A systematic review and meta‐analysis on effective interventions for health‐related quality of life among caregivers of people with dementia. (12th December 2019)

• Record Type: Journal Article
• Authors: Lee, Mijung; Ryoo, Ji Hoon; Crowder, Jolie; Byon, Ha Do; Wiiliams, Ishan C.
• Is Part Of: Journal of advanced nursing. Volume 76:Number 2(2020)
• Page Start: 475
• Page End: 489
• Publication Date: 2019-12-12
• Subjects: carers -- dementia -- intervention -- literature review -- nursing -- quality of life -- systematic reviews and meta‐analyses; Nursing -- Periodicals; 610.7305
• DOI: 10.1111/jan.14262
• Languages: English
• ISSNs: 0309-2402

Abstract

Abstract: Aims: (a) To evaluate the effectiveness of different types of psychosocial interventions on the health‐related quality of life among caregivers of individuals with dementia and (b) To present an overview and assessment of the quality of the most recent intervention studies. Design: A systematic review and meta‐analysis. Data Sources: MEDLINE, CINAHL, PsycINFO and Cochrane Library electronic databases were searched to find randomized controlled trials (RCTs) published from 2005 ‐ 2017. Using a Boolean search, the key words 'caregivers', 'dementia' and 'quality of life' were combined. The search was completed in January 2018. Review Methods: A total of 26 RCTs were included. Intervention details such as content, mode of delivery and duration were reviewed, and each study's risk of bias was assessed. The effectiveness of each type of intervention was calculated using the Hedges G and a random‐effects model. Results: Multicomponent interventions, cognitive behavioural therapy and complementary alternative medicine therapy showed significant effects on improving caregiver's health‐related quality of life. Psychoeducation, social support, case management and cognitive rehabilitation therapy failed to produce significant effects. Conclusion: Via this evidence‐based systematic review, multicomponent interventions addressing a variety of caregiver needs can be an effective method for enhancing caregiver health‐related quality of life. Further large number of studies are needed to verify this study results. Impact: The findings of this study inform clinicians which interventions are effective in improving caregivers' health‐related quality of life. Defining a standardized protocol for multicomponent interventions will be helpful for clinicians to apply the intervention. Abstract : 目的: (a)评估不同类型社会心理干预措施对痴呆症患者看护人员健康相关生活质量影响的有效性;以及(b)概述和评价最新干预研究的质量。 设计: 系统评估与荟萃分析。 数据来源: 通过 MEDLINE、CINAHL、PsycINFO和Cochrane图书馆电子数据库进行检索, 搜索2005年至2017年发表的随机对照试验(RCTs)。使用布尔逻辑检索, 将关键词"看护人员"、"痴呆症"和"生活质量"结合起来进行搜索。检索工作于2018年1月完成。 评估方法: 共纳入26项随机对照试验。对干预内容、实施方式和持续时间等细节进行评估, 并评价了每项研究的偏差风险。采用Hedges G和随机效应模型来计算各种干预措施的有效性。 结果: 多环节干预措施、认知行为疗法和辅助替代药物治疗对改善看护人员健康相关生活质量有显著影响。心理教育、社会支持、病例管理和认知康复治疗均未产生显著效果。 结论: 这项循证系统评估表明, 迎合看护人员不同需求的多环节干预措施可有效提高看护人员健康相关生活质量。尚需进一步的大量研究来验证这一研究结果。 影响: 本项研究发现可帮助临床医师了解何种干预措施能有效改善看护人员的健康相关生活质量。针对多环节干预措施制定标准化方案将有助于临床医师应用干预方案。