and support program for dementia carers: results from a mixed-methods pilot randomized controlled trial.

BMC Geriatr. 2022-3-1

[10]
Reinvigorating the public health response to dementia.

Lancet Public Health. 2021-10

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