脑卒中患者运动康复偏好的概念分析

Exercise rehabilitation preferences in stroke patients:a concept analysis

目的分析并阐释脑卒中患者运动康复偏好的概念内涵。方法系统检索中国知网、万方数据知识服务平台、中国生物医学文献数据库、PubMed、Web of Science、Embase、CINAHL,搜索时限为建库至2022年10月。根据纳排标准选取文献,应用Rodgers演化概念分析法对纳入文献进行全面分析。结果共纳入34篇文献,脑卒中患者运动康复偏好包括运动康复方案偏好、运动康复风险偏好、运动康复时间偏好、监督与支持、信心与挑战5个概念属性;先决条件包括人口学因素、疾病相关因素、情绪心理因素、外部环境因素和疲乏;结局包括实现个性化运动康复、提高运动康复依从性、增高体力活动水平和促进运动功能恢复。结论通过概念分析脑卒中患者运动康复偏好,可以帮助临床医务人员结合其内涵,深入开展脑卒中患者运动康复的研究探索。

Objective To analyze and explicate the conceptual connotations of exercise rehabilitation preferences in stroke patients.Methods A systematic search was conducted across multiple databases including the China National Knowledge Infrastructure(CNKI),the Wanfang Data Knowledge Service Platform,the Chinese Biomedical Literature Database,PubMed,Web of Science,Embase,and CINAHL,with the search period extending from inception to October 2022.In accordance with inclusion and exclusion criteria,eligible literatures were selected,and a comprehensive analysis was performed by Rodgers′evolutionary concept analysis method.Results A total of 34 literatures were included.Exercise rehabilitation preferences for stroke patients encompassed 5 concept attributes:preferences for exercise rehabilitation programs,risk tolerance in rehabilitation,time preferences for engaging in exercises,supervision and support,and confidence and challenges;the antecedents to these preferences included demographic factors,disease-related factors,emotional and psychological factors,external environmental factors,and fatigue;outcomes associated with these preferences included the realization of individualized exercise rehabilitation,improvement in adherence to rehabilitation regimens,increased levels of physical activity,and facilitation of motor function recovery.Conclusion Through the conceptual analysis of exercise rehabilitation preferences in stroke patients,healthcare professionals can better understand its underlying dimensions,thereby enabling more in-depth research and exploration into exercise rehabilitation practices tailored for stroke patients.