脑卒中患者久坐行为体验质性研究的Meta整合

Experience of sedentary behavior in stroke patients:a Meta-synthesis of qualitative study

目的系统评价脑卒中患者久坐行为体验的质性研究,为改善脑卒中患者久坐行为现状,提高参与身体活动的积极性和制订相关行为改变策略提供参考依据。方法计算机检索PubMed、Embase、Web of Science、Cochrane Library、ProQuest、CINAHL、中国知网、万方数据库、维普网、中国生物医学文献数据库中关于脑卒中患者久坐行为体验的质性研究,检索时限为建库至2024年2月。采用澳大利亚乔安娜布里格斯研究所循证卫生保健中心质性研究质量评价标准进行文献质量评价,采用汇集性整合方法对结果进行归纳和整合。结果共纳入7篇文献,提炼26个研究结果,归纳成10个新的类别,形成4个整合结果:不同的环境对脑卒中患者久坐行为的影响,导致脑卒中患者久坐行为的因素呈多面性,脑卒中患者减少久坐的健康益处认知有限、缺乏行为动机,减少久坐行为的需求与动机。结论医护人员应调动多渠道支持,协助脑卒中患者克服久坐行为的障碍因素,充分调动患者行为改变的积极性,最大限度地提高患者卒中后的身体活动水平,降低复发性卒中的风险。

Objective To systematically evaluate the qualitative study on sedentary behavior experience of stroke patients,so as to provide reference for improving the current status of sedentary behavior in stroke patients,increasing their enthusiasm for physical activity,and formulating behavior change strategies.Methods Qualitative studies on the experience of sedentary behavior in stroke patients were retrieved from PubMed,Embase,Web of Science,Cochrane Library,ProQuest,CINAHL,China National Knowledge Infrastructure,WanFang Data,VIP,and China Biology Medicine.The search period was from database establishment to February 2024.The literature quality evaluation was conducted using the quality evaluation criteria for qualitative research of the Joanna Briggs Institute Evidence-Based Health Care Center.The convergent integration method was used to summarize and integrate the results.Results A total of 7 articles were included,and 26 research results were extracted and summarized into 10 new categories,forming four integrated results,namely the influence of different environments on sedentary behavior in stroke patients,the multifaceted factors leading to sedentary behavior in stroke patients,limited awareness of the health benefits of reducing sedentary behavior in stroke patients and lack of behavioral motivation,and the need and motivation to reduce sedentary behavior.Conclusions Medical and nursing staff should mobilize multi-channel support to assist stroke patients in overcoming obstacles to reducing sedentary behavior,fully mobilizing patients'enthusiasm for behavior change,maximizing post-stroke physical activity levels,and reducing the risk of recurrent stroke.