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Abstract：
To provide a comprehensive synthesis of informal caregivers\' experiences of caring for a significant other following discharge from cardiac surgery.
Systematic integrated review without meta-analysis.
A bibliographic search for publications indexed in six databases (Cochrane Library, CINAHL, MEDLINE, EMBASE, AMED and PsycINFO), including a scan of grey literature sources (GreyNet International, Google Scholar, Web of Science, WorldCat and the Clinical Trials Registry) was conducted in October 2018.
Studies were included if they described views and perspectives of informal caregivers of cardiac surgery patients (non-intervention studies (qualitative and quantitative)), and the effectiveness of interventions to evaluate support programme for informal caregivers of cardiac surgery patients (intervention studies).
Of the 4912 articles identified in searches, 42 primary research studies were included in a narrative synthesis with 5292 participants, including 3231 (62%) caregivers of whom 2557 (79%) were women. The median sample size across studies was 96 (range 6-734). Three major themes emerged from the qualitative study data: (1) caregiver information needs; (2) caregiver work challenges and (3) caregivers adaption to recovery. Across the observational studies (n=22), similar themes were found. The trend across seven intervention studies focused on caregiver information needs related to patient disease management and symptom monitoring, and support for caregivers to reduce symptoms of emotional distress.
Informal caregivers want to assist in the care of their significant others after hospital discharge postcardiac surgery. However, caregivers feel insecure and overwhelmed and they lack clear/concise discharge information and follow-up support during the early at-home recovery period. The burden of caregiving has been recognised and reported since the early 1990s, but there remains a limited number of studies that assesses the effectiveness of caregiver interventions.
CRD42018096590.
Systematic integrated review without meta-analysis.
A bibliographic search for publications indexed in six databases (Cochrane Library, CINAHL, MEDLINE, EMBASE, AMED and PsycINFO), including a scan of grey literature sources (GreyNet International, Google Scholar, Web of Science, WorldCat and the Clinical Trials Registry) was conducted in October 2018.
Studies were included if they described views and perspectives of informal caregivers of cardiac surgery patients (non-intervention studies (qualitative and quantitative)), and the effectiveness of interventions to evaluate support programme for informal caregivers of cardiac surgery patients (intervention studies).
Of the 4912 articles identified in searches, 42 primary research studies were included in a narrative synthesis with 5292 participants, including 3231 (62%) caregivers of whom 2557 (79%) were women. The median sample size across studies was 96 (range 6-734). Three major themes emerged from the qualitative study data: (1) caregiver information needs; (2) caregiver work challenges and (3) caregivers adaption to recovery. Across the observational studies (n=22), similar themes were found. The trend across seven intervention studies focused on caregiver information needs related to patient disease management and symptom monitoring, and support for caregivers to reduce symptoms of emotional distress.
Informal caregivers want to assist in the care of their significant others after hospital discharge postcardiac surgery. However, caregivers feel insecure and overwhelmed and they lack clear/concise discharge information and follow-up support during the early at-home recovery period. The burden of caregiving has been recognised and reported since the early 1990s, but there remains a limited number of studies that assesses the effectiveness of caregiver interventions.
CRD42018096590.
摘要：
提供一个全面的综合非正式照顾者的经验，照顾一个重要的其他心脏手术出院后。
没有荟萃分析的系统综合评价。
在六个数据库中索引的出版物的书目搜索(CochraneLibrary，CINAHL,MEDLINE,EMBASE,AMED和PsycINFO），包括灰色文献来源的扫描(GreyNetInternational，谷歌学者，WebofScience,WorldCat和临床试验注册中心）于2018年10月进行。
如果研究描述了心脏手术患者非正式护理人员的观点和观点（非干预性研究（定性和定量）），以及评估心脏手术患者非正式护理人员支持计划的干预措施的有效性（干预研究）。
在搜索中确定的4912篇文章中，42项主要研究研究被纳入5292名参与者的叙事综合中，包括3231名（62%）护理人员，其中2557名（79%）为女性。研究中的样本量中位数为96（范围6-734）。定性研究数据中出现了三个主要主题：（1）护理人员信息需求；（2）护理人员工作挑战和（3）护理人员适应康复。在观察性研究中(n=22)，发现了类似的主题。七项干预研究的趋势集中在与患者疾病管理和症状监测相关的护理人员信息需求上，并支持护理人员减少情绪困扰的症状。
心脏手术后出院后，非正式看护者希望协助照顾他们重要的其他人。然而,护理人员感到不安全和不堪重负,他们在家庭早期恢复期缺乏清晰/简洁的出院信息和后续支持.自1990年代初以来，人们已经认识到并报道了护理负担，但评估护理人员干预效果的研究数量有限.
CRD42018096590。
没有荟萃分析的系统综合评价。
在六个数据库中索引的出版物的书目搜索(CochraneLibrary，CINAHL,MEDLINE,EMBASE,AMED和PsycINFO），包括灰色文献来源的扫描(GreyNetInternational，谷歌学者，WebofScience,WorldCat和临床试验注册中心）于2018年10月进行。
如果研究描述了心脏手术患者非正式护理人员的观点和观点（非干预性研究（定性和定量）），以及评估心脏手术患者非正式护理人员支持计划的干预措施的有效性（干预研究）。
在搜索中确定的4912篇文章中，42项主要研究研究被纳入5292名参与者的叙事综合中，包括3231名（62%）护理人员，其中2557名（79%）为女性。研究中的样本量中位数为96（范围6-734）。定性研究数据中出现了三个主要主题：（1）护理人员信息需求；（2）护理人员工作挑战和（3）护理人员适应康复。在观察性研究中(n=22)，发现了类似的主题。七项干预研究的趋势集中在与患者疾病管理和症状监测相关的护理人员信息需求上，并支持护理人员减少情绪困扰的症状。
心脏手术后出院后，非正式看护者希望协助照顾他们重要的其他人。然而,护理人员感到不安全和不堪重负,他们在家庭早期恢复期缺乏清晰/简洁的出院信息和后续支持.自1990年代初以来，人们已经认识到并报道了护理负担，但评估护理人员干预效果的研究数量有限.
CRD42018096590。
