脑卒中患者社会疏离感现状及影响因素的Meta分析

Current Status and Influencing Factors of Social Alienation in Stroke Patients: A Meta-Analysis

摘要: 目的：系统评价脑卒中患者社会疏离现状及其影响因素。方法：计算机检索各数据库，检索时限为建库至2024年3月。由两名研究者独立进行文献筛选，质量评价和数据提取，采用Stata16.0进行Meta分析。结果：共纳入14篇文献，4330例患者。Meta分析结果显示脑卒中患者社会疏离发生率为42%，其中年龄[SMD = −1.011, 95% CI (−1.513, −0.512)]，社会支持水平[SMD = 1.8, 95% CI (−1.58, 2.01)]，肢体功能状况[SMD = 0.83, 95% CI (0.34, 1.32)]，是否合并慢性病[SMD = 0.62, 95% CI (0.44, 0.81)]，病程[SMD = −0.53, 95% CI (−0.74, −0.32)]，疾病复发次数[SMD = −0.5, 95% CI (−0.7, −0.29)]是脑卒中患者社会疏离的影响因素。结论：脑卒中患者社会疏离水平较高，影响因素较多，医务人员应结合影响因素对重点人群进行早期筛查和干预，避免不良结局的发生。

Abstract: Objective: To systematically review the status and influencing factors of social alienation in stroke patients. Methods: Databases were searched by computer, and the search time limit was from the establishment of the database to July 2024. Literature screening, quality assessment and data extraction were performed by two researchers independently. Meta-analysis was performed using Stata16.0. Results: A total of 14 studies involving 4330 patients were included. Meta-analysis results showed that the incidence of social alienation in stroke patients was 42%, age [SMD = −1.01, 95% CI (−1.51, −0.51)], social support level [SMD = 1.8, 95% CI (−1.58, 2.01)], limb function [SMD = 0.83, 95% CI (0.34, 1.32)], Combined chronic diseases [SMD = 0.62, 95% CI (0.44, 0.81)], course of disease [SMD = −0.53, 95% CI (−0.74, −0.32)], frequency of disease recurrence [SMD = −0.5, 95% CI (−0.7, −0.29)] were the influencing factors of social alienation in stroke patients. Conclusion: Stroke patients have a high level of social alienation, and there are many influencing factors. Medical staff should conduct early screening and intervention for key groups according to the influencing factors to avoid the occurrence of adverse outcomes.