脑卒中患者对社会参与的认知和经历:基于质性研究的Meta整合  

Cognition and Experience of Social Participation in Stroke Survivors:a Meta-synthesis Based on Qualitative Studies

作　　者：赵志欣 梅永霞[1] 王晓萱 江湖 王文娜 张振香[1] ZHAO Zhixin;MEI Yongxia;WANG Xiaoxuan;JIANG Hu;WANG Wenna;ZHANG Zhenxiang(School of Nursing and Health,Zhengzhou University,Zhengzhou 450000,China;School of Nursing,Inner Mongolia Medical University,Hohhot 010000,China)

机构地区：[1]郑州大学护理与健康学院,河南省郑州市450000 [2]内蒙古医科大学护理学院,内蒙古自治区呼和浩特市010000

出　　处：《中国全科医学》2025年第10期1273-1280,共8页Chinese General Practice

基　　金：国家自然科学基金面上项目(72174184)。

摘　　要：背景作为脑卒中患者康复效果的重要评定指标之一,社会参与逐渐受到关注,了解脑卒中患者对社会参与的认知和经历有利于帮助脑卒中患者快速康复、回归家庭并重新融入社会,但单一的质性研究结果可能不具有概括性和代表性。目的通过Meta整合方法系统梳理关于脑卒中患者对社会参与认知和经历的质性研究,为进一步提高脑卒中患者康复效果提供参考。方法使用计算机检索PubMed、Web of Science、Cochrane Library、Embase、心理学文摘(PsycINFO)、护理和联合卫生文献累积索引(CINAHL)、澳大利亚乔安娜布里格斯研究所(JBI)循证卫生保健数据库、中国知网、万方数据知识服务平台、维普网、中国生物医学文献数据库,筛选其自建库至2022年11月以来收录的关于脑卒中患者对社会参与认知和经历的质性研究。采用汇集性Meta整合法对研究主题、隐含意义、分类等研究结果进行Meta整合。结果纳入Meta整合的14篇文献共涉及183例脑卒中患者,通过Meta整合共得出26个研究结果,其中相近结果可归纳为8个新类别,最终归纳出3个整合结果:(1)脑卒中患者对社会参与的认知和经历;(2)脑卒中患者多种社会参与受限且受较多因素影响;(3)多方支持对脑卒中患者社会参与至关重要。结论脑卒中患者对社会参与有新见解,须纠正和消除脑卒中患者对社会参与的自我认同紊乱及其限制因素,并重视脑卒中患者社会参与的多方支持。Background As one of the important evaluation indicators of rehabilitation effect in stroke survivors,social participation has gradually attracted attention.Understanding the cognition and experience of social participation in stroke survivors is beneficial in helping stroke survivors recover quickly,return to families and reintegrate into society.However,the results of single qualitative studies may not be generalisable and representative.Objective To systematically review the qualitative studies on cognition and experience of social participation in stroke survivors by meta-synthesis methods,so as to provide a reference for further improving the rehabilitation effect of stroke survivors.Methods PubMed,Web of Science,Cochrane Library,Embase,PsycINFO,CINAHL,JBI evidence-based health care database,CNKI,Wanfang Data,VIP and CBM were searched by computers to screen qualitative studies on cognition and experience of social participation in stroke survivors from inception to November 2022.Pooled meta-integration method was used to perform the meta-synthesis of research themes,implications,classifications and so on.Results A total of 14 papers were included,involving 183 stroke survivors,and 26 findings were derived from meta-synthesis,which were summarized into 8 new categories,and 3 integrated findings were finally synthesized,including cognition and experience of social participation in stroke survivors,multiple social participation were limited in stroke survivors by multiple factors,multiple support for social participation was essential in stroke survivors.Conclusion Stroke survivors have new insights into social participation,and it is necessary to correct and eliminate the self-identification disorder and limiting factors of social participation,and focus on multi-party support of social participation in stroke survivors.

关 键 词：卒中 社会参与 认知 定性研究 Meta整合 SPIDER模型 

分 类 号：R743[医药卫生—神经病学与精神病学] R163[医药卫生—临床医学]