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Effectiveness of dyadic interventions to improve stroke patient–caregiver dyads' outcomes after discharge: A systematic review and meta-analysis study.
- Source :
-
European Journal of Cardiovascular Nursing . Jan2021, Vol. 20 Issue 1, p14-33. 20p. - Publication Year :
- 2021
-
Abstract
- Background: Because of the importance of a dyadic approach, it is necessary to conduct a systematic review to identify which dyadic intervention could be implemented for stroke survivor–caregiver dyads after discharge from the rehabilitation hospital to improve outcomes. Aims: The aims were to systematically review the evidence to identify which dyadic interventions have been implemented in stroke survivor–caregiver dyads to improve stroke survivor–caregiver dyads' outcomes and to analyse, through a meta-analysis, which intervention was found to be the most effective. Methods: A systematic review and meta-analysis were conducted using the following electronic databases: PubMed, CINAHL and PsycInfo. Randomized controlled trials (RCTs) and quasi-RCT studies published within the last 10 years were included. Quantitative data were extracted from papers included in the review using the standardized data extraction tool from JBI-MAStARI. Pooled effects were analysed between the experimental and control groups for each outcome. Results: Sixteen studies involving 2997 stroke survivors (male gender=58%) and 2187 caregivers (male gender=25%) were included in this review. In 16 studies, which were subdivided into three quasi-RCTs and 13 RCTs, the application of dyadic interventions for stroke survivors and caregivers was systematically reviewed, but only a few of these identified a significant improvement in the stroke survivors' and caregivers' outcomes of its intervention group. Dyadic interventions showed a significant effect on stroke survivors' physical functioning (p =0.05), memory (p <0.01) and quality of life (p =0.01) and on caregivers' depression (p =0.05). Conclusions: This study provides moderate support for the use of a dyadic intervention to improve stroke survivors' physical functioning, memory and quality of life and caregiver depression. [ABSTRACT FROM AUTHOR]
- Subjects :
- *EVALUATION of medical care
*ONLINE information services
*CINAHL database
*PSYCHOLOGY information storage & retrieval systems
*MEMORY
*STATISTICS
*CAREGIVERS
*META-analysis
*CONFIDENCE intervals
*SYSTEMATIC reviews
*FUNCTIONAL status
*BURDEN of care
*ACTIVITIES of daily living
*STROKE patients
*QUALITY assurance
*DESCRIPTIVE statistics
*BODY movement
*QUALITY of life
*MENTAL depression
*MEDLINE
*DATA analysis software
*DISCHARGE planning
Subjects
Details
- Language :
- English
- ISSN :
- 14745151
- Volume :
- 20
- Issue :
- 1
- Database :
- Academic Search Index
- Journal :
- European Journal of Cardiovascular Nursing
- Publication Type :
- Academic Journal
- Accession number :
- 151282160
- Full Text :
- https://doi.org/10.1177/1474515120926069