脑卒中后重返工作阻碍因素质性研究的Meta 整合

doi:10.16460/j.issn1008-9969.2021.24.036

摘要/Abstract

摘要： 目的系统评价和整合脑卒中患者重返工作的阻碍因素质性研究。方法计算机检索PubMed、EMbase、Cochrane Library、CINAHL、PsyINFO、CBM、中国知网及万方数据库,搜集关于脑卒中患者重返工作的质性研究,检索时限为建库至2020年9月。采用澳大利亚JBI循证卫生保健中心质性研究质量评价标准（2016）对文献进行评价,采用Meta整合方法对结果进行整合。结果共纳入17篇文献,提炼21个结果,归成11个类别,合成3个整合结果。整合结果1：脑卒中后的身体损伤、心理障碍和角色适应不良阻碍幸存者重返工作;整合结果2 ：社会支持系统的不完善、不可及阻碍幸存者重返工作;整合结果3：工作场所的不良环境阻碍幸存者重返工作。结论中风后重返工作是一个复杂的过程,受社会、个人、康复部门多种因素的影响,政府、医疗卫生机构等相关人员需全面关注阻碍脑卒中患者重返工作的因素,及时给与针对性的支持帮助,以促进脑卒中后患者重返工作。

关键词: 脑卒中, 重返工作, 质性研究, 系统评价, Meta整合

Abstract: Objective To systematically evaluate and synthesize the barriers to returning to work in patients with strokes. Methods PubMed, Embase, Cochrane Library, CINAHL, PsycINFO, CBM, CNKI, and Wanfang Data were searched for qualitative studies on strokes’ experience of returning to work from the inception to September, 2020. The results were assessed by a pooled integration approach using the Australian JBI Evidence-Based Health Care Center (2016) Quality Evaluation Standards Evaluation. Results Seventeen studies were included and twenty-one findings were grouped according to similarities into 17 new categories, which resulted in 3 synthesized findings.Integrated results 1: physical impairment, psychological impairment and role maladaptation after stroke prevented survivors from returning to work; Integration results 2: inadequate social support systems prevented survivors from returning to work;Integrated results 3: poor conditions in the workplace prevented survivors from returning to work. Conclusion Returning to work after stroke is a complex process which can be influenced by organizational, social or personal factors. Healthcare workers should pay full attention to the factors that prevent stroke patients from returning to work, and provide timely and targeted support to promote stroke patients to return to work.

Key words: stroke, returning to work, qualitativeresearch, systematic review, Meta-synthesis

中图分类号:

R473.54

刘蕊, 韩雪娜, 杨富国, 耿文垚, 丁遥遥, 李梦飞. 脑卒中后重返工作阻碍因素质性研究的Meta 整合[J]. 护理学报, 2021, 28(24): 36-41.

LIU Rui, HAN Xue-na, YANG Fu-guo, GENG Wen-yao, DING Yao-yao, LI Meng-fei. Barriers to Returning to Work after Stroke: A Qualitative Meta-synthesis[J]. Journal of Nursing, 2021, 28(24): 36-41.

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