关键词: cardiometabolic disease chronic Illness diabetes family care hypertension integrative review

Mesh : Humans Family Support Health Personnel Family Cardiovascular Diseases / therapy

来  源:   DOI:10.1002/nop2.1858   PDF(Pubmed)

Abstract:
To evaluate how family support affects cardiometabolic outcomes.
Integrative literature review.
PubMed, CINAHL, EMBASE and Scopus were searched for peer-reviewed primary research published between 2016 and 2021.
Independent screening of 1661 citations resulted in 17 international publications involving 16 experimental studies selected. Data were analysed using a constant comparison method.
While the interventions varied regarding target, duration, setting and the profession of the interventionists, all studies demonstrated some level of the effectiveness for family involvement and support in the management of cardiometabolic diseases. The studies found improvement in health behaviours and clinical/psychosocial outcomes for the patients and the family members.
Based on the findings from this review, we recommend utilizing the following for future family interventions in the management of diabetes and/or hypertension: (1) broader definitions of family and structures; (2) a community participatory/action-research method with embedded healthcare workers; (3) an interdisciplinary approach with attention to goal-setting; (4) multimodal interventions including technology; (5) culturally tailoring interventions for relevance as needed; and (6) clear direction regarding support role and tools.
摘要:
目的:评估家庭支持如何影响心脏代谢结果。
方法:综合文献综述。
方法:PubMed,CINAHL,EMBASE和Scopus被搜索2016年至2021年发表的同行评审的主要研究。
方法:对1661篇引文的独立筛选产生了17篇国际出版物,涉及16项实验研究。使用恒定比较方法分析数据。
结果:虽然干预措施在目标方面有所不同,持续时间,背景和干预主义者的职业,所有研究都表明,家庭参与和支持在心脏代谢疾病的治疗中具有一定程度的有效性.研究发现,患者和家庭成员的健康行为和临床/社会心理结果有所改善。
结论:根据本综述的结果,我们建议在未来的糖尿病和/或高血压管理中利用以下方式进行家庭干预:(1)更广泛的家庭和结构定义;(2)由内嵌医疗工作者参与的社区参与式/行动研究方法;(3)关注目标设定的跨学科方法;(4)包括技术在内的多模式干预;(5)根据需要在文化上调整干预措施的相关性;(6)关于支持角色和工具的明确方向.
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