Care experience and coping strategies of family caregivers in home-based hospice care: a Meta-synthesis
10.3760/cma.j.cn115682-20250403-01690
- VernacularTitle:居家安宁疗护家庭照顾者照护体验与应对策略的Meta整合
- Author:
Tingting WANG
1
;
Xin CHEN
1
;
Yiyun YANG
1
;
Li LI
1
Author Information
1. 海军军医大学第三附属医院保健科，上海 201805
- Publication Type:Journal Article
- Keywords:
Caregivers;
Home-based hospice care;
Experience;
Coping strategies;
Qualitative research;
Meta-synthesis
- From:
Chinese Journal of Modern Nursing
2025;31(32):4398-4405
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To systematically evaluate and synthesize qualitative research on the care experiences and coping strategies of family caregivers in home-based hospice care, so as to provide a reference for developing systematic support strategies for these caregivers.Methods:Qualitative studies on the care experience and coping strategies of family caregivers in home-based hospice care were electronically and systematically retrieved from PubMed, CINAHL, EMBASE, Web of Science, Cochrane Library, SinoMed, China National Knowledge Infrastructure, WanFang Data, and VIP. The search period was from database establishment to March 2025. The literature quality was assessed using the Joanna Briggs Institute Center for Evidence-Based Health Care Quality Assessment Criteria for Qualitative Research. The results were analyzed and synthesized through the aggregative integration method. The quality rating of the integrated findings was conducted using the Confidence in the Qualitative Evidence developed by the Joanna Briggs Institute Center for Evidence-Based Health Care.Results:A total of 17 studies were included. Ninety research findings were extracted and categorized into 14 categories, ultimately synthesizing into four integrated findings, including the multifaceted impacts of home-based hospice care on family caregivers' physical and mental well-being and daily lives, the diverse coping strategies sought by family caregivers in home-based hospice care, the varying attitudes toward death among family caregivers, and the external difficulties and challenges faced by family caregivers. The integrated evidence rating indicated that three integrated evidence bodies were of moderate quality, while one evidence body was of low quality.Conclusions:Healthcare providers should recognize the multifaceted impact of home-based hospice care on family caregivers, identify caregiving challenges, and provide personalized support to enhance both the caregivers' quality of life and the patient's quality of dying.
