脑卒中幸存者运动依从性影响因素质性研究的Meta整合

Exercise Compliance and Its Influence Factors in Stroke Patients:A Systematic Review of Qualitative Studies

目的系统整合脑卒中幸存者运动依从性的影响因素。方法计算机检索PubMed、Web of Science、Cochrane library、Embase、CINAHL、PsycINFO、百度、Google、中国期刊全文数据库、万方数据库、中国生物医学数据库和维普中文期刊数据库中有关脑卒中运动依从性影响因素的相关研究,检索时间自建库至2021年11月15日。2名研究员独立筛选、提取、评价文献,遇到分歧小组协商讨论。结果纳入符合标准的文献13篇,共提炼出完整的研究主题62个,归纳组合形成6个新的类别,2个综合的整合结果。整合结果1:影响脑卒中患者运动依从性的个人因素;包括个人动机因素,个人能力因素及个人心理因素;整合结果2:影响脑卒中患者运动依从性的外在因素;包括人际关系因素、康复团队因素及社会系统因素。结论深入理解影响卒中患者康复运动依从性的驱动和阻碍因素,找准提高康复运动依从性的突破口,进而提高患者的运动积极性,提高其生活质量。

Objective To systematically integrate the influence factors of exercise compliance in patients with stroke.Methods A computer search was conducted for related studies on the influence factors of exercise compliance in stroke patients from PubMed,Web of Science,Cochrane library,Embase,CINAHL,PsycINFO,Baidu,Google,CNKI,Wanfang database,CBM and VIP database.The retrieval time was from the inception to November 15,2021.Two researchers independently screened,extracted and evaluated the literature,and discussed in groups for any disagreement.Results Thirteen papers were obtained and 62 extracted findings were integrated into 6 categories and 2 synthesized findings:1.factors affecting exercise compliance in stroke patients including personal motivation,personal competence and personal psychological factors;2.external factors influencing exercise compliance of stroke patients including interpersonal relationship,rehabilitation team and social system.Conclusion It is of great significance to understand the driving and hindering factors of exercise compliance of stroke patients;the breakthrough of promoting exercise compliance will enhance the exercise enthusiasm of patients,and then improve their quality of life.