摘要
目的系统评价脑卒中患者反刍性沉思影响因素的混合方法研究,为临床干预提供循证依据。方法采用混合研究系统评价设计,检索中国知网,万方,维普,中国生物医学文献数据库,PubMed,Web of Science,Cochrane Library,Embase和Scopus数据库中与脑卒中患者反刍性沉思影响因素相关的研究,检索年限为建库至2023年10月27日。采用加拿大麦克吉尔大学学者团队研制的混合方法评价工具评价所纳入文献的方法学质量,两名研究者采用澳大利亚JBI循证卫生保健研究中心提出的聚敛整合方法收集、分析和整合数据。结果共纳入22篇文献,合计4949例患者,提炼出45个研究主题,归纳组合成8个类别,最终整合出脑卒中患者反刍性沉思的影响因素包括患者个体因素、外部支持和应对策略3个方面。结论脑卒中患者反刍性沉思水平存在差异。个体因素影响患者的反刍性沉思水平,良好的人际关系、积极思考与积极应对方式可促进目的性反刍性沉思的形成,年龄、家庭收入和居住地对脑卒中患者反刍性沉思的作用机制仍需进一步探讨。
Objective To systematically evaluate the rumination in stroke patients and identify the influencing factors.Methods A mixed-methods systematic review was carried out by searching databases,such as CNKI,WanFang Data,VIP,CBM,PubMed,Web of Science,the Cochrane Library,Embase and Scopus databases,from the inception to 27th October,2023,for literature on the influencing factors of rumination in stroke patients.The researchers evaluated quality of the literature according to the mixed methods appraisal tool developed by McGill University of Canada.Then the data were collected,analysed and integrated using the convergent integration method proposed by the JBI Evidence-Based Health Care Research Centre of Australia.Results A total of 22 studies were included with an involvement of 4949 patients.Then a total of 45 research topics were extracted and grouped into 8 categories.The influence factors of rumination were integrated,including individual factors,external support and coping strategies.Conclusions Stroke patients have different levels of rumination.Individual factors may affect rumination in patients.Harmonious interpersonal relationships and positive thinking with coping strategies can promote deliberate rumination.However,the effects of age,place of residence and household income on rumination in stroke patients are required to be further explored.
作者
罗文楠
李壮苗
张煌霞
林颖欣
黄惠香
张洁
Luo Wennan;Li Zhuangmiao;Zhang Huangxia;Lin Yingxin;Huang Huixiang;Zhang Jie(School of Nursing,Fujian University of Traditional Chinese Medicine,Fuzhou 350122,Fujian Province,China)
出处
《现代临床护理》
2024年第9期72-81,共10页
Modern Clinical Nursing
