Transitional care programs to improve outcomes in patients with traumatic brain injury and their caregivers: A systematic review and meta-analysis

Background: Effective nursing interventions for caring for patients with moderate to severe traumatic brain injury are still challenging during a transition from hospital to home. Since traumatic brain injury has deep-rooted sequelae, patients and their caregivers require better arrangement and inf...

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Autores principales:	Amelia Ganefianty, Praneed Songwathana, Kittikorn Nilmanat
Formato:	article
Lenguaje:	EN
Publicado:	Belitung Raya Foundation 2021
Materias:	hospitals patient discharge transitional care traumatic brain injury caregivers nursing Nursing RT1-120
Acceso en línea:	https://doaj.org/article/7298de4a6cef451a888cd0cb983890da
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spelling	oai:doaj.org-article:7298de4a6cef451a888cd0cb983890da2021-12-02T15:31:03ZTransitional care programs to improve outcomes in patients with traumatic brain injury and their caregivers: A systematic review and meta-analysis10.33546/bnj.15922477-4073https://doaj.org/article/7298de4a6cef451a888cd0cb983890da2021-09-01T00:00:00Zhttps://belitungraya.org/BRP/index.php/bnj/article/view/1592https://doaj.org/toc/2477-4073 Background: Effective nursing interventions for caring for patients with moderate to severe traumatic brain injury are still challenging during a transition from hospital to home. Since traumatic brain injury has deep-rooted sequelae, patients and their caregivers require better arrangement and information on the condition to achieve improved outcomes after discharge. Objective: This study aimed to assess transitional care programs to improve outcomes of patients with traumatic brain injury and their caregivers. Methods: A systematic review and meta-analysis were performed on studies retrieved from ProQuest, PubMed, Science Direct, CINAHL, and Google Scholar from January 2010 to July 2021. RevMan 5.4.1 software was used for meta-analysis. Results: Nine studies were systematically selected from 1,137 studies. The standard approaches of interventions used in patients with traumatic brain injury and their caregivers were education, mentored problem-solving, home-and community-based rehabilitation, counseling, skill-building, and psychological support. We observed that there was significant evidence indicating beneficial effects of intervention in increasing the physical functioning of patients with traumatic brain injury (SMD = -0.44, 95% CI -0.60 to -0.28, p <0.001), reducing the psychological symptoms among caregivers (SMD = -0.42, 95% CI -0.59 to -0.24, p <0.001), and increasing the satisfaction (SMD = -0.35, 95% CI -0.60 to -0.11, p = 0.005). Conclusion: Education, skill-building, and psychological support should be the main components in transitional care nursing programs for patients with traumatic brain injury and their caregivers. Funding: Faculty of Nursing, Prince of Songkla University, Hat Yai, Thailand. Amelia GanefiantyPraneed SongwathanaKittikorn NilmanatBelitung Raya Foundationarticlehospitalspatient dischargetransitional caretraumatic brain injurycaregiversnursingNursingRT1-120ENBelitung Nursing Journal (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	hospitals patient discharge transitional care traumatic brain injury caregivers nursing Nursing RT1-120
spellingShingle	hospitals patient discharge transitional care traumatic brain injury caregivers nursing Nursing RT1-120 Amelia Ganefianty Praneed Songwathana Kittikorn Nilmanat Transitional care programs to improve outcomes in patients with traumatic brain injury and their caregivers: A systematic review and meta-analysis
description	Background: Effective nursing interventions for caring for patients with moderate to severe traumatic brain injury are still challenging during a transition from hospital to home. Since traumatic brain injury has deep-rooted sequelae, patients and their caregivers require better arrangement and information on the condition to achieve improved outcomes after discharge. Objective: This study aimed to assess transitional care programs to improve outcomes of patients with traumatic brain injury and their caregivers. Methods: A systematic review and meta-analysis were performed on studies retrieved from ProQuest, PubMed, Science Direct, CINAHL, and Google Scholar from January 2010 to July 2021. RevMan 5.4.1 software was used for meta-analysis. Results: Nine studies were systematically selected from 1,137 studies. The standard approaches of interventions used in patients with traumatic brain injury and their caregivers were education, mentored problem-solving, home-and community-based rehabilitation, counseling, skill-building, and psychological support. We observed that there was significant evidence indicating beneficial effects of intervention in increasing the physical functioning of patients with traumatic brain injury (SMD = -0.44, 95% CI -0.60 to -0.28, p <0.001), reducing the psychological symptoms among caregivers (SMD = -0.42, 95% CI -0.59 to -0.24, p <0.001), and increasing the satisfaction (SMD = -0.35, 95% CI -0.60 to -0.11, p = 0.005). Conclusion: Education, skill-building, and psychological support should be the main components in transitional care nursing programs for patients with traumatic brain injury and their caregivers. Funding: Faculty of Nursing, Prince of Songkla University, Hat Yai, Thailand.
format	article
author	Amelia Ganefianty Praneed Songwathana Kittikorn Nilmanat
author_facet	Amelia Ganefianty Praneed Songwathana Kittikorn Nilmanat
author_sort	Amelia Ganefianty
title	Transitional care programs to improve outcomes in patients with traumatic brain injury and their caregivers: A systematic review and meta-analysis
title_short	Transitional care programs to improve outcomes in patients with traumatic brain injury and their caregivers: A systematic review and meta-analysis
title_full	Transitional care programs to improve outcomes in patients with traumatic brain injury and their caregivers: A systematic review and meta-analysis
title_fullStr	Transitional care programs to improve outcomes in patients with traumatic brain injury and their caregivers: A systematic review and meta-analysis
title_full_unstemmed	Transitional care programs to improve outcomes in patients with traumatic brain injury and their caregivers: A systematic review and meta-analysis
title_sort	transitional care programs to improve outcomes in patients with traumatic brain injury and their caregivers: a systematic review and meta-analysis
publisher	Belitung Raya Foundation
publishDate	2021
url	https://doaj.org/article/7298de4a6cef451a888cd0cb983890da
work_keys_str_mv	AT ameliaganefianty transitionalcareprogramstoimproveoutcomesinpatientswithtraumaticbraininjuryandtheircaregiversasystematicreviewandmetaanalysis AT praneedsongwathana transitionalcareprogramstoimproveoutcomesinpatientswithtraumaticbraininjuryandtheircaregiversasystematicreviewandmetaanalysis AT kittikornnilmanat transitionalcareprogramstoimproveoutcomesinpatientswithtraumaticbraininjuryandtheircaregiversasystematicreviewandmetaanalysis
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Transitional care programs to improve outcomes in patients with traumatic brain injury and their caregivers: A systematic review and meta-analysis

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