摘要
目的旨在评估脑卒中患者的应对方式与生命质量(QOL)的相关性,为临床提供更多的治疗策略,从而改善脑卒中患者的预后,提高患者生命质量。方法检索时限自建库至2020年8月,包括中国期刊全文数据库(CNKI)、万方数据库、中国生物医学文献数据库、维普中文期刊服务平台和PubMed五个数据库,获得合格文献,并提取调节效应指标(相关系数r或标准化回归系数β),分析采用95%的置信区间,进行系统综述。结果共纳入17篇文献,其中英文文献6篇,中文文献11篇。脑卒中应对方式与生命质量的研究多采用量表的方式进行调查;影响应对方式的因素有疾病状态、社会支持、人格特征等;同时积极的、面对的应对方式相比屈服和回避更能提高患者的生命质量。随机效应Meta分析结果显示面对的方式与生命质量呈显著正相关关系[合并效应r/β,0.350;95%置信区间为(0.279,0.417)]。结论通过分析和探讨卒中患者应对方式和生命质量的关系及影响因素,提示我们在今后的临床实践和基础研究中,通过以应对方式为核心,社会支持、人格特质、生命质量几者关系为基础的框架,构建针对卒中患者的整体多元的“心-身”健康管理模式,以期改善卒中患者的认知方式,提高家庭及社会的支持力度,进而提高卒中患者的生命质量。
Objective This study aims to evaluate the correlation between coping style and quality of life(QOL)in patients with stroke so as to provide more treatment strategies for clinical and improve the prognosis and quality of life of stroke patients.Methods From the establishment of the database to August 2020,five databases including CNKI,Wanfang database,China biomedical literature database,VIP Chinese journal service platform and PubMed,were searched to obtain qualified literature,and the regulatory effect indexes(correlation coefficient r or standardized regression coefficientβ)were extracted,and 95%confidence interval was used for systematic synthesis description.Results A total of 17 articles were included,including 6 in English and 11 in Chinese.The research on coping style and quality of life of stroke mostly adopted the method of scale investigation.The factors influencing coping style included disease state,social support,personality characteristics,etc.Meanwhile,the positive and facing coping style can improve the quality of life of patients more than submission and avoidance.Meta-analysis of random effects showed that there was a significant positive correlation between face style and quality of life[combined effect r/β,0.350;95%confidence interval(0.279,0.417)].Conclusion Through the analysis and discussion of the relationship between coping style and quality of life of stroke patients and the influencing factors,it is suggested that in the future clinical practice and basic research,we should build a comprehensive and diversified“heart body”health management model for stroke patients through the framework of coping style as the core and the relationship among social support,personality traits and quality of life.The cognitive style of stroke patients can improve family and social support,and then improve the quality of life of stroke patients.
作者
王欣欣
文天才
王启桢
赵若男
吕晓颖
WANG Xinxin;WEN Tiancai;WANG Qizhen;ZHAO Ruonan;LYU Xiaoying(Institute of Basic Research in Clinical Medicine,China Academy of Chinese Medical Sciences,Beijing 100700,China;The Third People's Hospital of Chengdu,Chengdu 610000,Sichuan,China;Shaanxi University of Chinese Medicine,Xi'an 710000,Shaanxi,China)
出处
《辽宁中医杂志》
CAS
2022年第6期1-5,共5页
Liaoning Journal of Traditional Chinese Medicine
基金
国家自然科学基金(8170142146)
国家重大科技专项-子课题(2017ZX10106001-001)
中国中医科学院科技创新工程中医临床基础学科创新团队项目(CI2021B003)
作者简介
王欣欣(1991-),女,河北沧州人,医师,博士研究生,研究方向:针灸防治脑血管疾病;通讯作者:吕晓颖(1991-),女,河北石家庄人,助理研究员,硕士研究生,研究方向:临床评价,数据质量,健康管理。
