缺血性脑卒中后情感淡漠影响因素的Meta分析  

Influencing Factors of Apathy after Ischemic Stroke:A Meta-Analysis

作　　者：张思宇 周郁秋[1] 白海昕[2] 孟丽娜 ZHANG Siyu;ZHOU Yuqiu;BAI Haixin;MENG Lina(Department of Basic Nursing,School of Nursing,Harbin Medical University,Daqing 163319,Heilongjiang Province,China;Department of Neurosurgery,Longnan Hospital,Daqing 163000,Heilongjiang Province,China)

机构地区：[1]哈尔滨医科大学护理学院基础护理学部,黑龙江大庆163319 [2]大庆龙南医院神经外科,黑龙江大庆163000

出　　处：《军事护理》2025年第3期82-86,共5页MILITARY NURSING

基　　金：国家自然科学基金青年项目(72204066)。

摘　　要：目的通过Meta分析明确缺血性脑卒中后情感淡漠的影响因素,为制订针对性的干预措施提供可靠依据。方法计算机检索中国知网、万方、维普、PubMed、Embase、Web of Science等数据库,收集与缺血性脑卒中后情感淡漠相关的文献,并采用RevMan 5.4软件进行Meta分析。结果共纳入21篇文献,包含20项研究,涉及3074例研究对象,提取到28个影响因素。结果显示,年龄、受教育程度、脑卒中史、C反应蛋白、血浆同型半胱氨酸、低密度脂蛋白、纤维蛋白原、认知功能、脑卒中严重程度、日常生活能力、抑郁、痴呆等是缺血性脑卒中后情感淡漠的主要影响因素(均P<0.05)。结论缺血性脑卒中后情感淡漠受多种因素综合影响,护理人员可根据这些影响因素识别高风险患者群体,并提供针对性干预,以改善患者预后。Objective To conduct a meta-analysis to clarify the influencing factors of apathy after ischemic stroke,so as to provide a reliable basis for the development of targeted intervention measures.Methods CNKI,Wanfang,VIP,PubMed,Embase,and Web of Science were searched for studies on apathy after ischemic stroke.RevMan 5.4 was used for Meta-analysis.Results A total of 21 articles were included,encompassing 20 studies with 3074 subjects,and 28 influencing factors were extracted.Results showed that age,education level,stroke history,C-reactive protein,plasma homocysteine,low density lipoprotein,fibrinogen,cognitive function,stroke severity,ability of daily living,depression,and dementia are influencing factors of apathy after ischemic stroke(all P<0.05).Conclusions Apathy after ischemic stroke is influenced by a variety of factors.Nurses can identify high-risk patient groups for apathy based on these influencing factors,provide targeted interventions,and improve patient outcomes.

关 键 词：缺血性脑卒中 情感淡漠 影响因素 META分析 

分 类 号：R473.74[医药卫生—护理学]