A C HOVADICK1, V JARDIM1, M C PAUL2, A PAGANO1, I REIS1, H TORRES1
1Federal University of Minas Gerais, Belo Horizonte, Brazil, 2University of Porto, Porto, Portugal
Aim: To evaluate the effectiveness and limitations of educational interventions in improving the well-being of family caregivers of patients undergoing hemodialysis/peritoneal dialysis.
Background: Family caregivers of patients undergoing hemodialysis or peritoneal dialysis usually have high levels of burden due to the responsibilities of their role in the treatment process of these patients. This situation leads to a decrease in the well-being of these caregivers which has a directly influence in the care provided to the patients.
Methods: A systematic review was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses and the Cochrane Handbook for Systematic Reviews of Interventions. The research questions of our study were: What are the effectiveness and limitations of the educational interventions that aim to improve the well-being of family caregivers of hemodialysis/peritoneal dialysis patients? What is the most effective educational intervention to improve the well-being of these family caregivers? The Cochrane Library, CINAHL, Embase, MEDLINE, VHL Regional Portal, Scopus and Web of Science databases were searched for randomized controlled trials published from 2009 to 2019. The protocol of the study was registered at the International Prospective Register of Systematic Reviews (registration number: CRD42020151161).
Results: Five studies met the inclusion criteria. Only studies with caregivers of patients undergoing hemodialysis were found. The interventions reported on these studies were carried out in group sessions which addressed topics such as: treatment complications; patient assistance and care; coping strategies, and caregiver self-care practices. The studies found significant reduction on the burden of the caregivers in focus (p <0.001).
Conclusions: Educational group sessions are effective improving the well-being of family caregivers of patients on hemodialysis treatment.
Ana is an undergraduate student at the Federal University of Minas Gerais (UFMG-Brazil). She has been involved with studies related to management of diabetes and reducing of burden on caregivers of patients undergoing hemodialysis for 2 years.