Home-based care models for patients with terminal illnesses in low and middle-income countries : a systematic review of randomized and quasi-experimental studies

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SANI, Dalhat Khalid | YUNUSA, Umar | KOMBO, Salihu Abdulrahman | IBRAHIM, Attahir | SANI, Hadiza Mohammed | UMAR, Shehu Salihu | LADAN, Muhammad Awwal

BACKGROUND: With the increasing lifespan of people and the transition from communicable to non-communicable diseases across the globe, there is an increasing number of people with terminal illnesses requiring home-based care in Low- and Middle-Income Countries (LMICs). AIM: This systematic review evaluated home-based care models for patients with terminal illnesses in LMICs. The primary outcomes measured are quality of life (QoL), adherence to treatment, fatigue, bimanual and related activities. METHODS: This review was conducted in accordance with the preferred reporting items for systematic reviews and meta-analyses (PRISMA) recommendations. Four databases; Cumulative Index to Nursing and Allied Health Literature (CINAHL), MEDLINE (Ovid), Cochrane Library and Scopus, were systematically searched for potentially relevant studies. Screening of records (titles/abstracts from and full-texts) was done and a total of seven studies (four Randomized Control Trials [RCTs] and three quasi-experimental studies) were included in this review. RESULTS: Even though the included studies reported significant increase in the QoL of the studied patients, the studies have quality concerns. CONCLUSION: Noting the general paucity of existing studies coupled with quality concerns across geographies in LMICs. More studies on home-based care for patients with terminal illness are needed with improved qualities and spread in these regions.

http://dx.doi.org/10.1016/j.archger.2024.105580

Voir la revue «Archives of gerontology and geriatrics, 127»

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