Effects of Interventions Involving the Family in the Treatment of Adult Patients with Chronic Physical Diseases: A Meta-Analysis
Effects of Interventions Involving the Family in the Treatment of Adult Patients with Chronic Physical Diseases: A Meta-Analysis
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DOI：
10.1159/000286958
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发表时间：
2010-01-01
影响因子：
22.8
通讯作者：
Herzog, Wolfgang
中科院分区：
文献类型：
--
作者：
Hartmann, Mechthild;Baezner, Eva;Herzog, Wolfgang
背景资料：家庭可以对患有慢性身体疾病的患者的健康产生相当大的影响，并且已经尝试通过让家庭成员参与来优化治疗。这项荟萃分析旨在系统地评估以家庭为导向的干预措施对患有慢性躯体疾病的成年人的影响。研究方法：进行了系统的文献检索，以确定随机临床试验，这些试验评价了与标准治疗相比，以家庭为基础的干预措施对成人患者的影响。干预措施被归类为心理教育或解决家庭关系。研究的结果是病人的身心健康和家庭成员的健康。效应量计算为Hedges' g，并使用随机效应模型进行组合。结果：提取了52项相关的随机对照试验（包括8，896例患者）。主要疾病是心血管疾病，包括中风、癌症和关节炎。荟萃分析表明，家庭参与导致的健康状况显着优于标准治疗的所有结果。患者身体健康的平均总效应量为0.32，患者心理健康的平均总效应量为0.28，家庭成员健康的平均总效应量为0.35。总的来说，影响不大，但广泛、显著和长期稳定。与教育干预相比，有一种倾向，有利于以关系为重点的家庭干预措施的效果更高。结论：在慢性躯体疾病的治疗中，让家庭成员参与的心理社会干预对患者及其家人的健康结果都有积极影响。需要进一步的高质量研究来调查差异效应。版权所有（C）2010 S. Karger AG，巴塞尔
Background: Families can have considerable influence on the health of a patient with a chronic physical disease, and attempts have been made to optimise treatment by involving family members. This meta-analysis aimed to systematically assess the effects of family-oriented interventions on adults with chronic physical diseases. Methods: A systematic literature search was conducted to identify randomised clinical trials that have evaluated the effects of family-based interventions for adult patients compared to standard treatment. Interventions were classified as psychoeducation or addressing family relationships. The outcomes studied were the patient's physical and mental health and the health of the family members. The effect sizes were calculated as Hedges' g and combined using random-effects models. Results: Fifty-two relevant randomised controlled trials (including 8,896 patients) were extracted. The main disease groups were cardiovascular diseases including stroke, cancer and arthritis. Meta-analysis showed that family involvement resulted in significantly better health than standard treatment for all outcomes. The mean overall effect sizes were 0.32 for the patients' physical health, 0.28 for the patients' mental health and 0.35 for the family members' health. Overall, the effects were not large, but they were broad, significant and stable over a long period of time. There was a tendency towards higher effects in favour of relationship-focused family interventions compared to educational interventions. Conclusions: Psychosocial interventions involving family members in the treatment of chronic physical diseases have positive effects on the health outcome for both the patient and his/her family. Further high-quality research is necessary to investigate differential effects. Copyright (C) 2010 S. Karger AG, Basel