脑卒中患者家庭抗逆力影响因素的系统评价

Influencing Factors of Family Resilience in Stroke Patients:A Systematic Review

目的系统评价脑卒中患者家庭抗逆力的影响因素,为提高家庭应对能力,更好地发挥家庭支持功能提供依据。方法检索知网、万方、维普、PubMed、Embase、Web of Science等中外数据库中关于脑卒中患者家庭抗逆力影响因素的文献,时限为建库至2021年12月20日。根据纳入与排除标准进行文献筛选,由2名研究者独立进行纳入文献的数据提取和质量评价,采用RevMan 5.3与STATA 15.0软件进行数据分析。结果共纳入8篇文献,患者家庭1318例。患者卒中类型、是否首次发病、照护者职业状态、患者和照护者积极与消极应激反应、家庭功能、家庭关系、社会支持是脑卒中患者家庭抗逆力的主要影响因素(均P<0.05)。结论脑卒中患者家庭抗逆力不仅受到患者与照护者个人内在因素的影响,还受到家庭及外部力量的影响。

Objective To systematically review the influencing factors of family resilience in stroke patients,and to provid a basis for improving family coping skills and better family support functions.Methods The literature on influencing factors of family resilience in stroke patients from CNKI,Wanfang,VIP,PubMed,Embase,Web of Science and other Chinese and foreign databases were searched from their inception to 20th December 2021.Literature screening was conducted according to inclusion and exclusion criteria,and data extraction and quality evaluation of the included literature were carried out independently by two researchers.The research was analyzed with RevMan 5.3 and STATA 15.0.Results A total of 8 studies involving 1318 families were included.Patient stroke type,first episode stroke,caregiver occupational status,the positive and negative stress response of patients and caregivers,family function,family relationship and social support were the main influencing factors of family resilience in stroke patients(all P<0.05).Conclusions The family resilience of stroke patients is affected not only by the internal factors of patients and caregivers but also by family and external forces.