生态瞬时评估在脑卒中患者中应用的范围综述

doi:10.3761/j.issn.0254-1769.2023.03.007

摘要/Abstract

摘要：

目的对生态瞬时评估（ecological momentary assessment，EMA）在脑卒中患者中应用的相关研究进行范围综述，为未来相关研究及应用提供参考。方法以乔安娜布里格斯研究所范围综述指南为方法学框架，检索Web of Science、PubMed、CINAHL、Embase、Cochrane Library、PsycINFO、中国生物医学文献数据库、中国知网、万方数据库等数据库中的相关研究，检索时限为建库至2022年5月19日。对纳入文献进行汇总与分析。结果纳入14篇文献，从研究设计特征（研究目的、样本特征、结局指标）、EMA数据收集方法（应用方法、输入格式、时间表特征和数据取样方法）、应答相关结果（参与率、应答率、流失率和激励措施）及主要发现4个方面进行了总结与分析。结论 EMA应用于脑卒中患者具有可行性和有效性，有助于对自然环境下症状、行为和情绪反应进行评估，探究卒中后症状体验及管理。未来EMA应以科学的、可复制和可持续的方式继续发展，发挥其在促进脑卒中患者个性化康复干预方面的巨大潜力。

关键词: 脑卒中, 生态瞬时评估法, 范围综述, 循证护理学

Abstract:

Objective To provide an overview of the available studies that applied ecological momentary assessment（EMA） among patients with stroke，so as to provide references for future related research and application. Methods This scoping review was conducted under the Joanna Briggs Institute guidelines. A literature search was performed in the Web of Science，PubMed，CINAHL，Embase，Cochrane Library，PsycINFO，CBM，CNKI，and Wanfang from inception to May 2022. The included studies were summarized and analyzed. Results 14 papers were included，summarized and analyzed from 4 aspects，including study design characteristics （study aim，sample characteristics，outcome indicators），data collection methods（application methods，input format，schedule characteristics and data sampling method），response-related results（participation rate，response rate，turnover rate，incentives） and main findings. Conclusion The application of EMA in stroke patients is feasible and valid，contributing to assessing symptoms，behavior，and emotional responses in the natural environment，and exploring post-stroke symptom experience and management. In the future，EMA should continue to develop in a scientific，replicable and sustainable manner，exerting its great potential in promoting individualized rehabilitation interventions for stroke patients.

Key words: Stroke, Ecological Momentary Assessment, Scoping Review, Evidence-based Nursing

桑玉还, 严忠婷, 袁媛, 高云飞, 鞠梅. 生态瞬时评估在脑卒中患者中应用的范围综述[J]. 中华护理杂志, 2023, 58(3): 304-310.

SANG Yuhuan, YAN Zhongting, YUAN Yuan, GAO Yunfei, JU Mei. Ecological momentary assessment in stroke patients：a scoping review[J]. Chinese Journal of Nursing, 2023, 58(3): 304-310.

图/表 2

参考文献 31

[1]	GBD Stroke Collaborators. and national burden of stroke and its risk factors,1990-2019:a systematic analysis for the global burden of disease study 2019[J]. Lancet Neurol, 2021, 20(10):795-820. DOI URL
[2]	Ma QF, Li R, Wang LJ, et al. Temporal trend and attributable risk factors of stroke burden in China,1990-2019:an analysis for the global burden of disease study 2019[J]. Lancet Public Health, 2021, 6(12):e897-e906. DOI URL
[3]	Janus-Laszuk B, Mirowska-Guzel D, Sarzynska-Dlugosz I, et al. Effect of medical complications on the after-stroke rehabilitation outcome[J]. NeuroRehabilitation, 2017, 40(2):223-232. DOI PMID
[4]	Schöttke H, Gerke L, Düsing R, et al. Post-stroke depression and functional impairments-a 3-year prospective study[J]. Compr Psychiatry, 2020, 99:152171. DOI URL
[5]	Shiffman S, Stone AA, Hufford MR. Ecological momentary assessment[J]. Annu Rev Clin Psychol, 2008, 4:1-32. DOI URL
[6]	Hinkle JL, Becker KJ, Kim JS, et al. Poststroke fatigue:emerging evidence and approaches to management:a scientific statement for healthcare professionals from the American heart association[J]. Stroke, 2017, 48(7):e159-e170.
[7]	Lockwood C, dos Santos KB, Pap R. Practical guidance for knowledge synthesis:scoping review methods[J]. Asian Nurs Res(Korean Soc Nurs Sci), 2019, 13(5):287-294.
[8]	Neff AJ, Lee YJ, Metts CL, et al. Ecological momentary assessment of social interactions:associations with depression,anxiety,pain,and fatigue in individuals with mild stroke[J]. Arch Phys Med Rehabil, 2021, 102(3):395-405. DOI URL
[9]	Mazure CM, Weinberger AH, Pittman B, et al. Gender and stress in predicting depressive symptoms following stroke[J]. Cerebrovasc Dis, 2014, 38(4):240-246. DOI PMID
[10]	Villain M, Sibon I, Renou P, et al. Depression and routinization following stroke[J]. Rev Neurol (Paris), 2021, 177(8):964-968. DOI URL
[11]	Jean FA, Swendsen JD, Sibon I, et al. Daily life behaviors and depression risk following stroke:a preliminary study using ecological momentary assessment[J]. J Geriatr Psychiatry Neurol, 2013, 26(3):138-143. DOI URL
[12]	Vansimaeys C, Zuber M, Pitrat B, et al. Network model of mental disorders:application and interest in post-stroke depression[J]. Encephale, 2021, 47(4):334-340. DOI PMID
[13]	Lenaert B, Neijmeijer M, van Kampen N, et al. Poststroke fatigue and daily activity patterns during outpatient rehabilitation:an experience sampling method study[J]. Arch Phys Med Rehabil, 2020, 101(6):1001-1008. DOI URL
[14]	Lenaert B, van Kampen N, van Heugten C, et al. Real-time measurement of post-stroke fatigue in daily life and its relationship with the retrospective Fatigue Severity Scale[J]. Neuropsychol Rehabil, 2020:1-15.
[15]	Lazeron-Savu E, Lenaert B, Ponds R, et al. The association of personality traits with poststroke fatigue in daily life:an exploratory experience sampling method and cross-sectional study[J]. Neuropsychol Rehabil, 2022:1-16.
[16]	Villain M, Sibon I, Renou P, et al. Very early social support following mild stroke is associated with emotional and behavioral outcomes three months later[J]. Clin Rehabil, 2017, 31(1):135-141. DOI PMID
[17]	Lassalle-Lagadec S, Catheline G, Mayo W, et al. Cerebellum involvement in post-stroke mood:a combined ecological and MRI study[J]. Psychiatry Res, 2013, 212(2):158-160. DOI URL
[18]	Johnson EI, Sibon I, Renou P, et al. Feasibility and validity of computerized ambulatory monitoring in stroke patients[J]. Neurology, 2009, 73(19):1579-1583. DOI PMID
[19]	Sibon I, Lassalle-Lagadec S, Renou P, et al. Evolution of depression symptoms following stroke:a prospective study using computerized ambulatory monitoring[J]. Cerebrovasc Dis, 2012, 33(3):280-285. DOI PMID
[20]	Chen YA, Demers M, Lewthwaite R, et al. A novel combination of accelerometry and ecological momentary assessment for post-stroke paretic arm/hand use:feasibility and validity[J]. J Clin Med, 2021, 10(6):1328. DOI URL
[21]	Bui Q, Kaufman KJ, Munsell EG, et al. Smartphone assessment uncovers real-time relationships between depressed mood and daily functional behaviors after stroke[J]. J Telemed Telecare, 2022:1357633X221100061.
[22]	邵华, 郝思哲. iEMA:走向智能化的生态主义研究模式[J]. 自然辩证法通讯, 2018, 40(8):125-130.
	Shao H, Hao SZ. iEMA:an intelligence-oriented ecological research model[J]. J Dialectics Nat, 2018, 40(8):125-130.
[23]	朱金凤, 张远星, 王芳, 等. 脑卒中患者远程康复运动管理有效性及安全性的系统评价再评价[J]. 中华护理杂志, 2022, 57(12):1447-1455. DOI URL
	Zhu JF, Zhang YX, Wang F, et al. The effectiveness and safety of telerehabilitation management in stroke patients:an overview of systematic reviews[J]. Chin J Nurs, 2022, 57(12):1447-1455.
[24]	王文娜, 林蓓蕾, 张振香, 等. 脑卒中患者远程康复体验质性研究的Meta整合[J]. 中华护理杂志, 2021, 56(2):199-206. DOI URL
	Wang WN, Lin BL, Zhang ZX, et al. Meta-synthesis of qualitative research on the real experience of telerehabilitation for stroke survivors[J]. Chin J Nurs, 2021, 56(2):199-206. DOI URL
[25]	王雨卢. 基于生态瞬时评估法的痛风患者治疗依从性时变特征研究[D]. 石河子: 石河子大学, 2021.
	Wang YL. The time-varying characteristics of treatment compliance among patients with gout using ecological momentary assessment[D]. Shihezi: Shihezi University, 2021.
[26]	尚子妺, 吴静, 周洁. 乳腺癌患者睡眠及相关症状的轨迹研究[J]. 中华护理杂志, 2019, 54(10):1456-1462. DOI URL
	Shang ZM, Wu J, Zhou J. A trajectory study of sleep and related symptoms in breast cancer patients based on ecological momentary assessment[J]. Chin J Nurs, 2019, 54(10):1456-1462. DOI URL
[27]	Jimenez A, McMahon TP, Watson D, et al. Dysphoria and well-being in daily life:development and validation of ecological momentary assessment scales[J]. Psychol Assess, 2022, 34(6):546-557. DOI PMID
[28]	Kampshoff CS, Verdonck-de Leeuw IM, van Oijen MG, et al. Ecological momentary assessments among patients with cancer:a scoping review[J]. Eur J Cancer Care(Engl), 2019, 28(3):e13095.
[29]	Hall M, Scherner PV, Kreidel Y, et al. A systematic review of momentary assessment designs for mood and anxiety symptoms[J]. Front Psychol, 2021, 12:642044. DOI URL
[30]	Heron KE, Smyth JM. Ecological momentary interventions:incorporating mobile technology into psychosocial and health behaviour treatments[J]. Br J Health Psychol, 2010, 15(Pt 1):1-39. DOI URL
[31]	Demers M, Winstein CJ. A perspective on the use of ecological momentary assessment and intervention to promote stroke recovery and rehabilitation[J]. Top Stroke Rehabil, 2021, 28(8):594-605. DOI URL