脑卒中患者社会参与的概念分析

Concept analysis of social participation in stroke patients

目的通过对脑卒中患者社会参与概念的发展、应用、属性、典型案例、先决条件、结果等进行系统分析,从护理实践的角度厘清脑卒中患者社会参与的概念内涵。方法检索中国知网、万方、维普等中文数据库及PubMed、Web of Science、PsycINFO等英文数据库,以Walker和Avant概念分析法为理论框架分析讨论。结果通过文献分析,共纳入72篇文献进行概念分析,归纳得出,脑卒中患者社会参与具有3个概念属性:自主意愿参与活动,承担社会角色,满足自身需要并实现个人价值;其前置因素包括人口学、生理、心理以及环境因素。结果关注康复和功能独立、生活满意度、生活质量以及照护者负担;其测量指标包括含有社会参与条目的评估工具和以社会参与为中心的评估工具。结论本概念基于我国文化背景及医疗环境,从护理实践角度出发,结合脑卒中患者社会参与的特点进行定义。本概念有助于明确脑卒中患者社会参与。该概念在护理研究和护理理论中的准确使用,可为今后脑卒中患者社会参与相关理论和干预研究提供理论基础。

ObjectiveTo clarify the concept of social participation in stroke patients from the perspective of nursing practice by conducting a systematic analysis of the development,application,attributes,typical cases,prerequisites,and results of the concept of social participation in stroke patients.MethodsThis study searched Chinese databases such as China National Knowledge Infrastructure,WanFang Data,and VIP,as well as English databases such as PubMed,Web of Science,and PsycINFO.The Walker and Avant concept analysis method was a theoretical framework for analysis and discussion.ResultsThrough literature analysis,a total of 72 articles were included for conceptual analysis.It was concluded that social participation in stroke patients had three concept attributes,including voluntary willingness to participate in activities,assuming social roles,meeting their own needs and realizing personal value.Its antecedents included demographic,physiological,psychological,and environmental factors.The results focused on rehabilitation and functional independence,life satisfaction,quality of life,and caregiver burden.Its measurement indicators included evaluation tools containing social participation items and evaluation tools centered around social participation.ConclusionsThis concept is based on the cultural background and medical environment of China,and is defined from the perspective of nursing practice,combined with the characteristics of social participation of stroke patients.This concept helps to clarify the social participation of stroke patients.The accurate use of this concept in nursing research and nursing theory can provide a theoretical basis for future research on social participation and intervention in stroke patients.