Meta-analysis of factors associated with social participation in stroke patients and nursing implications

doi:10.3761/j.issn.0254-1769.2026.11.016

Abstract

Abstract:

Objective To systematically evaluate the influencing factors of social participation in stroke patients，providing a basis for formulating targeted rehabilitation intervention programs in clinical practice. Methods Computerized searches were conducted in databases including CNKI，Wanfang Data，VIP，SinoMed，Web of Science，PubMed，Cochrane Library，and Embase to collect studies on factors influencing social participation in stroke patients from inception to October 2025. There were 2 researchers who independently performed literature screening，quality assessment，and data extraction. Meta-analysis was performed using Stata 18.0 software. Results A total of 19 studies were included，and 20 influencing factors were extracted. Meta-analysis revealed that the statistically significant factors included activities of daily living（OR=0.26），female sex（OR=1.82），history of stroke（OR=4.43），age（OR=1.05），NIHSS score（OR=1.49），MRS score（OR=2.16），and depression（OR=3.17）. Conclusion Social participation in stroke patients is influenced by multiple factors. Nursing staff should dynamically assess the level of social participation in stroke patients，focus on elderly individuals，females，and those with negative emotions or impaired physical function，and provide individualized and precise interventions in combination with a multidisciplinary model to promote patients’ successful return to society.

Key words: Stroke, Social Participation, Root Cause Analysis, Meta-Analysis, Evidence-Based Nursing

摘要：

目的系统评价脑卒中患者社会参与的影响因素，为临床制订针对性的护理干预方案提供循证依据。方法计算机检索中国知网、万方数据库、维普数据库、中国生物医学文献数据库、Web of Science、PubMed、Cochrane Library、Embase数据库中关于脑卒中患者社会参与影响因素的研究。检索时限为建库至2025年10月17日。由2名研究者独立进行文献筛选、质量评价和数据提取，采用Stata 18.0软件进行Meta分析。结果共纳入19篇研究，提取20个影响因素。Meta分析结果显示，具有统计学意义的影响因素包括日常生活活动能力（OR=0.26）、女性（OR=1.82）、脑卒中既往史（OR=4.43）、年龄（OR=1.05）、美国国立卫生研究院脑卒中量表评分（OR=1.49）、改良Rankin量表评分（OR=2.16）、抑郁（OR=3.17）。结论脑卒中患者社会参与受到多种因素综合影响，护理人员应动态评估脑卒中患者的社会参与水平，重点关注高龄、女性、伴有负性情绪及躯体功能受损的人群，结合多学科协作模式，给予个体化、精准化的干预措施，促进患者顺利回归社会。

关键词: 脑卒中, 社会参与, 影响因素分析, Meta分析, 循证护理学

WANG Yan, YUAN Yuqiu, TANG Lu, YU Guohong. Meta-analysis of factors associated with social participation in stroke patients and nursing implications[J]. Chinese Journal of Nursing, 2026, 61(11): 1548-1555.

王妍, 袁雨秋, 汤露, 俞国红. 脑卒中患者社会参与影响因素的Meta分析及护理启示[J]. 中华护理杂志, 2026, 61(11): 1548-1555.

Figures/Tables 4

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