PDF(Pubmed)
Abstract：
UNASSIGNED: Remarkable evidence indicates that psychological stress is significantly associated with stroke. However, a uniform recommendation to identify and alleviate poststroke psychological stress responses and improve postmorbid outcomes is not currently available. Thus, this systematic review aimed to summarize the types of poststroke psychological stress, measurement tools, contributing factors, and outcomes.
UNASSIGNED: This systematic review was undertaken in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses. A literature search was conducted in PubMed, Web of Science, Embase, CNKI, WanFangData, and CQVIP from database inception to November 2021. Cross-sectional and longitudinal studies were included in this research. Quality assessment was performed based on the National Institutes of Health (NIH) Quality Assessment Tool for Observational Cohort and Cross-Sectional Studies.
UNASSIGNED: Eighteen quantitative, peer-reviewed studies were included for analysis. Selected articles mainly investigated perceived stress and posttraumatic stress disorder after stroke. We classified the contributing factors into four categories: sociodemographic factors, clinical disease factors, psychological factors, and behavioral and lifestyle factors. The postmorbid outcomes were divided into three categories: clinical disease outcomes, psychological outcomes, and behavioral and quality of life outcomes.
UNASSIGNED: Compared to common patients, stroke survivors with the following characteristics suffered an increased psychological stress response: younger age, the presence of caregivers, depression, unsuitable coping strategies, etc. Meanwhile, lower quality of life, worse drug compliance, worse functional independence, and more severe mental disorders were significantly associated with increased psychological stress symptoms. Further studies are required to provide more trustworthy and meaningful references for mitigating the damage caused by psychological stress after stroke.
UNASSIGNED: This systematic review was undertaken in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses. A literature search was conducted in PubMed, Web of Science, Embase, CNKI, WanFangData, and CQVIP from database inception to November 2021. Cross-sectional and longitudinal studies were included in this research. Quality assessment was performed based on the National Institutes of Health (NIH) Quality Assessment Tool for Observational Cohort and Cross-Sectional Studies.
UNASSIGNED: Eighteen quantitative, peer-reviewed studies were included for analysis. Selected articles mainly investigated perceived stress and posttraumatic stress disorder after stroke. We classified the contributing factors into four categories: sociodemographic factors, clinical disease factors, psychological factors, and behavioral and lifestyle factors. The postmorbid outcomes were divided into three categories: clinical disease outcomes, psychological outcomes, and behavioral and quality of life outcomes.
UNASSIGNED: Compared to common patients, stroke survivors with the following characteristics suffered an increased psychological stress response: younger age, the presence of caregivers, depression, unsuitable coping strategies, etc. Meanwhile, lower quality of life, worse drug compliance, worse functional independence, and more severe mental disorders were significantly associated with increased psychological stress symptoms. Further studies are required to provide more trustworthy and meaningful references for mitigating the damage caused by psychological stress after stroke.
摘要：
■显著的证据表明心理压力与中风显著相关。然而,目前尚无确定和减轻卒中后心理应激反应并改善病后结局的统一建议.因此，本系统综述旨在总结卒中后心理压力的类型,测量工具,促成因素,和结果。
■本系统评价是根据系统评价和荟萃分析的首选报告项目进行的。在PubMed进行了文献检索，WebofScience,Embase,CNKI,万方数据,和CQVIP从数据库开始到2021年11月。本研究包括横断面和纵向研究。基于美国国立卫生研究院(NIH)用于观察队列和横断面研究的质量评估工具进行质量评估。
■18个定量，纳入同行评审的研究进行分析.所选文章主要调查了中风后的感知压力和创伤后应激障碍。我们将影响因素分为四类：社会人口因素，临床疾病因素，心理因素,以及行为和生活方式因素。病后结局分为三类：临床疾病结局，心理结果，以及行为和生活质量的结果。
■与普通患者相比，具有以下特征的中风幸存者的心理应激反应增加：年龄较小，照顾者的存在，抑郁症,不合适的应对策略，等。同时,生活质量较低，更差的药物依从性，功能独立性更差，更严重的精神障碍与心理压力症状增加显著相关。需要进一步的研究为减轻卒中后心理压力造成的损害提供更多值得信赖和有意义的参考。
■本系统评价是根据系统评价和荟萃分析的首选报告项目进行的。在PubMed进行了文献检索，WebofScience,Embase,CNKI,万方数据,和CQVIP从数据库开始到2021年11月。本研究包括横断面和纵向研究。基于美国国立卫生研究院(NIH)用于观察队列和横断面研究的质量评估工具进行质量评估。
■18个定量，纳入同行评审的研究进行分析.所选文章主要调查了中风后的感知压力和创伤后应激障碍。我们将影响因素分为四类：社会人口因素，临床疾病因素，心理因素,以及行为和生活方式因素。病后结局分为三类：临床疾病结局，心理结果，以及行为和生活质量的结果。
■与普通患者相比，具有以下特征的中风幸存者的心理应激反应增加：年龄较小，照顾者的存在，抑郁症,不合适的应对策略，等。同时,生活质量较低，更差的药物依从性，功能独立性更差，更严重的精神障碍与心理压力症状增加显著相关。需要进一步的研究为减轻卒中后心理压力造成的损害提供更多值得信赖和有意义的参考。
