中风患者重返社会的措施和影响因素:系统回顾

Kayla Wynja, Anne W Alexandrov, Mona Newsome Wicks, Ansley Grimes Stanfill
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引用次数: 0

摘要

摘要:背景:脑卒中幸存者在重新融入社会方面可能会持续遇到困难,包括在参与社会角色和跨环境(如家庭、工作)进行日常生活活动方面的挑战。本文评估了目前用于这一临床人群的重返社会措施,并确定了对这些人重返社会影响最大的因素。方法: 对 PubMed、Scopus 和《护理与联合健康文献累积索引》数据库进行了系统综述,探讨了中风患者的重返社会措施和影响重返社会的因素。本综述的研究纳入标准如下:基于数据的文章(定量和定性)、衡量重返社会或检查重返社会结果的研究、参与者为成年中风人群以及以英语发表的研究。对所得文章进行批判性分析,并确定有关重返社会的障碍、促进因素和影响因素的共同主题。结果:共有 24 篇文章符合纳入标准,经综合后纳入本系统综述。在中风人群中,共使用了 13 种重返社会工具。目前已知的影响该人群重返社会的因素包括中风残余损伤、未满足的需求、社会支持和社会人口特征。结论:必须对重返社会进行统一的定义和测量,才能为中风幸存者提供最佳支持,而进一步调查影响因素对实现这一目标至关重要。本综述定义了目前对中风人群重返社会的评估和影响因素。实现这些目标对于优化重返社会工作和为患者设计提高生活质量的护理干预措施至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Measures and Influencers of Reintegration for the Stroke Patient: A Systematic Review.

Abstract: BACKGROUND: Stroke survivors may experience continued difficulties with reintegration, including challenges participating in social roles and performing activities of daily living across settings (eg, home, work). This article assessed the reintegration measures currently used in this clinical population, defining factors that most influence reintegration for these persons. METHODS: A systematic review of PubMed, Scopus, and the Cumulative Index to Nursing and Allied Health Literature databases explored reintegration measures and factors influencing reintegration in stroke populations. Study inclusion criteria for this review were as follows: data-based articles (quantitative and qualitative), studies measuring reintegration or examining outcomes of reintegration, participants being adult stroke populations, and studies published in English. The resulting articles were critically analyzed, and common themes regarding barriers, facilitators, and influencers of reintegration were established. RESULTS: A total of 24 articles met the inclusion criteria and were synthesized for use in this systematic review. Across stroke populations, 13 reintegration tools were used. A few factors, including residual stroke impairments, unmet needs, social support, and sociodemographic characteristics, are currently known to influence reintegration for this population. CONCLUSION: Reintegration must be uniformly defined and measured to best support stroke survivors, and further investigation into influential factors is critical to advance this goal. This review defines current assessments and factors influencing reintegration within stroke populations. Achieving these goals is critical to optimizing reintegration efforts and designing quality-of-life-improving nursing interventions for affected persons.

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