卒中照顾者照护负担的干预策略综述
A Review of Intervention Strategies to Address the Burden of Care on Stroke Carers
DOI: 10.12677/ns.2025.148181, PDF,    科研立项经费支持
作者: 周 乐, 朱耀峰*：吉首大学医学院，湖南 吉首；李 萍：湘西州民族中医院科教科，湖南 吉首
关键词: 卒中；照顾者；照护负担；干预；范围综述；Stroke； Caregivers； Caregivers Burden； Intervene； Review
摘要: 目的：对卒中照顾者照护负担干预研究进行范围综述，为临床工作者提供有效的支持策略参考。方法：遵循Joanna Briggs Institute范围综述指南，系统检索了中国知网、万方、维普、中国生物医学、PubMed、Embase、Cochrane libiary、CINAHL、Web of Science、Scopus、PsycInfo数据库，时限从建库至2025年3月5日。对纳入文献进行总结和分析。结果：共纳入20篇文献。分析显示干预方案包括随访、健康教育、支持性家庭护理、心理干预、物理干预、技能培养和怀旧干预，形式涵盖线上、线下及二者结合，干预频率和时长因内容与形式而异，结果显示照顾者照护负担及心理状态均有改善。结论：干预内容和形式需进一步完善，强调以家庭为中心，探索整合医疗服务网络，制定个性化方案以优化干预效果，改善照顾者生活质量。
Abstract: Objective: To conduct a scoping review of intervention studies on the burden of care for stroke carers to inform effective support strategies for clinical practitioners. Methods: Following the Joanna Briggs Institute guidelines for scoping reviews, systematic searches were conducted on China Knowledge, Wanfang, Wipro, China Biomedical, PubMed, Embase, Cochrane Library, CINAHL, Web of Science, Scopus, and PsycINFO databases, with a timeframe of from the time of construction to the time of5th of March 2025. The included literature was summarised and analyzed. Results: A total of 20 papers were included. The analysis showed that the intervention programs included follow-up, health education, supportive home care, psychological intervention, physical intervention, skill development, and nostalgia intervention, and the forms of intervention included online, offline and a combination of the two, with the frequency and duration of intervention varying according to the content and form. Conclusion: The contents and forms of intervention need to be further improved, with an emphasis on family-centredness, exploring the integration of healthcare service networks, and formulating individualized programs to optimize the effects of intervention and improve the quality of life for caregivers.
文章引用：周乐, 朱耀峰, 李萍. 卒中照顾者照护负担的干预策略综述[J]. 护理学, 2025, 14(8): 1367-1378. https://doi.org/10.12677/ns.2025.148181

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