AimTo examine studies involving the impact of telerehabilitation (TLR), tele‐training and tele‐support on the dyad stroke survivor and caregiver in relation to psychological, physical, social and health dimensions.DesignA systematic review was conducted.Data SourcesThe following electronic databases were consulted until September 2023: PsycInfo, CINAHL, Eric, Ovid, PubMed, Scopus, Cochrane Central and Web of Science.Review MethodsIt was conducted and reported following the checklists for Reviews of PRISMA 2020 Checklist. Critical evaluation of the quality of the studies included in the review was performed with the Joanna Briggs Institute Checklists.Data SynthesisA total of 2290 records were identified after removing duplicates, 501 articles were selected by title and abstract and only 21 met the inclusion criteria. It included 4 quasi‐experimental studies, 7 RCTs, 1 cohort study and 9 qualitative studies. The total number of participants between caregivers and stroke survivors was 1697, including 858 stroke survivors and 839 caregivers recruited from 2002 to 2022. For a total of 884 participants who carried out TLR activities in the experimental groups,11 impact domains were identified: cognitive/functional, psychological, caregiver burden, social, general health and self‐efficacy, family function, quality of life, healthcare utilization, preparedness, quality of care and relationship with technology.ConclusionsThe results support the application of telehealth in the discharge phase of hospitals and rehabilitation centres for stroke survivors and caregivers. TLR could be considered a substitute for traditional rehabilitation only if it is supported by a tele‐learning programme for the caregiver and ongoing technical, computer and health support to satisfy the dyad's needs.ImpactDesigning a comprehensive telemedicine programme upon the return home of the dyad involved in the stroke improves the quality of life, functional, psychological, social, family status, self‐efficacy, use of health systems and the dyad's preparation for managing the stroke.Patient or Public ContributionNo patient or public contribution.

中文翻译：

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远程医疗对中风幸存者-护理人员家庭康复的影响：系统评价

目的 审查涉及远程康复 (TLR)、远程培训和远程支持对二元中风幸存者和护理人员在心理、身体、社会和健康维度方面的影响的研究。设计进行了系统评价。数据来源以下电子数据库咨询至 2023 年 9 月：PsycInfo、CINAHL、Eric、Ovid、PubMed、Scopus、Cochrane Central 和 Web of Science.审查方法按照PRISMA 2020检查表审查清单进行和报告。使用 Joanna Briggs Institute Checklists 对纳入审查的研究质量进行严格评估。数据综合删除重复后共识别出 2290 条记录，按标题和摘要筛选出 501 篇文章，只有 21 篇符合纳入标准。它包括 4 项准实验研究、7 项随机对照试验、1 项队列研究和 9 项定性研究。照顾者和中风幸存者之间的参与者总数为 1697 人，其中包括 2002 年至 2022 年招募的 858 名中风幸存者和 839 名照顾者。在实验组中开展 TLR 活动的总共 884 名参与者中，确定了 11 个影响领域：认知/功能、心理、护理人员负担、社会、一般健康和自我效能、家庭功能、生活质量、医疗保健利用、准备、护理质量以及与技术的关系。结论结果支持远程医疗在医院和出院阶段的应用。中风幸存者和护理人员的康复中心。只有当 TLR 得到护理人员远程学习计划的支持以及满足二人需求的持续技术、计算机和健康支持时，才可以将 TLR 视为传统康复的替代品。影响 在所涉及的二人回家后设计全面的远程医疗计划中风改善了生活质量、功能质量、心理质量、社会质量、家庭状况、自我效能、卫生系统的使用以及治疗中风的二人准备。患者或公众贡献没有患者或公众贡献。