Family-centred approaches to healthcare interventions in chronic diseases in adults: a quantitative systematic review.

Autor:	Deek, Hiba, Hamilton, Sandra, Brown, Nicola, Inglis, Sally C., Digiacomo, Michelle, Newton, Phillip J., Noureddine, Samar, MacDonald, Peter S., Davidson, Patricia M.
Předmět:	CHRONIC disease treatment CHRONIC diseases PSYCHOLOGICAL adaptation CAREGIVERS CINAHL database CONFIDENCE intervals DATABASES DRUGS FAMILIES FAMILY medicine HEALTH behavior HEALTH care teams HEALTH education MEDICAL information storage & retrieval systems PSYCHOLOGY information storage & retrieval systems SERVICES for caregivers EVALUATION of medical care MEDLINE MORTALITY PATIENT compliance PATIENT satisfaction QUALITY of life SCALE analysis (Psychology) HEALTH self-care SELF-efficacy SYSTEMATIC reviews ACTIVITIES of daily living QUANTITATIVE research FAMILY roles PATIENT readmissions ODDS ratio ECONOMICS
Zdroj:	Journal of Advanced Nursing (John Wiley & Sons, Inc.); May2016, Vol. 72 Issue 5, p968-979, 12p, 1 Diagram
Abstrakt:	Background Increasingly there is a focus on self-care strategies for both malignant and non-malignant conditions. Models of self-care interventions have focussed on the individual and less on the broader context of family and society. In many societies, decision-making and health seeking behaviours, involve family members. Objective To identify elements of effective family-centred self-care interventions that are likely to improve outcomes of adults living with chronic conditions. Design Review paper. Data sources MEDLINE (Ovid), CINAHL, Academic Search Complete, PsychInfo and Scopus between 2000-2014. Review methods Quantitative studies targeting patient outcomes through family-centred interventions in adults were retrieved using systematic methods in January, 2015. Search terms used were: 'family', 'spouse', 'carer', 'caregiver', 'chronic', 'chronic disease', 'self-care', 'self-management' and 'self-efficacy'. Reference lists were reviewed. Risk of bias assessment was performed using the Cochrane Collaboration's tool. Data were reported using a narrative summary approach. Results Ten studies were identified. Improvements were noted in readmission rates, emergency department presentations, and anxiety levels using family-centred interventions compared with controls. Elements of effective interventions used were a family-centred approach, active learning strategy and transitional care with appropriate follow-up. Conclusions Involving the family in self-care has shown some positive results for patients with chronic conditions. The benefits of family-centred care may be more likely in specific socio-cultural contexts. Limitations The review has year limits and further research needs to identify support for both the patients and family caregivers. [ABSTRACT FROM AUTHOR]
Databáze:	Complementary Index
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