国内外脑卒中患者创伤后成长水平及其相关因素的系统评价

doi:10.16460/j.issn1008-9969.2021.08.001

摘要/Abstract

摘要： 目的系统评价脑卒中患者创伤后成长的情况及相关因素。方法依据Cochrane协作网工作手册,计算机检索中国知网期刊数据库（CNKI）、万方数据知识服务平台（Wan Fang Data）、维普中文科技期刊数据库（VIP）、中国生物医学文献数据库（SinoMed）、百度学术、Cochrane图书馆、JBI循证护理中心图书馆、Web of Science、PubMed、EMbase、CINAHL建库至2020年12月31日的文献。由2名研究员按照纳入和排除标准筛选文献并提取资料,参考美国卫生保健中心的文献质量评价标准进行质量评价,再对纳入的原始研究进行总结分析。结果共纳入原始研究21篇文献。依据创伤后成长功能描述模型及课题组前期研究成果,将相关因素划分为个体内部因素、个体外部因素进行分类归纳。结论现有研究结果表明脑卒中患者创伤后成长整体处于中等偏低水平,未来亟需进一步展开理论及纵向研究论证脑卒中患者创伤后成长发生机制,为医护人员制定切实有效的创伤后成长干预提供高质量证据支持。

关键词: 脑卒中, 创伤后成长, 相关因素, 系统评价

Abstract: Objective To systematically summarize the literature on post-traumatic growth (PTG) of stroke patients in China and abroad and its related factors. Methods Based on the Cochrane Collaborative Network Work Manual, we searched the literature on PTG of stroke patients in databases including the Cochrane Library, the JBI database, Web of Science, PubMed, EMbase, CINAHL, CNKI, WanFang Data, VIP, SinoMed, and Baidu Scholar from the inception to December 31, 2020. Two researchers independently screened and extracted the data. The Agency for Health Care Research and Quality (AHRQ) was used to assess the paper quality. After quality assessment, we systematically summarize the related studies. Results Twenty-one studies were finally included. According to the functional description model of post-traumatic growth and our previous research, the related factors could be grouped into internal and external individual factors. Conclusion The existing results indicate that the overall level of PTG in stroke patients is moderate. Further theoretical and longitudinal studies are needed to provide high-quality evidence and medical staff can use the evidence to develop effective strategies for PTG.

Key words: stroke, post-traumatic growth, associated factor, systematic review

中图分类号:

R471

刘清玄, 张振香, 郭云飞, 张乐芸, 林蓓蕾, 梅永霞. 国内外脑卒中患者创伤后成长水平及其相关因素的系统评价[J]. 护理学报, 2021, 28(8): 1-7.

LIU Qing-xuan, ZHANG Zhen-xiang, GUO Yun-fei, ZHANG Le-yun, LIN Bei-lei, MEI Yong-xia. Post-traumatic Growth and Related Factors of Stroke Patients in China and Abroad: A Systematic Evaluation[J]. Journal of Nursing, 2021, 28(8): 1-7.

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