脑卒中患者运动康复体验质性研究的Meta整合

doi:10.3761/j.issn.0254-1769.2024.11.017

摘要/Abstract

摘要：

目的系统评价和整合脑卒中患者参与运动康复的真实体验，为进一步开展脑卒中患者运动康复助推策略及相关实践提供参考。方法计算机检索PubMed、Embase、Web of Science、Cochrane Library、CNAIHL、中国知网、万方数据库、维普数据库、中国生物医学文献数据库中关于脑卒中患者康复过程的经历、体验及相关心理状态的质性研究，检索时限为建库至2023年8月17日。结果共纳入10篇文献，提炼59个研究结果，归纳为14个新类别，综合成5个整合结果：感知运动康复的益处；运动康复的多元驱动力；在长期康复中逐渐失去耐性；产生新的康复需求并积极应对；开展自我康复困境重重。结论医护人员应关注脑卒中患者运动康复过程中的真实感受、内心需求及运动康复参与的现实困境，针对脑卒中患者制订个性化的运动康复助推策略，实现运动康复科学化、精准化，改善患者远期康复结局。

关键词: 脑卒中, 运动康复, 质性研究, Meta整合, 循证护理学

Abstract:

Objective To systematically evaluate the qualitative research on the experience and feeling of elderly patients with hip fracture during rehabilitation. Methods We searched databases including the PubMed，Embase，Web of Science，Cochrane Library，CNAIHL，CNKI，Wanfang，VIP，SinoMed. The literature of qualitative research on the exercise rehabilitation experience of stroke patients from the establishment of the database to August 17，2023 was retrieved. Results A total of 59 clear research topics were extracted，and 14 new categories were formed after induction and integration，which were finally merged into 5 integrated results. Integration results 1：Perceived benefits of exercise rehabilitation. Integration results 2：Multiple driving forces of exercise rehabilitation. Integration results 3：Gradual loss of patience in long-term rehabilitation. Integrated results 4：Generating new rehabilitation needs and actively coping with them. Integrated results 5：There are many difficulties in carrying out self-rehabilitation. Conclusion During the process of exercise rehabilitation for stroke patients，medical personnel should pay attention to the patients’ actual feelings，inner needs，and the practical challenges they face in participating in exercise rehabilitation. Personalized exercise rehabilitation facilitation strategies should be developed for stroke patients，aiming for the scientific and precise advancement of exercise rehabilitation，and ultimately improving long-term rehabilitation outcomes for patients.

Key words: Stroke, Exercise Rehabilitation, Qualitative Research, Meta Integration, Evidence-Based Nursing

史慧玲, 王清, 蒋园园, 张敏, 戴雨婷, 吉康菱. 脑卒中患者运动康复体验质性研究的Meta整合[J]. 中华护理杂志, 2024, 59(11): 1397-1404.

SHI Huiling, WANG Qing, JIANG Yuanyuan, ZHANG Min, DAI Yuting, JI Kangling. Exercise rehabilitation experience of stroke patients：a qualitative meta-synthesis[J]. Chinese Journal of Nursing, 2024, 59(11): 1397-1404.

图/表 5

图1 PubMed 的检索式

Figure 1 PubMed search query

图2 中国知网的检索式

Figure 2 CNKI search query

图3 文献筛选流程

Figure 3 Literature screening process

表1 纳入文献的基本特征（n=10）

Table 1 Basic features of the included literature（n=10）

表2 纳入文献的方法学质量评价（n=10）

Table 2 Methodological quality evaluation of the included literature（n=10）

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