Care for the cancer caregiver: a systematic review.
Care for the cancer caregiver: a systematic review.
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DOI：
10.1017/s1478951512000594
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发表时间：
2013-06
影响因子：
2.2
通讯作者：
Breitbart W
中科院分区：
文献类型：
--
作者：
Applebaum AJ;Breitbart W
非正式护理人员 (IC) 是指与患有危及生命、无法治愈的疾病的患者有重要关系并向其提供帮助（即身体、情感）的亲戚、朋友和伴侣。为癌症患者提供护理所产生的多维负担已得到充分记录，因此，越来越多的社会心理干预措施被专门开发来解决这种负担。本研究的目的是描述非正式癌症护理人员心理社会干预的科学状况。通过对 1980 年至 2011 年 1 月 13 日期间出版物的电子文献检索，对癌症护理人员的干预措施进行了全面的系统审查。对 49 项干预措施的最终样本进行了详细审查。这些干预措施的方式和患者群体各不相同，分为以下八类：心理教育、解决问题/技能建设干预措施、支持治疗、家庭/夫妻治疗、认知行为治疗、人际治疗、补充和替代医学干预以及存在主义治疗。讨论了每个类别的优点和缺点，特别关注产生无效结果的研究。除了特定的技术之外，结构化的、以目标为导向的、有时间限制的综合干预措施似乎是最可行的，并且可以为癌症患者的 IC 带来最大的益处。未来的研究需要检验以替代方式（互联网、Skype）提供干预措施的具体好处和挑战，以便满足更多 IC 的需求。
Informal caregivers (ICs) are relatives, friends, and partners who have a significant relationship with and provide assistance (i.e., physical, emotional) to a patient with a life-threatening, incurable illness. The multidimensional burden that results from providing care to a patient with cancer is well documented, and as a result, a growing number of psychosocial interventions have been developed specifically to address this burden. The purpose of the present study was to characterize the state of the science of psychosocial interventions for informal cancer caregivers. A comprehensive systematic review of interventions for cancer caregivers was conducted via an electronic literature search of publications between 1980 and January 13, 2011. A final sample of 49 interventions was reviewed in detail. The interventions, which varied in terms of modality and patient population, fell into the following eight categories: psychoeducation, problem-solving/skills building interventions, supportive therapy, family/couples therapy, cognitive-behavioral therapy, interpersonal therapy, complementary and alternative medicine interventions, and existential therapy. Benefits and disadvantages of each of the categories are discussed, with special attention given to studies that produced null findings. Beyond specific techniques, structured, goal-oriented, and time-limited interventions that are integrative appear to be the most feasible and offer the greatest benefits for ICs of cancer patients. Future studies are needed to examine the specific benefits and challenges of delivering interventions in alternative modalities (Internet, Skype) so that the needs of a greater number of ICs may be addressed.