The Impact of Psychosocial and Culturally Informed Care Approaches on Patient Adaptation in Degenerative Diseases: A Systematic Review
DOI:
https://doi.org/10.52221/jvnus.v7i2.935Keywords:
Adaptation, Cultural Care, Degenerative Diseases, Psychosocial Interventions, Quality of LifeAbstract
Degenerative diseases pose complex challenges that extend beyond physical impairment to encompass emotional, social, and cultural dimensions. Standard medical care alone often falls short in meeting patients’ holistic adaptation needs. This systematic review aimed to evaluate the effectiveness of psychosocial and culturally informed approaches in enhancing adaptation among individuals with degenerative diseases. Following PRISMA 2020 guidelines, a Systematic Literature Review (SLR) was conducted using Scopus as the primary database, including peer-reviewed English-language primary research published between 2010 and 2025. Study selection and data extraction were performed independently by two reviewers using Rayyan. Twenty-three eligible studies were synthesized narratively based on the PICO framework, and methodological quality was assessed using the JBI Critical Appraisal Tools. Psychosocial and cultural interventions including family counseling, caregiver training, mindfulness, nurse-led programs, continuity-of-care initiatives, and community-based support consistently improved quality of life, reduced anxiety and depression, strengthened social support, and enhanced self-management capacity. The greatest benefits were observed among patients with Alzheimer’s disease, Parkinson’s disease, multiple sclerosis, and traumatic brain injury, particularly in early to mid-stage illness. Moderating factors such as intervention intensity, family involvement, and cultural sensitivity significantly shaped effectiveness. Overall, psychosocial and culturally responsive approaches were more effective than standard care in supporting patient adaptation to degenerative conditions. Comprehensive integration of these interventions into care pathways is strongly recommended, and future research should.
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