■远程医疗技术是一个快速发展的领域,显示出改善医疗服务的巨大潜力。在姑息治疗中,非正式护理人员在患者护理中承担主要责任,并且经常面临诸如身心压力增加和健康状况下降等挑战。在这种情况下,远程医疗干预可以提供支持并改善他们的健康结果。然而,关于非正式护理人员使用远程医疗的研究结果是有争议的,远程医疗的疗效尚不清楚。
■本研究旨在评估远程医疗对负担的影响,焦虑,抑郁症,姑息治疗中患者非正式护理人员的生活质量。
■使用PubMed进行了系统的文献检索,Embase,WebofScience,中部,PsycINFO,CINAHLPlus与全文,CBM,CNKI,万方,和VIP数据库,以确定从开始到2023年3月发表的相关随机对照试验。两位作者独立筛选研究并提取相关信息。使用Cochrane偏倚风险工具评估纳入研究的方法学质量。使用ReviewManager5.4评估干预效果并进行敏感性分析,而使用R(4.3.2版)和RStudio计算95%预测间隔(PI)。
■本研究共纳入9项随机对照试验。荟萃分析表明,远程医疗降低了非正式护理人员的护理负担(标准化平均差异[SMD]-0.49,95%CI-0.72至-0.27;P<.001;95%PI-0.86至-0.13)和焦虑(SMD-0.23,95%CI-0.40至-0.06;P=.009;95%PI-0.98至0.39);但是,它不影响抑郁症(SMD-0.21,95%CI-0.47至0.05;P=.11;95%PI-0.94至0.51)或生活质量(SMD0.35,95%CI-0.20至0.89;P=.21;95%PI-2.15至2.85)。
■尽管远程医疗可以减轻非正式护理人员的照顾负担和焦虑,它不会显着减少抑郁或改善他们的生活质量。进一步的高品质,需要大样本研究来验证远程医疗的效果。此外,需要基于理论基础的个性化干预计划来支持护理人员。
UNASSIGNED: Telemedicine technology is a rapidly developing field that shows immense potential for improving medical services. In palliative care, informal caregivers assume the primary responsibility in patient care and often face challenges such as increased physical and mental stress and declining health. In such cases, telemedicine interventions can provide support and improve their health outcomes. However, research findings regarding the use of telemedicine among informal caregivers are controversial, and the efficacy of telemedicine remains unclear.
UNASSIGNED: This study aimed to evaluate the impacts of telemedicine on the burden, anxiety, depression, and quality of life of informal caregivers of patients in palliative care.
UNASSIGNED: A systematic literature search was conducted using the PubMed, Embase, Web of Science, CENTRAL, PsycINFO, CINAHL Plus with Full Text, CBM, CNKI, WanFang, and VIP databases to identify relevant randomized controlled trials published from inception to March 2023. Two authors independently screened the studies and extracted the relevant information. The methodological quality of the included studies was assessed using the Cochrane risk-of-bias tool. Intervention effects were estimated and sensitivity analysis was conducted using Review Manager 5.4, whereas 95% prediction intervals (PIs) were calculated using R (version 4.3.2) and RStudio.
UNASSIGNED: A total of 9 randomized controlled trials were included in this study. The meta-analysis indicated that telemedicine has reduced the caregiving burden (standardized mean differences [SMD] -0.49, 95% CI -0.72 to -0.27; P<.001; 95% PI -0.86 to -0.13) and anxiety (SMD -0.23, 95% CI -0.40 to -0.06; P=.009; 95% PI -0.98 to 0.39) of informal caregivers; however, it did not affect depression (SMD -0.21, 95% CI -0.47 to 0.05; P=.11; 95% PI -0.94 to 0.51) or quality of life (SMD 0.35, 95% CI -0.20 to 0.89; P=.21; 95% PI -2.15 to 2.85).
UNASSIGNED: Although telemedicine can alleviate the caregiving burden and anxiety of informal caregivers, it does not significantly reduce depression or improve their quality of life. Further high-quality, large-sample studies are needed to validate the effects of telemedicine. Furthermore, personalized intervention programs based on theoretical foundations are required to support caregivers.