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为有特殊医疗需求的儿童和青少年家庭护理者提供家庭护理的社会支持:一项范围综述。

Social support for family caregivers of children and youth with special health care needs for home care: a scoping review.

作者信息

Sulino-Gonçalves Mariane Caetano, Lima Regina Aparecida Garcia de, Jardim Fabrine Aguilar, Okido Aline Cristiane Cavicchioli, Cassemiro Larissa Karoline Dias da Silva, Nascimento Lucila Castanheira, Jerez-Molina Carmen, Maia Edmara Bazoni Soares, Melo Elsa Maria de Oliveira Pinheiro de, Lopes-Júnior Luís Carlos

机构信息

Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, Ribeirão Preto, SP, Brazil.

Universitat de Vic - Universitat Central de Catalunya, Campus Docent Sant Joan de Déu, Barcelona, Spain.

出版信息

Rev Esc Enferm USP. 2025 Jul 7;59:e20240368. doi: 10.1590/1980-220X-REEUSP-2024-0368en. eCollection 2025.

DOI:10.1590/1980-220X-REEUSP-2024-0368en
PMID:40657880
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12258054/
Abstract

OBJECTIVE

To map and synthesize evidence related to the types and strategies of social support used by family caregivers of children and youth with special health care needs to ensure the continuity of home care.

METHOD

This scoping review was conducted in accordance with the JBI methodology guidelines for Evidence Synthesis and reported following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR). Eight databases were used: Cochrane Library, Embase, MEDLINE/PubMed, CINAHL, SCOPUS, Web of Science, PsycINFO and LILACS, as well as additional sources and reference lists of the included studies.

RESULTS

Twenty-two studies were included, presenting social support in two dimensions: informal and formal. The support strategies identified comprised groups of parents whose children share similar care needs, online parent forums, financial assistance, prayers, support from religious institutions, and temporary caregivers. Among the gaps that impact the continuity of home care are the lack of information about rights and benefits, as well as insufficient psychological support for family caregivers.

CONCLUSION

The mapped studies showed how important a competent and structured social support network is in the lives of family caregivers, serving as an essential resource for the continuity of home care.

摘要

目的

梳理并综合与有特殊医疗需求的儿童及青少年家庭照护者所使用的社会支持类型及策略相关的证据,以确保家庭照护的连续性。

方法

本范围综述按照循证卫生保健国际协作网(JBI)证据综合方法指南开展,并依据系统评价与Meta分析扩展版的范围综述报告规范(PRISMA-ScR)进行报告。使用了八个数据库:Cochrane图书馆、Embase、MEDLINE/PubMed、护理学与健康领域数据库(CINAHL)、Scopus、科学引文索引(Web of Science)、心理学文摘数据库(PsycINFO)和拉丁美洲及加勒比地区卫生科学数据库(LILACS),以及纳入研究的其他来源和参考文献列表。

结果

纳入了22项研究,从非正式和正式两个维度呈现了社会支持情况。所确定的支持策略包括孩子有相似照护需求的家长群体、在线家长论坛、经济援助、祈祷、宗教机构的支持以及临时照护者。影响家庭照护连续性的差距包括缺乏关于权利和福利的信息,以及对家庭照护者的心理支持不足。

结论

所梳理的研究表明,一个能干且结构化的社会支持网络在家庭照护者的生活中是多么重要,它是家庭照护连续性的重要资源。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d000/12258054/ba6e78f3e43d/1980-220X-reeusp-59-e20240368-gf04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d000/12258054/75fc6afec523/1980-220X-reeusp-59-e20240368-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d000/12258054/2bf44f59a6b3/1980-220X-reeusp-59-e20240368-gf02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d000/12258054/94173efc16d1/1980-220X-reeusp-59-e20240368-gf03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d000/12258054/ba6e78f3e43d/1980-220X-reeusp-59-e20240368-gf04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d000/12258054/75fc6afec523/1980-220X-reeusp-59-e20240368-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d000/12258054/2bf44f59a6b3/1980-220X-reeusp-59-e20240368-gf02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d000/12258054/94173efc16d1/1980-220X-reeusp-59-e20240368-gf03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d000/12258054/ba6e78f3e43d/1980-220X-reeusp-59-e20240368-gf04.jpg

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本文引用的文献

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2
Benefits of Respite Services on the Psycho-Emotional State of Families of Children Admitted to Hospice Palliative Care Unit: Preliminary Study on Parents' Perceptions.暂托服务对入住临终关怀姑息治疗病房儿童家庭心理情绪状态的益处:关于父母认知的初步研究
Healthcare (Basel). 2024 Mar 29;12(7):748. doi: 10.3390/healthcare12070748.
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Families' situation of caring for a child with a chronic condition: a mixed methods study.
家庭照顾慢性病患儿的状况:一项混合方法研究。
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Care coordination for children with a disability or developmental difficulty: Empowers families and reduces the burden on staff supporting them.残疾或发育困难儿童的护理协调:赋予家庭权力并减轻支持他们的工作人员的负担。
Child Care Health Dev. 2024 Jan;50(1):e13158. doi: 10.1111/cch.13158. Epub 2023 Aug 15.
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The care provided to black-skinned children and adolescents with mental health problems in the intersection between gender and race.在性别和种族的交叉点上,为有心理健康问题的黑皮肤儿童和青少年提供的护理。
Rev Lat Am Enfermagem. 2023 Jun 19;31:e3941. doi: 10.1590/1518-8345.6058.3941. eCollection 2023.
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Digital Platform Uses for Help and Support Seeking of Parents With Children Affected by Disabilities: Scoping Review.数字平台在残疾儿童父母寻求帮助和支持方面的使用:范围综述。
J Med Internet Res. 2022 Dec 6;24(12):e37972. doi: 10.2196/37972.
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