Telerehabilitation for Family Caregivers of Stroke Survivors: A Systematic Review and Meta-Analysis
Telerehabilitation for Family Caregivers of Stroke Survivors: A Systematic Review and Meta-Analysis
复制标题
中风幸存者家庭护理人员的远程康复：系统回顾和荟萃分析
DOI：
10.1155/2023/3450312
复制
发表时间：
2023
影响因子：
5.5
通讯作者：
Yan Liu
中科院分区：
文献类型：
--
作者：
Wenxin Sun;Yuanying Song;Cong Wang;Yan Jiang;Wenxin Cui;Wenjie Liu;Yan Liu
瞄准本系统性综述旨在评估远程康复对脑卒中幸存者家庭照顾者的有效性。背景出院后，中风幸存者的家庭照顾者面临身体和心理压力。远程康复似乎对家庭护理人员至关重要。然而，远程康复对家庭照顾者健康结果的影响仍有待研究。评价检索了截至2022年6月16日的6个数据库（PubMed、Embase、科克伦图书馆、Web of Science、CINAHL和PsycINFO），无语言限制。采用修订后的随机试验科克伦偏倚风险工具评价纳入研究的质量。GRADEpro（建议评估、发展和评价概况的分级）工具被应用于评估合成证据的质量。根据干预形式进行亚组分析。使用Review Manager 5.3进行统计分析，并通过Stata 14.0计算发表偏倚。关键问题。本系统性综述共汇总了16项研究，包括992名护理人员。远程康复显著改善了照顾者的负担（SMD =-0.18，95%CI =-0.35-0.02，
P
=
0.03
，中等质量证据），知识（SMD = 0.75，95%CI = 0.03 ± 1.47，
P
=
0.04
，极低质量证据）和能力（SMD = 1.35，95%CI = 0.82 ± 1.88，
P
<
0.001
，非常低质量的证据），但不是抑郁症（SMD =-0.04，95%CI =-0.3到0.21，
P
=
0.74
，中等质量证据）、焦虑（MD = 0.68，95%CI =-0.68 2. 04，
P
=
0.32
，低质量证据）和自我效能（SMD =-0.30，95%CI =-1.22到0.61，
P
=
0.52
非常低质量的证据）。亚组分析表明，多种形式的远程康复（SMD = 1.86，95%CI = 1.32 ± 2.40，
P
<
0.001
）对提高学习能力有显著效果。结论远程康复能有效减轻照顾者的负担，提高照顾者的知识和能力。对护理管理的影响。远程康复的出现有助于缓解照顾者的压力，为护理管理者制定脑卒中出院计划提供了一种新的形式。
Aim. This systematic review aimed at evaluating the effectiveness of telerehabilitation on family caregivers of stroke survivors. Background. After discharge from the hospital, family caregivers of stroke survivors faced physical and psychological stress. Telerehabilitation seems crucial for family caregivers. However, the impact of telerehabilitation on family caregivers’ health outcomes remains to be studied. Evaluation. Six databases (PubMed, Embase, Cochrane Library, Web of Science, CINAHL, and PsycINFO) were searched up to June 16th, 2022, without language restrictions. The Revised Cochrane Risk-of-bias Tool for Randomized Trials was used to assess the quality of included studies. The GRADEpro (Grading of Recommendations Assessment, Development, and Evaluation Profile) tools were applied to assess the synthesized evidence quality. The subgroup analysis was performed according to the intervention formats. Statistical analysis was conducted using Review Manager 5.3, and the publication bias was calculated by Stata 14.0. Key Issue(s). A total of 16 studies containing 992 caregivers were pooled in this systematic review. Telerehabilitation significantly improved the caregiver burden (SMD = −0.18, 95% CI = −0.35∼−0.02,
P
=
0.03
, moderate-quality evidence), knowledge (SMD = 0.75, 95% CI = 0.03∼1.47,
P
=
0.04
, very low-quality evidence), and competence (SMD = 1.35, 95% CI = 0.82∼1.88,
P
<
0.001
, very low-quality evidence) but not depression (SMD = −0.04, 95% CI = −0.3∼0.21,
P
=
0.74
, moderate-quality evidence), anxiety (MD = 0.68, 95% CI = −0.68∼2.04,
P
=
0.32
, low-quality evidence), and self-efficacy (SMD = −0.30, 95% CI = −1.22∼0.61,
P
=
0.52
, very low-quality evidence) in family caregivers of stroke survivors. The subgroup analysis demonstrated that multi-form telerehabilitation (SMD = 1.86, 95% CI = 1.32∼2.40,
P
<
0.001
) was significantly effective in improving caregiving competence. Conclusion. Telerehabilitation can effectively reduce the caregiver burden as well as improve the knowledge and competence of stroke caregivers. Implications for Nursing Management. The emergence of telerehabilitation can help relieve caregivers’ stress and provide a new form for nursing managers to make discharge plans for stroke.