Intervensi Keperawatan Keluarga Berbasis Tele-Health untuk Mengatasi Caregiver Burden pada Perawatan Paliatif: Literature Review

Telehealth-Based Family Nursing Interventions to Address Caregiver Burden in Palliative Care: Literature Review

Abstract

Palliative care for patients with terminal chronic diseases is currently undergoing a significant transition from hospital settings to home-based care. The primary issue emerging from this shift is the high level of caregiver burden, which adversely impacts the quality of care and the psychological well-being of families due to a lack of clinical competence and adequate community support systems. This study aims to review family empowerment strategies as practical solutions to enhance caregiver independence in providing palliative care. The method employed is a systematic literature review of ten primary research articles from reputable international databases (Scopus) published between 2021 and 2026. The analysis was conducted by synthesizing various empowerment interventions, including the use of digital technology and structured psychoeducation. The results of the review indicate that the implementation of technology-based empowerment methods (tele-palliative) and the integration of artificial intelligence have been proven to significantly increase family self-efficacy in pain symptom management and reduce caregiver anxiety levels by up to 40%. Furthermore, early education regarding resilience and bereavement support strengthens the family's ability to make appropriate clinical decisions. In conclusion, family empowerment through the collaboration of technology and professional assistance is a crucial strategy to ensure the sustainability and quality of life of palliative patients in the home environment.