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针对老年人照料者的有效解决方案:系统评价综述

Effective Solutions for Caregivers of Older Adults: A Review of Systematic Reviews.

作者信息

McHugh Molly, Munsterman Ellen, Cho Hannah, Naylor Mary D

机构信息

NewCourtland Center for Transitions and Health, University of Pennsylvania School of Nursing, Philadelphia, PA, USA.

Leonard Davis Institute for Health Economics, University of Pennsylvania, Philadelphia, PA, USA.

出版信息

J Appl Gerontol. 2025 Jan 9:7334648241312999. doi: 10.1177/07334648241312999.

Abstract

This umbrella review aims to describe caregiver interventions tested across populations of informal caregivers of older adults and to examine the effect of caregiver interventions on depression, burden, and quality of life across intervention types and care-recipient populations. PubMed, Scopus, APA PsycInfo, ABIM, Sociological Abstracts, PAIS, and EconLit databases were systematically searched. Forty systematic reviews were identified as meeting inclusion criteria. Most commonly, interventions focused on improving outcomes for caregivers of older adults with dementia. Among the included reviews, caregiver depression was most likely to be reduced by caregiver interventions, and cognitive behavioral therapy (CBT) and mindfulness-based interventions (MBI) were most effective. The use of information and communication technologies to deliver caregiver interventions is increasingly common. Standardization of intervention classifications and transparent reports of intervention delivery details will strengthen research in this field.

摘要

本伞状综述旨在描述针对老年非正式照料者群体进行测试的照料者干预措施,并探讨照料者干预措施对不同干预类型和受照料者群体的抑郁、负担及生活质量的影响。我们系统检索了PubMed、Scopus、美国心理学会心理学文摘数据库(APA PsycInfo)、美国内科医学委员会(ABIM)、社会学文摘数据库(Sociological Abstracts)、公共事务信息服务数据库(PAIS)和经济文献数据库(EconLit)。共识别出40篇符合纳入标准的系统综述。最常见的情况是,干预措施侧重于改善痴呆症老年患者照料者的结局。在所纳入的综述中,照料者干预措施最有可能减轻照料者的抑郁情绪,认知行为疗法(CBT)和基于正念的干预措施(MBI)最为有效。利用信息和通信技术提供照料者干预措施的情况越来越普遍。干预分类的标准化以及干预实施细节的透明报告将加强该领域的研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ebe7/12420940/19bacc2dd3cb/10.1177_07334648241312999-fig1.jpg

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