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

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