脑卒中患者跌倒恐惧研究的范围综述

Study of fear of falling in stroke patients:a scoping review

目的对脑卒中跌倒恐惧研究进行范围综述,找出该领域研究的空白点。方法采用范围综述的方法检索PubMed、Embase、Web of Science、Cochrane Library、CINAHL、中国生物医学文献服务系统、中国知网、维普网、万方数据库,检索时限均为建库至2023年9月17日,由2名研究者独立对文献资料进行筛选与提取。结果共纳入31篇文献,其中中文17篇,英文14篇,发表时间为2006年至2023年,分析总结跌倒恐惧对脑卒中患者的相关评估工具、影响因素及应对策略。结论本研究结果表明,跌倒恐惧严重影响脑卒中患者的生存质量,影响因素较为复杂,目前尚缺乏针对脑卒中这类专科疾病跌倒恐惧的评估工具,干预措施有待进一步完善和改进,未来可开展更多研究以规范和统一评估工具,制定科学、有效的应对策略。

Objective To review the scope of fall fear research in stroke and provide guidance for future research in this field.Methods The scope review method was used to search PubMed,Embase,Web of science,Cochrane library,CINAHL,SinoMed,CNKI,VIP and Wanfang data,and the search time was until September 17,2023.The literature was screened and extracted independ⁃ently by two researchers.Results A total of 31 literatures were included,including 17 in Chinese and 14 in English,published from 2006 to 2023.The adverse effects,assessment tools,influencing factors and coping strategies of fall fear on stroke patients were ana⁃lyzed and summarized.Conclusion Through systematic analysis,the results show that the fear of falling seriously affects the quality of life of stroke patients,and its influencing factors are relatively complex.Currently,there is a lack of assessment tools for the fear of falling in specialist diseases such as stroke,and intervention measures need to be further improved.In the future,more studies can be conducted to standardize and unify assessment tools,and scientific and effective coping strategies can be formulated.