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  11. Telerehabilitation For Family Caregivers Of Stroke Survivors: A Systematic Review And Meta-analysis

Telerehabilitation for Family Caregivers of Stroke Survivors: A Systematic Review and Meta-Analysis

Wen-Jing Sun1,2, Yuan-Yuan Song2,3, Cong Wang2,4

  • 1Department of Neurosurgery, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, China.

Journal of Nursing Management
|April 14, 2025

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View abstract on PubMed

Summary
This summary is machine-generated.

Telerehabilitation significantly benefits family caregivers of stroke survivors by reducing burden and enhancing knowledge and competence. This approach offers a valuable tool for managing caregiver stress post-discharge.

Area of Science:

  • Rehabilitation Medicine
  • Gerontology
  • Nursing Science

Background:

  • Family caregivers of stroke survivors experience significant physical and psychological stress after hospital discharge.
  • Telerehabilitation presents a potential solution to mitigate this stress and improve caregiver outcomes.
  • However, the specific impact of telerehabilitation on family caregivers' health remains under-researched.

Purpose of the Study:

  • To systematically evaluate the effectiveness of telerehabilitation interventions on the health outcomes of family caregivers for stroke survivors.
  • To synthesize existing evidence regarding telerehabilitation's impact on caregiver burden, knowledge, competence, depression, anxiety, and self-efficacy.

Main Methods:

  • A systematic review was conducted, searching six major databases up to June 16th, 2022.

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  • Included studies were assessed for risk of bias using the Revised Cochrane Risk-of-bias Tool.
  • GRADEpro tools were used for evidence quality assessment, with subgroup analyses performed on intervention formats.

    • Main Results:

    • The review included 16 studies with 992 caregivers.
    • Telerehabilitation significantly reduced caregiver burden (SMD = -0.18, p=0.03) and improved knowledge (SMD = 0.75, p=0.04) and competence (SMD = 1.35, p<0.001).
    • No significant improvements were found for depression, anxiety, or self-efficacy. Multi-form telerehabilitation showed particular effectiveness in enhancing caregiving competence.

    Conclusions:

    • Telerehabilitation is an effective strategy for reducing caregiver burden and enhancing the knowledge and competence of stroke caregivers.
    • The findings suggest that telerehabilitation can alleviate caregiver stress and offers a novel approach for nursing managers in discharge planning.
    • Further research may be needed to explore its impact on mental health outcomes like depression and anxiety.