Abstract：
OBJECTIVE: To provide an overview of the current state of knowledge on factors related to relationship quality and relationship stability after stroke.
METHODS: Cumulative Index to Nursing and Allied Health (CINAHL), Embase, MEDLINE, Psychology and Behavioral Sciences Collection, APA PsycINFO, and PubMed were searched on November 15, 2022, for literature on factors associated with (1) relation quality and (2) relation stability after stroke.
METHODS: English quantitative and qualitative studies investigating factors associated with relation quality and/or stability after stroke were included. Three reviewers independently assessed eligibility. Consensus meetings were held in case of divergent opinions. A total of 44 studies were included.
METHODS: Information regarding study objectives and characteristics, participant demographics, independent and dependent variables, and main findings was extracted. Study quality was rated using the Joanna Briggs Institute Checklist for Analytical Cross-Sectional Studies and/or the Critical Appraisal Skills Programme Checklist for Qualitative Research. Both were administered by the lead reviewer and checked by the second reviewer. Identified factors are described and presented according to the domains of the International Classification of Functioning, Disability, and Health model.
RESULTS: Thirty-seven factors related to relationship quality after stroke were identified, covering the domains of body functions and structures (eg, cognitive problems), activities (eg, decrease in physical intimacy), participation (eg, being socially active), environment (eg, medication side effects), and personal factors (eg, hypervigilance). Eight factors related to relationship stability were identified, covering the domains of participation (agreement on reciprocal roles) and personal factors (eg, quality of prestroke relation).
CONCLUSIONS: Relationship quality and stability after stroke are related to a multitude of factors. Future research should confirm the relevance of factors found in a few studies of suboptimal quality; explore possible associations between relationship stability and factors falling in the domains of body functions and structure, activity, and environmental factors; and explicitly explore potential positive effects of stroke on relationships.
METHODS: Cumulative Index to Nursing and Allied Health (CINAHL), Embase, MEDLINE, Psychology and Behavioral Sciences Collection, APA PsycINFO, and PubMed were searched on November 15, 2022, for literature on factors associated with (1) relation quality and (2) relation stability after stroke.
METHODS: English quantitative and qualitative studies investigating factors associated with relation quality and/or stability after stroke were included. Three reviewers independently assessed eligibility. Consensus meetings were held in case of divergent opinions. A total of 44 studies were included.
METHODS: Information regarding study objectives and characteristics, participant demographics, independent and dependent variables, and main findings was extracted. Study quality was rated using the Joanna Briggs Institute Checklist for Analytical Cross-Sectional Studies and/or the Critical Appraisal Skills Programme Checklist for Qualitative Research. Both were administered by the lead reviewer and checked by the second reviewer. Identified factors are described and presented according to the domains of the International Classification of Functioning, Disability, and Health model.
RESULTS: Thirty-seven factors related to relationship quality after stroke were identified, covering the domains of body functions and structures (eg, cognitive problems), activities (eg, decrease in physical intimacy), participation (eg, being socially active), environment (eg, medication side effects), and personal factors (eg, hypervigilance). Eight factors related to relationship stability were identified, covering the domains of participation (agreement on reciprocal roles) and personal factors (eg, quality of prestroke relation).
CONCLUSIONS: Relationship quality and stability after stroke are related to a multitude of factors. Future research should confirm the relevance of factors found in a few studies of suboptimal quality; explore possible associations between relationship stability and factors falling in the domains of body functions and structure, activity, and environmental factors; and explicitly explore potential positive effects of stroke on relationships.
摘要：
目的：概述卒中后关系质量和关系稳定性相关因素的知识现状。
方法：护理和相关健康的累积指数，Embase,MEDLINE,心理学与行为科学合集，APAPsycINFO,和PubMed于2022年11月15日检索与卒中后(1)关系质量和(2)关系稳定性相关因素的文献.
方法：包括研究卒中后与关系质量和/或稳定性相关因素的英文定量和定性研究。三名审稿人独立评估资格。在意见分歧的情况下举行了共识会议。共纳入44项研究。
方法：有关研究目标和特征的信息，参与者人口统计，自变量和因变量，并提取了主要发现。使用用于分析横截面研究的JBI清单和/或用于定性研究的CASP清单对研究质量进行评级。两者均由首席审阅者执行，并由第二位审阅者检查。根据国际功能分类的领域描述和提出了确定的因素，残疾,和健康模型。
结果：确定了与卒中后关系质量相关的37个因素，涵盖身体功能和结构的领域(例如，认知问题)，活动(例如，身体亲密的减少)，参与(例如，社会活跃)，环境(例如，药物副作用)，和个人因素(例如，高度警惕)。确定了与关系稳定性相关的八个因素，涵盖参与领域(就互惠角色达成一致)和个人因素(例如，中风前关系的质量)。
结论：卒中后关系质量和稳定性与多种因素有关。未来的研究应该证实在少数关于质量次优的研究中发现的因素的相关性，探索关系稳定性与身体功能和结构领域的因素之间可能的关联，活动,和环境因素，并明确探索中风对人际关系的潜在积极影响。
方法：护理和相关健康的累积指数，Embase,MEDLINE,心理学与行为科学合集，APAPsycINFO,和PubMed于2022年11月15日检索与卒中后(1)关系质量和(2)关系稳定性相关因素的文献.
方法：包括研究卒中后与关系质量和/或稳定性相关因素的英文定量和定性研究。三名审稿人独立评估资格。在意见分歧的情况下举行了共识会议。共纳入44项研究。
方法：有关研究目标和特征的信息，参与者人口统计，自变量和因变量，并提取了主要发现。使用用于分析横截面研究的JBI清单和/或用于定性研究的CASP清单对研究质量进行评级。两者均由首席审阅者执行，并由第二位审阅者检查。根据国际功能分类的领域描述和提出了确定的因素，残疾,和健康模型。
结果：确定了与卒中后关系质量相关的37个因素，涵盖身体功能和结构的领域(例如，认知问题)，活动(例如，身体亲密的减少)，参与(例如，社会活跃)，环境(例如，药物副作用)，和个人因素(例如，高度警惕)。确定了与关系稳定性相关的八个因素，涵盖参与领域(就互惠角色达成一致)和个人因素(例如，中风前关系的质量)。
结论：卒中后关系质量和稳定性与多种因素有关。未来的研究应该证实在少数关于质量次优的研究中发现的因素的相关性，探索关系稳定性与身体功能和结构领域的因素之间可能的关联，活动,和环境因素，并明确探索中风对人际关系的潜在积极影响。
