Objective To systematically review and synthesize the need of spouse caregivers in caring for patients in terminal stage. Methods We searched databases including PubMed, The Cochrane Library, Web of Science, MEDLINE, CINAHL, EMBase, Scopus, CNKI, CBM, Wanfang Data, VIP from the inception to March 2020, to collect qualitative studies of spouse caregivers' needs in caring for patients in terminal stage. The quality of included studies was evaluated according to JBI Critical Appraisal Tool for qualitative studies (2017 edition) in Australia. The results were integrated using the pooled integration approach. Results We obtained 15 qualified studies. There were 54 findings classified into 13 categories, and then finally 3 integrated synthesized results were obtained as follows: 1. The spouse caregivers' ongoing need for physical, mental, and financial support through family and professional support included 3 categories: physiological, safety, love and belonging needs; 2. The spouse caregivers made their best to provide comprehensive care for patients in active treatment stage, which included 4 categories: safety, love and belonging, esteem, and self-actualization needs; 3.The spouse caregivers′ need to prepare for and improve the quality of patients refusing active treatment or in dying stage included 4 categories: safety, love and belonging, esteem, and self-actualization needs. Conclusion There are various needs of spouse caregivers in caring for patients in terminal stage. The government, medical institutions and the community should pay attention to the impact of diseases on spouse caregivers, and provide them with material and mental support, so as to improve the ability of care and quality of life.
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