Interventions to Support Family Caregivers in Pain Management: A Systematic Review

Chi, Nai-Ching; Barani, Emelia; Fu, Ying; Nakad, Lynn; Gilbertson‐White, Stephanie; Herr, Keela; Saeidzadeh, Seyedehtanaz

doi:10.1016/j.jpainsymman.2020.04.014

Cited by 26 publications

(29 citation statements)

References 49 publications

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“…General practitioners and primary care providers training on palliative care and pain management has demonstrated to improve clinicians’ attitudes, knowledge and skills, 66 and is essential in expanding access to services. 3 Moreover, pain management educational interventions for caregivers have shown a positive impact on patients and caregivers’ outcomes, 67 as it is suggested it might also be with patient-based educational activities. 68…”

Section: Discussionmentioning

confidence: 99%

“…General practitioners and primary care providers training on palliative care and pain management has demonstrated to improve clinicians' attitudes, knowledge and skills, 66 and is essential in expanding access to services. 3 Moreover, pain management educational interventions for caregivers have shown a positive impact on patients and caregivers' outcomes, 67 as it is suggested it might also be with patient-based educational activities. 68 Contrary to the traditional belief that Latin American patients prefer to delegate information and decision-making in their doctors and relatives, 69,70 our findings show that patients have a general preference to receive information about their diagnosis and prognosis, and that both, patients and their family caregivers tend to prefer shared and/or active over passive decision-making style.…”

Section: Main Findingsmentioning

confidence: 99%

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Attitudes and preferences towards palliative and end of life care in patients with advanced illness and their family caregivers in Latin America: A mixed studies systematic review

et al. 2021

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Background: Achieving universal access to palliative care is considered a global and equity priority. Understanding patients and caregivers’ attitudes and preferences towards palliative and end-of-life care in Latin America is essential to develop person-centred services in the region. Aim: To synthesize and appraise the evidence about patients with advanced illness and their caregivers’ attitudes and preferences towards palliative and end-of-life care in Latin America. Design: Mixed studies systematic review with sequential exploratory synthesis (thematic and narrative synthesis). Quality was assessed using the Mixed-Methods Appraisal Tool. Data sources: MEDLINE, Embase, PsychINFO, Lilacs, Web of Science, Scielo and Scopus to March 2021. Empirical studies examining patient or caregiver attitudes and/or preferences towards palliative and end-of-life care were included. Results: Of 3575 records screened, 45 articles were included, comprising 7 countries and a total of 1220 patients and 965 caregivers (26.8% non-cancer-related participants). Data were organized around seven themes: Symptom management and nutrition; End-of-life medical decisions; Communication patterns; Place of end-of-life care and death; God and religious community as source of hope and support; Caregiver’s role; and Mixed understandings of palliative care. Main findings include; conflicted views around palliative care and pain relief; patients’ preference to be informed about their condition contrasting with caregivers’ reluctance to discuss this with patients; common preference for shared decision-making; and overburdened caregivers lacking professional home-care support. Methodological flaws were found in general. Conclusion: Core themes provide context-specific evidence to inform the design of culturally sensitive palliative and end-of-life care services, models and public policies in Latin America.

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Section: Discussionmentioning

confidence: 99%

Section: Main Findingsmentioning

confidence: 99%

Attitudes and preferences towards palliative and end of life care in patients with advanced illness and their family caregivers in Latin America: A mixed studies systematic review

et al. 2021

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“…Many interventions have been developed over the past decades to support family members of persons with cancer. For instance, systematic reviews have described interventions aiming to support family caregivers in pain management (Chi et al, 2020) and interventions aiming to improve cancer caregivers' QoL (Waldron et al, 2013). In addition, they have reported on interventions supporting family caregivers who care for persons with advanced cancer at home (Ahn et al, 2020) and on interventions aiming to improve the care for persons diagnosed with lung cancer (Kedia et al, 2020).…”

Section: Introductionmentioning

confidence: 99%

Models of support to family members during the trajectory of cancer: A scoping review

Samuelsson

Wennick

Jakobsson

et al. 2021

Journal of Clinical Nursing

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“…Resorption of LDH takes 3-12 months [5]. Patient experience of pain, mood, and family support are important factors that in uence whether a treatment plan can be implemented [13]. The treatments patients receive, as well as their lifestyle, type of work, and rehabilitation exercises, can also affect the disease course [14].…”

Section: Discussionmentioning

confidence: 99%

Characteristics and Factors Associated With Spontaneous Regression of Extruded Lumbar Disc Herniation: A Retrospective Analysis of 31 Cases

Qin

Liu

Zhao

et al. 2021

Preprint

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BackgroundLumbar disc herniation (LDH) is a common condition leading to high individual, social, and economic impacts. Reported rates of spontaneous resorption of LDH vary from 35% to 100%; however, it remains unclear how spontaneous absorption, rather than re-protrusion, can be maximized.Purpose The main objective of this study was to determine the characteristics and factors enabling for spontaneous regression of extruded LDH. DesignA retrospective single center case series. Patient sampleInpatients (n = 33) with LDH who experienced spontaneous regression between September 2015 and June 2020. Outcome measuresQuestionnaire responses and magnetic resonance imaging (MRI)-determined hernia regression.MethodsA questionnaire was distributed to patients to assess factors associated with hernia resorption, the volume of herniated intervertebral discs evaluated by MRI, and the absorption ratio calculated. Multiple linear regression was used to explore factors enabling spontaneous herniated disc regression. ResultsA total of 31 patients received a mean of 5.90 conservative treatments during hospitalization, and 1.91 during rehabilitation. Of patients, 90.32% underwent bed-rest during the acute phase of the disease, and 61.29% did so during rehabilitation. Rehabilitation exercise was undertaken by 93.55% of patients, with a mean of 2.42 exercise methods per patient. Waist lumbosacral orthosis devices were worn by 80.65% of patients. Multiple linear regression showed that bed-rest days in the acute phase (X1), herniation type (X2), time wearing lumbosacral orthosis (X3), onset-treatment duration (X4), and days of bed-rest days in rehabilitation (X5) had significant effects on the spontaneous regression ratio (y) of herniated discs (all P < 0.05). The optimal linear regression equation was y = 0.616 + 0.497X1 – 0.478X2 + 0.384X3 – 0.343X4 – 0.241X5. Conclusions Our findings support that patients with extruded or sequestered LDH should receive comprehensive treatment. Early treatment, early bed-rest, and lumbosacral orthosis protection promote the spontaneous regression of herniated discs; however, bed-rest during rehabilitation is a poor prognostic factor. Adherence to rehabilitation exercise will be beneficial to the recovery of patients with LDH.

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Interventions to Support Family Caregivers in Pain Management: A Systematic Review

Cited by 26 publications

References 49 publications

Attitudes and preferences towards palliative and end of life care in patients with advanced illness and their family caregivers in Latin America: A mixed studies systematic review

Attitudes and preferences towards palliative and end of life care in patients with advanced illness and their family caregivers in Latin America: A mixed studies systematic review

Models of support to family members during the trajectory of cancer: A scoping review

Characteristics and Factors Associated With Spontaneous Regression of Extruded Lumbar Disc Herniation: A Retrospective Analysis of 31 Cases

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