■系统地评估远程保健干预措施对痴呆症患者(PWD)的照顾者负担和照顾者心理健康的影响。
■从9个电子数据库(PubMed,科克伦图书馆,WebofScience,Embase,CINAHL,SinoMed,CNKI,万方,和VIP)。检索时间是从开始到2023年7月26日。
■最终分析包括22篇文章,其中2132名受试者。荟萃分析表明,远程保健干预措施在减轻照顾者负担方面具有显着效果(SMD:-0.14,95%CI:-0.25,-0.02,p=0.02),抑郁(SMD=-0.17;95CI:-0.27,-0.07,p<0.001)和压力(SMD=-0.20,95CI:-0.37,-0.04,p=0.01)。然而,对焦虑无统计学意义(SMD=-0.12,95CI:-0.27,0.03,p=0.12).此外,亚组分析显示,与标准化干预措施(SMD=-0.08;95CI:-0.22,0.06,p=0.25)相比,定制干预措施与抑郁减轻更显著相关(SMD=-0.26;95CI:-0.40,-0.13,p<0.001).此外,远程健康可有效缓解基于互联网的组(SMD=-0.17,95CI:-0.30,-0.03,p=0.01)和基于电话的组(SMD=-0.18,95CI:-0.34,-0.02,p=0.03)的抑郁症。而基于互联网和电话的组没有显着差异(SMD=-0.18,95CI:-0.54,0.18,p=0.32)。
■远程医疗可以有效地减轻PWD看护者的负担和压力,而其对焦虑的影响需要进一步研究。总的来说,远程医疗在痴呆症护理中具有潜在的益处。
UNASSIGNED: To systematically evaluate the effects of telehealth interventions on the caregiver burden and mental health of caregivers for people with
dementia (PWD).
UNASSIGNED: Relevant randomized controlled trials (RCTs) of telehealth interventions on caregivers were extracted from nine electronic databases (PubMed, The Cochrane Library, Web of Science, Embase, CINAHL, SinoMed, CNKI, WanFang, and VIP). The retrieval time was from inception to 26 July 2023.
UNASSIGNED: Twenty-two articles with 2132 subjects were included in the final analysis. The meta-analysis demonstrated that telehealth interventions exerted a significant effect in reducing caregiver burden (SMD: -0.14, 95 % CI: -0.25, -0.02, p = 0.02), depression (SMD = -0.17; 95%CI: -0.27, -0.07, p < 0.001) and stress (SMD = -0.20, 95%CI: -0.37, -0.04, p = 0.01). However, no statistically significant effect was observed on anxiety (SMD = -0.12, 95%CI: -0.27, 0.03, p = 0.12). Moreover, subgroup analysis showed that tailored interventions were associated with more evident reductions in depression (SMD = -0.26; 95%CI: -0.40, -0.13, p < 0.001) than standardized interventions (SMD = -0.08; 95%CI: -0.22, 0.06, p = 0.25). In addition, telehealth was effective in relieving depression in Internet-based (SMD = -0.17, 95%CI: -0.30, -0.03, p = 0.01) and Telephone-based group (SMD = -0.18, 95%CI: -0.34, -0.02, p = 0.03), while there was no significant difference in the Internet and Telephone-based group (SMD = -0.18, 95%CI: -0.54, 0.18, p = 0.32).
UNASSIGNED: Telehealth could effectively reduce the burden and relieve the depression and stress of caregivers of PWD, while its effect on anxiety requires further research. Overall, telehealth has potential benefits in
dementia care.