Abstract:
AIMS:(a) To evaluate the effectiveness of different types of psychosocial interventions on the health-related quality of life among caregivers of individuals with dementia and (b) To present an overview and assessment of the quality of the most recent intervention studies. DESIGN:A systematic review and meta-analysis. DATA SOURCES:MEDLINE, CINAHL, PsycINFO and Cochrane Library electronic databases were searched to find randomized controlled trials (RCTs) published from 2005 - 2017. Using a Boolean search, the key words 'caregivers', 'dementia' and 'quality of life' were combined. The search was completed in January 2018. REVIEW METHODS:A total of 26 RCTs were included. Intervention details such as content, mode of delivery and duration were reviewed, and each study's risk of bias was assessed. The effectiveness of each type of intervention was calculated using the Hedges G and a random-effects model. RESULTS:Multicomponent interventions, cognitive behavioural therapy and complementary alternative medicine therapy showed significant effects on improving caregiver's health-related quality of life. Psychoeducation, social support, case management and cognitive rehabilitation therapy failed to produce significant effects. CONCLUSION:Via this evidence-based systematic review, multicomponent interventions addressing a variety of caregiver needs can be an effective method for enhancing caregiver health-related quality of life. Further large number of studies are needed to verify this study results. IMPACT:The findings of this study inform clinicians which interventions are effective in improving caregivers' health-related quality of life. Defining a standardized protocol for multicomponent interventions will be helpful for clinicians to apply the intervention. :目的: (a)评估不同类型社会心理干预措施对痴呆症患者看护人员健康相关生活质量影响的有效性;以及(b)概述和评价最新干预研究的质量。 设计: 系统评估与荟萃分析。 数据来源: 通过 MEDLINE、CINAHL、PsycINFO和Cochrane图书馆电子数据库进行检索,搜索2005年至2017年发表的随机对照试验(RCTs)。使用布尔逻辑检索,将关键词“看护人员”、“痴呆症”和“生活质量”结合起来进行搜索。检索工作于2018年1月完成。 评估方法: 共纳入26项随机对照试验。对干预内容、实施方式和持续时间等细节进行评估,并评价了每项研究的偏差风险。采用Hedges G和随机效应模型来计算各种干预措施的有效性。 结果: 多环节干预措施、认知行为疗法和辅助替代药物治疗对改善看护人员健康相关生活质量有显著影响。心理教育、社会支持、病例管理和认知康复治疗均未产生显著效果。 结论: 这项循证系统评估表明,迎合看护人员不同需求的多环节干预措施可有效提高看护人员健康相关生活质量。尚需进一步的大量研究来验证这一研究结果。 影响: 本项研究发现可帮助临床医师了解何种干预措施能有效改善看护人员的健康相关生活质量。针对多环节干预措施制定标准化方案将有助于临床医师应用干预方案。.
journal_name
J Adv Nursjournal_title
Journal of advanced nursingauthors
Lee M,Ryoo JH,Crowder J,Byon HD,Wiiliams ICdoi
10.1111/jan.14262subject
Has Abstractpub_date
2020-02-01 00:00:00pages
475-489issue
2eissn
0309-2402issn
1365-2648journal_volume
76pub_type
杂志文章,meta分析abstract:AIM:This paper presents a conceptual analysis of the concept of bio-power in the context of nursing, including a critique of the widespread rhetoric that nursing is deprived of power and consequently is an apolitical agency. BACKGROUND:Traditionally, power tends to be defined in terms of repression, interdiction and p...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1111/j.1365-2648.2005.03432.x
更新日期:2005-06-01 00:00:00
abstract::Action research is growing in popularity as an approach to research in the nursing profession. Action research seeks to engage practitioners collaboratively into taking action to improve their situation; therefore, one could argue it is ideally suited to nursing since it is a practice-based profession. This paper exam...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.1994.tb01124.x
更新日期:1994-03-01 00:00:00
abstract:AIM:To report a concept analysis of futility in health care. BACKGROUND:Each member of the healthcare team: the physician, the nurse, the patient, the family and all others involved perceive futility differently. The current evidence and knowledge in regard to futility in health care manifest a plethora of definitions...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1111/jan.13526
更新日期:2018-06-01 00:00:00
abstract:AIM:To explore the reasons why older Chinese people decline to tell their life stories. BACKGROUND:Promoting the telling of life stories by older people, as part of healthy ageing, may develop their sense of unity and meaning in life. However, not all older adults seem to review their past and tell others about it. Un...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.12630
更新日期:2015-07-01 00:00:00
abstract:AIM:This study explored the effects of contextual, relational and cognitive factors derived from novice nurses' work experiences on emotions and affective commitment to the profession. BACKGROUND:With an increasing demand for well-trained nurses, it is imperative to investigate which work-related factors most affect t...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.13709
更新日期:2018-05-13 00:00:00
abstract::This qualitative study was conducted to gain an understanding of the experiences of persons with chronic pain and their relationships with family members and the family as a whole. The framework of systemic organization was used to define the areas of investigation guiding the formulation of broad questions relative t...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.1999.01123.x
更新日期:1999-09-01 00:00:00
abstract:AIM:To explore the relationships among various nursing homes characteristics including work environment, careworker outcomes and resident outcomes in Swiss nursing homes. BACKGROUND:In Switzerland, a growing number of older people live in nursing homes. Although research has addressed the issue of quality of nursing c...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.12253
更新日期:2014-04-01 00:00:00
abstract:AIMS:To explore the impact of bracing on the perceptions of body image, happiness and satisfaction of adolescents with scoliosis. DESIGN:The study was designed as compare of 134 girls and 16 boys who wore a Boston type brace for scoliosis treatment and a control group of 99 healthy girls and 51 healthy boys. All them ...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.2001.01900.x
更新日期:2001-09-01 00:00:00
abstract:TITLE:Community health: an evolutionary concept analysis. AIM:This paper is a report of a concept analysis of community health. BACKGROUND:Community health is a term that has been broadly used in both research and practice. Although local communities are invested in community health improvement, this process often oc...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2009.05068.x
更新日期:2009-11-01 00:00:00
abstract:AIM:This paper presents the development process for clinical guidelines on the use of pressure-relieving devices (beds, mattresses and overlays), with emphasis on incorporating economic evidence. BACKGROUND:Previous UK guidelines on the use of pressure-relieving devices to prevent pressure ulcers have not considered w...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1111/j.1365-2648.2005.03394.x
更新日期:2005-05-01 00:00:00
abstract::This paper examines one study of nursing practice that utilized ethnography as a research approach. The general overview of the ethnographic method and the symbolic interaction framework used are described. An overview of the specific approach is included. The findings of the study are presented. The strengths and pro...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.1983.tb00284.x
更新日期:1983-01-01 00:00:00
abstract::An examination of predictions concerning the future of American society provides a basis for building a scenario for nursing education in the USA. Trends influencing the future of society and professional nursing education include the tendency towards a planet-wide society, changing orientations towards individual tow...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.1982.tb03277.x
更新日期:1982-01-01 00:00:00
abstract:AIMS:The Grading of Recommendations Assessment, Development and Evaluation (GRADE) Working Group Guidance is widely used to increase the transparency by which evidence is turned into recommendations. Although the process is clearly defined, it may be difficult to use in nursing education and practice because it uses se...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.14303
更新日期:2020-04-01 00:00:00
abstract::Assessing a patient's level of consciousness is a skilled part of nursing practice. The epistemology of this activity is discussed using the four patterns of knowing identified by Carper. It is suggested that all four patterns and their interaction are necessary for a practitioner to be able to carry out this activity...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1046/j.1365-2648.1994.20050881.x
更新日期:1994-11-01 00:00:00
abstract:BACKGROUND:Many patients experience anxiety during treatment in an intensive care unit, but intensive care patients are often not able to respond to existing validated measures of anxiety such as the Brief Symptom Inventory. We have developed a new single item Faces Anxiety Scale made up of drawings of five faces. AIM...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.2003.02508.x
更新日期:2003-01-01 00:00:00
abstract:AIM:The aim of this study was to test psychometrically the Italian and French versions of the Care Dependency Scale. BACKGROUND:The Care Dependency Scale assesses changes in patients' level of care dependency including important functional and mental dimensions. Evaluation of the psychometric properties of the Italian...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.13077
更新日期:2016-12-01 00:00:00
abstract::The study examined the relationships among participation in outpatient rehabilitation, health locus of control, and mastery of stress with coronary artery disease completed the Master of Stress Instrument (MSI) and the Multidimensional Health Locus of Control Scale. One fourth of the sample had participated in the hos...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.1995.22020294.x
更新日期:1995-08-01 00:00:00
abstract::The reality of health care is continuously changing. Therefore, nursing teachers have to encourage and promote a critical, inquiry-oriented approach to work. This demands self-reflection during the teacher education. Teaching training crystallizes the objectives of teacher education; the process of self-reflection sho...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.1990.tb01801.x
更新日期:1990-02-01 00:00:00
abstract:AIM:This paper reports an assessment of the effects of a breastfeeding journal on breastfeeding prevalence and perceptions of conflicting advice, self-management and self-efficacy. BACKGROUND:Breastfeeding prevalence rates in most developed countries are not meeting recommendations. Women's concerns about inconsistent...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2006.04136.x
更新日期:2007-02-01 00:00:00
abstract::Seldom is the work of philosophers invoked by health professionals when examining aspects of care from a philosophical perspective. Instead, students of health care, especially nurses, have been introduced to 'philosophies' which are often superficially examined and poorly understood. This practice fails to develop in...
journal_title:Journal of advanced nursing
pub_type: 传,历史文章,杂志文章
doi:10.1046/j.1365-2648.1998.00637.x
更新日期:1998-08-01 00:00:00
abstract:AIM:This paper is a report of a study to investigating the incidence types and causes of medication errors (MEs) and the consequences for patients. Background. Medication errors are a common problem in hospitals around the world, including those in Brazil. METHOD:An exploratory, quantitative survey design was used and...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2009.04979.x
更新日期:2009-06-01 00:00:00
abstract:AIM:The aim of this study was to evaluate the 24-month outcomes of a nurse-led continence care service for Chinese primary care patients with lower urinary tract symptoms. BACKGROUND:Most studies evaluating the outcomes of continence care services have had short follow-up durations with limited knowledge on whether be...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.13205
更新日期:2017-05-01 00:00:00
abstract::This paper summarizes a research study inquiring into the attitudes of qualified nursing staff towards the use of individualized nursing care plans as a teaching tool. The survey was conducted in medical and surgical wards used for nurse training, in two hospitals. In common with many hospitals, the introduction of th...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.1988.tb01400.x
更新日期:1988-01-01 00:00:00
abstract:AIM:This paper is a report of a study to examine the operational impact of a police custody nursing service on healthcare delivery in one police service in the north of England. BACKGROUND:Medical practitioners, trained specifically for the role of forensic medical examiner, have traditionally provided forensic and cu...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2007.04403.x
更新日期:2007-10-01 00:00:00
abstract:AIM:The study aims to illuminate how one woman with severe dementia and so-called behavioural disturbances acts in relation to her care providers and how the care providers act in relation to her. METHODS:Fourteen participant observations, including one woman with dementia and six care providers, were performed. A ref...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.2001.01966.x
更新日期:2001-10-01 00:00:00
abstract:AIM OF THE STUDY:The aim of this phenomenological study was to find out what menopause was like as an experience for women who were not yet 40 years old. BACKGROUND:Women's bodies have naturally occurring rhythms and expected transitions related to their menstrual cycle. One transition that all women will experience, ...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.2002.02114.x
更新日期:2002-03-01 00:00:00
abstract::This small-scale study carried out in a Melbourne metropolitan hospital explored patients' and their carers' perceptions of information, adequacy of information, and their utilization of information concerning post-discharge care received from health professionals during their stay in hospital. The research design con...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.2000.01372.x
更新日期:2000-05-01 00:00:00
abstract::A major problem of diabetes mellitus lies in its complications. Fourteen Type 1 diabetic patients with severe long-term complications were interviewed on two occasions with the aim of gaining a deeper understanding of their coping strategies. The study has a qualitative design and a grounded theory approach was used. ...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.1990.tb01982.x
更新日期:1990-09-01 00:00:00
abstract:AIM:This paper is a report of a grounded theory study of woman's infant feeding experiences and decisions in the first 6 weeks after birth. BACKGROUND:Breastfeeding is considered the optimum method of infant feeding. Studies have identified numerous factors associated with infant feeding decisions. What remains unexpl...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2009.05194.x
更新日期:2010-02-01 00:00:00
abstract:AIM:To report an analysis of the concept of youth physical activity self-efficacy. BACKGROUND:Physical activity self-efficacy is a concept that has been frequently examined as a key variable in research aimed at increasing physical activity among youth. Different conceptual definitions and empirical measures indicate ...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.12658
更新日期:2015-09-01 00:00:00