脑卒中患者心理弹性评估工具的范围综述  

A scoping review of psychological resilience assessment tools for stroke patients

作　　者：苏炫 成巧梅[2] 张雨 王珂心 肖梦伟 王语 SU Xuan;CHENG Qiaomei;ZHANG Yu;WANG Kexin;XIAO Mengwei;WANG Yu(School of Nursing and Health,Henan University,Kaifeng 475004,China;Department of Internet Medicine,Henan Provincial People's Hospital,Zhengzhou 450003,China;Cardiac Care Unit,Henan Provincial Chest Hospital,Zhengzhou 450003,China)

机构地区：[1]河南大学护理与健康学院,河南开封475004 [2]河南省人民医院互联网医学科,河南郑州450003 [3]河南省胸科医院心内监护室,河南郑州450003

出　　处：《老年医学研究》2025年第2期7-12,共6页Geriatrics Research

摘　　要：目的 对国内外脑卒中患者心理弹性的评估工具进行范围综述。方法 系统检索中国知网、万方数据库、中国生物医学文献数据库、Embase、PubMed、Web of Science、Cochrane Library中英文数据库,检索时限为建库至2024年3月19日。对最终纳入的文献进行分析和信息提取,采用范围综述的方法对检索结果进行规范化报告。结果最终纳入23篇文献,涉及7种脑卒中心理弹性的评估工具,其内部一致性信度均良好,但大多数都未完成在脑卒中样本中的结构效度验证,建议临床应用前进一步验证。康诺·戴维森弹性量表(CD-RISC-25)、心理弹性量表简化版(CD-RISC-10)、心理弹性量表(RS-25、RS-14)、成人心理弹性量表(RSA)是评估脑卒中患者心理弹性较为合适的选择。结论 现有脑卒中心理弹性评估工具复杂多样,临床应用时应综合考虑,未来应结合脑卒中患者特有的心理困扰和挑战,开发针对性和动态性的评估条目,并进行全面的跨文化验证,为脑卒中患者制定有效的心理干预措施、提高患者康复效果提供科学依据。Objective To conduct a scoping review of national and international tools for assessing psychological re-silience in stroke patients.Methods A comprehensive systematic search was conducted across both Chinese and Eng-lish databases,including China National Knowledge Infrastructure,Wanfang Database,China Biology Medicine Data-base,Embase,PubMed,Web of Science,and Cochrane Library.The search timeframe spanned from database inception to March 19,2024.Eligible studies were analyzed with data extraction performed using standardized protocols.The meth-od of scoping review was employed to ensure standardized reporting of the findings in accordance with evidence synthesis guidelines.Results A total of 23 papers were finally included,involving 7 tools for assessing psychological resilience in stroke,all with good internal consistency reliabilities,but most of them had not completed validation of their construct va-lidity in stroke samples,and further validation was recommended before clinical application.CD-RISC-25,CD-RISC-10,RS-25,RS-14,and RSA were considered to be the more appropriate choices for assessing psychological resilience in stroke patients.Conclusions The existing stroke psychological resilience assessment tools are complex and diverse,which should be considered comprehensively in clinical application.In the future,targeted and dynamic assessment en-tries should be developed with the unique psychological distress and challenges of stroke patients,and comprehensive cross-cultural validation should be conducted to provide a scientific basis for the development of effective psychological in-terventions for stroke patients and the improvement of patient recovery outcomes.

关 键 词：脑卒中 心理弹性 评估工具 量表 范围综述 

分 类 号：R743[医药卫生—神经病学与精神病学]