脑卒中病人重返工作影响因素的Meta分析

INFLUENCING FACTORS FOR RETURN TO WORK IN POST-STROKE PATIENTS:A META-ANALYSIS

目的通过Meta分析来探讨脑卒中病人重返工作的影响因素。方法在The Cochrane Library、PubMed、EMbase、Web of Science、中国知网、万方数据库和维普等中英文数据库中检索脑卒中病人重返工作影响因素的研究,由两名研究人员按照统一标准独立筛选文献、提取资料并评价纳入文献质量。采用RevMan 5.3软件对脑卒中病人重返工作的影响因素进行Meta分析。结果共纳入12篇文献,样本量为5227例。Meta分析结果显示,年龄、性别、受教育水平、认知状况、神经功能缺损评分、日常活动能力、职业类型等为脑卒中病人重返工作的影响因素。结论脑卒中病人重返工作影响因素较多,今后需开展控制混杂因素的前瞻性研究进一步明确其影响因素以便采取针对性的干预措施。

Objective To systematically review the influencing factors for return to work in post-stroke patients through a Meta-analysis.Methods English and Chinese databases including The Cochrane Library,PubMed,EMbase,Web of Science,CNKI,Wanfang Data,and VIP were searched for studies on the influencing factors for return to work in post-stroke patients.Two reviewers independently performed literature screening,data extraction,and quality assessment of included studies.RevMan 5.3 software was used to perform a Meta-analysis of influencing factors for return to work in post-stroke patients.Results A total of 12 articles were included,with a sample size of 5227 patients.The results of the meta-analysis showed that age,sex,education level,cognitive status,neurological deficit score,activities of daily living,and type of occupation were influencing factors for return to work in post-stroke patients.Conclusion There are various influencing factors for return to work in post-stroke patients,and prospective studies with control for confounding factors are needed in the future to further clarify influencing factors and adopt targeted interventions.