BACKGROUND Because of the importance of a dyadic approach, it is necessary to conduct a systematic review to identify which dyadic intervention could be implemented for stroke survivor-caregiver dyads after discharge from the rehabilitation hospital to improve outcomes. AIMS The aims were to systematically review the evidence to identify which dyadic interventions have been implemented in stroke survivor-caregiver dyads to improve stroke survivor-caregiver dyads' outcomes and to analyse, through a meta-analysis, which intervention was found to be the most effective. METHODS A systematic review and meta-analysis were conducted using the following electronic databases: PubMed, CINAHL and PsycInfo. Randomized controlled trials (RCTs) and quasi-RCT studies published within the last 10 years were included. Quantitative data were extracted from papers included in the review using the standardized data extraction tool from JBI-MAStARI. Pooled effects were analysed between the experimental and control groups for each outcome. RESULTS Sixteen studies involving 2997 stroke survivors (male gender=58%) and 2187 caregivers (male gender=25%) were included in this review. In 16 studies, which were subdivided into three quasi-RCTs and 13 RCTs, the application of dyadic interventions for stroke survivors and caregivers was systematically reviewed, but only a few of these identified a significant improvement in the stroke survivors' and caregivers' outcomes of its intervention group. Dyadic interventions showed a significant effect on stroke survivors' physical functioning (p=0.05), memory (p<0.01) and quality of life (p=0.01) and on caregivers' depression (p=0.05). CONCLUSIONS This study provides moderate support for the use of a dyadic intervention to improve stroke survivors' physical functioning, memory and quality of life and caregiver depression.

中文翻译：

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二元干预对改善卒中患者-照顾者出院后结局的有效性：一项系统评价和荟萃分析研究

背景由于二元方法的重要性，有必要进行系统评价以确定哪些二元干预可以在康复医院出院后对中风幸存者-照顾者二元实施以改善结果。目的 目的是系统地审查证据，以确定哪些二元干预已在中风幸存者-照顾者二元组中实施，以改善中风幸存者-照顾者二元组的结果，并通过荟萃分析分析发现哪种干预措施是最有效的有效的。方法 使用以下电子数据库进行系统回顾和荟萃分析：PubMed、CINAHL 和 PsycInfo。包括过去 10 年内发表的随机对照试验 (RCT) 和准 RCT 研究。定量数据是使用 JBI-MAStARI 的标准化数据提取工具从评论中包含的论文中提取的。对每个结果的实验​​组和对照组之间的汇总效应进行了分析。结果 这项审查纳入了 16 项研究，涉及 2997 名中风幸存者（男性=58%）和 2187 名护理人员（男性=25%）。在 16 项研究中，这些研究被细分为 3 项准 RCT 和 13 项 RCT，系统评价了对中风幸存者和照料者的二元干预的应用，但其中只有少数发现中风幸存者和照料者的结局有显着改善其干预组。二元干预对中风幸存者的身体机能（p=0.05）、记忆力（p<0.01）和生活质量（p=0. 01）和照顾者的抑郁症（p = 0.05）。结论 本研究为使用二元干预改善中风幸存者的身体机能、记忆力和生活质量以及照顾者抑郁症提供了适度的支持。