Nursing interventions to empower the family caregiver of person with lower limb amputation: scoping review

Rodrigues, Diana Fonseca; Castanheira, Fabiana Sofia Ferreira Machado; Carvalho, António Luís Rodrigues Faria de; Pinto, Cristina Maria Correia Barroso

doi:10.1590/0034-7167-2023-0264

Acessibilidade / Reportar erro

Brasil

Revista Brasileira de Enfermagem

Español English

Brasil

Español English

sumário « anterior atual seguinte »

Sumário

REVIEW • Rev. Bras. Enferm. 77 (1) • 2024 • https://doi.org/10.1590/0034-7167-2023-0264 copy

Nursing interventions to empower the family caregiver of person with lower limb amputation: scoping review

Intervenções de Enfermagem para capacitar o cuidador familiar de uma pessoa com amputação de membro inferior: revisão de escopo

Intervenciones de enfermería para capacitar al cuidador familiar de una persona con amputación de miembro inferior: revisión de alcance

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objectives:

to map nursing interventions that empower the Family caregiver of the person with lower limb amputation for is role.

Methods:

scoping review guided by Joanna Briggs Institute methodology conducted in different databases (including gray literature).

Results:

six studies published between 2009 and 2021 were included. Interventions of counselling and support for patients and family; peer support interventions performed by a certified pair; involvement of caregivers or family members in support groups; and key interventions for patient and family caregiver psychological balance. Two studies discussed the importance of caregiver and amputee training and development of coping skills. Another study recommended Interventions of informative support for caregivers regarding care for the amputee and adaptation to home.

Conclusions:

results of this review allow the identification of recommendations (guidelines) for practice and recommendations/suggestions for interventions according with identified needs of family caregivers of patients with lower limb amputation.

Descriptors:
Amputation; Empowerment; Family Caregiver; Lower Limb; Nursing

Search Strategy	Databases	Results
TI ( (Caregiver^* OR “Care Giver^” OR “Carer^”) AND (“Lower Extremit^” OR “Lower Limb^” OR “Membrum inferius”) AND (“Amputat^”) AND (nursing OR intervention^ OR strateg^* OR program^) ) OR SU ( (Caregiver^ OR “Care Giver^” OR “Carer^”) AND (“Lower Extremit^” OR “Lower Limb^” OR “Membrum inferius”) AND (“Amputat^”) AND (nursing OR intervention^ OR strateg^* OR program^) ) OR AB ( (Caregiver^ OR “Care Giver^” OR “Carer^”) AND (“Lower Extremit^” OR “Lower Limb^” OR “Membrum inferius”) AND (“Amputat^”) AND (nursing OR intervention^ OR strateg^* OR program^*) )	MEDLINE Complete (EBSCO)	10
	CINAHL Complete (EBSCO)	7
	Supplemental Index (EBSCO)	7
	OpenAIRE (EBSCO)	7
	Complementary Index (EBSCO)	3
	Academic Search Complete (EBSCO)	3
	SPORTDiscus with Full Text (EBSCO)	2
	Gale Health and Wellness (EBSCO)	1
	OAIster (EBSCO)	1
	Science Direct (EBSCO)	2
	Scielo (EBSCO)	1
	RCAAP (via EBSCO)	5
TITLE-ABS-KEY ((caregiver^* OR “Care Giver^” OR “Carer^”) AND (“Lower Extremit^” OR “Lower Limb^” OR “Membrum inferius”) AND (“Amputat^”) AND (nursing OR intervention^ OR strateg^* OR program^*))	Scopus	20
TS=((Caregiver^* OR “Care Giver^” OR “Carer^”) AND (“Lower Extremit^” OR “Lower Limb^” OR “Membrum inferius”) AND (“Amputat^”) AND (nursing OR intervention^ OR strateg^* OR program^*))	Web of Science	20
(Caregiver^* OR “Care Giver^” OR “Carer^”) AND (“Lower Extremit^” OR “Lower Limb^” OR “Membrum inferius”) AND (“Amputat^”) AND (nursing OR intervention^ OR strateg^* OR program^*)	Google Schoolar	17
	Trip	5

Author(s) (year) Country	Methodology (Study Design)	LE^*	Participants	Interventions	Duration/ frequency of intervention	Intervention Context
Tivey et al. (2015)(²³23 Tivey D, Duncan J, Scarfe A, Lambert R, Cameron A. Amputee care standards: an Evidence Check rapid review brokered by the Sax Institute for the NSW Ministry of Health [Internet] 2015[cited 2023 Mar 3]. Available from: https://www.saxinstitute.org.au/wp-content/uploads/Amputee-care-standards.pdf https://www.saxinstitute.org.au/wp-conte... ) Australia	Review of Standards evidence or Guidelines.	5	Patients and family members	Set of recommendations: - Adequate and comprehensive psychological and emotional support services for patients and family members. - Peer support and Support group	Start in the preoperative and prolong in the postoperative period	Hospital and home
Randolph et al. (2017)(²⁴24 Randolph B, Webster J, Highsmith MJ. VA/DoD clinical practice guideline for rehabilitation of individuals with lower limb amputation; Department of veterans affairs and Department of Defense: USA [Internet] 2017[cited 2023 Mar 3]. Available from : https://www.healthquality.va.gov/guidelines/Rehab/amp/index.asp https://www.healthquality.va.gov/guideli... ) USA	Clinical practice guidelines based on a systematic review of clinical and epidemiological evidence.	5	Amputees and family members	Set of recommendations: - Facilitate the visit of peers soon after surgery to build a support and support network. - Include family members in the patient’s rehabilitation. - Build and maintain trust, respect and support with the patient and his family.	As early as possible and with follow-up visits,	Hospital and home
Costa et al. (2021)(²⁵25 Costa S, Ferreira J, Leite Â, Pereira MG. Traumatic stress as a mediator of quality of life and burden in informal caregivers of amputees due to diabetic foot: a longitudinal study. Health Psychol Rep. [Internet]. 2021 [cited 2023 Mar 3];9(4):338-48. https://doi.org/10.5114/hpr.2020.101495 https://doi.org/10.5114/hpr.2020.101495... ) Portugal	Longitudinal Study	4	110 family caregivers of amputees due to diabetic foot with type 2 diabetes	- Intervention of Help Relationship in the nursing domain, contributing to the satisfaction of the caregiver’s needs. - Nursing intervention (within the scope of inform - offering systematized information to the caregiver).	According with nurses’ decision (optimal time to begin)	Hospital and home
Costa et al. (2018)(²⁶26 Costa MSA, Machado JC, Pereira MG. Burden changes in caregivers of patients with type 2 diabetes: a longitudinal study. J Adv Nurs [Internet]. 2018 [cited 2023 Mar 3];74(10):2322-30. Available from: https://pubmed.ncbi.nlm.nih.gov/29846975/ https://pubmed.ncbi.nlm.nih.gov/29846975... ) Portugal	Longitudinal study	4	110 family caregivers of type 2 diabetic patients with diabetic foot undergoing amputation surgery.	- Interventions aimed at training patients and caregivers to collaborate in care. - Social support interventions for the patient and caregiver. - Instrumental support interventions for the patient and caregiver.		Return home
Foss et al. (2009)(²⁷27 Foss MHD, Martins MRI, Martins MID, Godoy JMP. Quality of life of caregivers of lower limb amputees. Rev Neurocienc [Internet]. 2009 [cited 2023 Mar 3];17(1):8-13. Available from: https://periodicos.unifesp.br/index.php/neurociencias/article/view/8597 https://periodicos.unifesp.br/index.php/... ) Brazil	Prospective Study	4	87 family caregivers of lower limb amputees	- Interventions of informative support for the family caregivers about: care for the amputee, adaptations to the home, possibilities of leisure and adequacy of the means of locomotion of the amputee.		Hospital and home
Ganjparvar et al. (2016)(²⁸28 Ganjparvar Z, Mousavi B, Masumi M, Soroush M, Montazeri A. Determinants of quality of life in the caregivers of Iranian war survivors with bilateral lower-limb amputation after more than two decades. Iran J Med Sci [Internet]. 2016 [cited 2023 Mar 3];41(4). Available from: https://pubmed.ncbi.nlm.nih.gov/27365546/ https://pubmed.ncbi.nlm.nih.gov/27365546... ) Iran	Cross-sectional study	4	232 family caregivers (wives) of bilateral lower limb amputees	- Interventions aimed to family caregivers training. - Training amputees and family caregivers regarding the social, emotional, and psychological aspects of amputees’ life. - Teach family caregivers coping strategies for psychosocial problems. - Social support for amputee and caregiver. - Promote rehabilitation Programs.	Long life Support	Hospital and home

Associação Brasileira de Enfermagem SGA Norte Quadra 603 Conj. "B" - Av. L2 Norte 70830-102 Brasília, DF, Brasil, Tel.: (55 61) 3226-0653, Fax: (55 61) 3225-4473 - Brasília - DF - Brazil
E-mail: reben@abennacional.org.br

Acompanhe os números deste periódico no seu leitor de RSS

[1] Corresponding author: Diana Fonseca Rodrigues, E-mail: dianfr@gmail.com