关键词: caregiving pain scoping review

来  源:   DOI:10.1111/jgs.19037

Abstract:
OBJECTIVE: Scholarship on the health of family caregivers to older adults continues to expand. Although existing research suggests that many family caregivers experience pain, which impacts their ability to perform caregiving tasks and is associated with care recipients\' unmet needs, the scope of research on family caregivers\' pain remains poorly characterized. We conducted a scoping review of research on pain among family caregivers to older adults to characterize existing evidence and identify knowledge gaps.
METHODS: We searched multiple databases spanning from January 2012 to July 2023, identified eligible studies using predefined inclusion/exclusion criteria, and extracted key data (e.g., study design/methodology, pain measurement, caregiver pain type, and major findings).
RESULTS: We identified 46 eligible studies conducted in the United States (n = 19) and internationally (n = 27). Studies often focused on caregivers for older adults with specific health conditions, such as cancer (n = 11), dementia (n = 8), or stroke (n = 3). The most commonly employed pain measure was a single-item dichotomous question about pain (n = 16), followed by a visual numeric or visual analog scale (n = 11). Nine studies (five randomized controlled trials) reported on five caregiver pain management interventions, including yoga/exercise programs and caregiver education programs.
CONCLUSIONS: Existing research on family caregivers\' pain offers an important foundation. However, more robust research designs are necessary. We identify possibilities for future studies in addition to opportunities for systematic investigations to support the family caregivers being relied upon to care for the increasing number of older adults.
摘要:
目标:关于老年人家庭照顾者健康的奖学金不断扩大。尽管现有研究表明,许多家庭照顾者会经历疼痛,这会影响他们执行护理任务的能力,并与护理接受者的未满足需求有关,关于家庭照顾者疼痛的研究范围仍然不明确。我们对老年人家庭照顾者的疼痛研究进行了范围审查,以表征现有证据并确定知识差距。
方法:我们搜索了2012年1月至2023年7月的多个数据库,使用预定义的纳入/排除标准确定了符合条件的研究,和提取的关键数据(例如,研究设计/方法论,疼痛测量,护理人员疼痛类型,和主要发现)。
结果:我们确定了在美国(n=19)和国际(n=27)进行的46项合格研究。研究通常集中在具有特定健康状况的老年人的护理人员上,如癌症(n=11),痴呆(n=8),或中风(n=3)。最常用的疼痛测量是关于疼痛的单项目二分问题(n=16),然后是视觉数字或视觉模拟量表(n=11)。九项研究(五项随机对照试验)报道了五项护理人员疼痛管理干预措施,包括瑜伽/锻炼计划和护理人员教育计划。
结论:现有的关于家庭照顾者疼痛的研究提供了一个重要的基础。然而,更强大的研究设计是必要的。除了进行系统调查的机会外,我们还确定了未来研究的可能性,以支持依靠家庭照顾者来照顾越来越多的老年人。
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