脑卒中患者生活空间现状及影响因素研究进展
Research Progress on the Current Status and Influencing Factors of Life-Space in Stroke Patients
摘要: 生活空间移动性不仅反映脑卒中患者躯体健康功能水平,还是患者的社会参与度以及康复结局的重要综合性指标。本文围绕脑卒中患者生活空间的概念内涵和测量工具、结合其现状特点,从生理、心理、社会及环境等多维度系统梳理影响因素,并根据国内外以往相关研究总结研究现状与不足,为构建针对性干预措施、改善患者疾病状态以促进康复结局提供参考依据。
Abstract: Life-space mobility not only reflects the physical health functional level of stroke patients but also serves as an important comprehensive indicator of their social participation and rehabilitation outcomes. This paper focuses on the conceptual connotation and measurement tools of life-space in stroke patients, integrates their current status and characteristics, and systematically reviews the influencing factors from multiple dimensions including physiological, psychological, social, and environmental aspects. Based on previous relevant studies both domestically and internationally, it summarizes the current research status and shortcomings, providing a reference basis for formulating targeted intervention measures, improving patients’ disease conditions, and promoting rehabilitation outcomes.
文章引用:徐红丽. 脑卒中患者生活空间现状及影响因素研究进展[J]. 临床医学进展, 2026, 16(5): 718-722. https://doi.org/10.12677/acm.2026.1651866

参考文献

[1] 柳芸芸, 兰玉梦, 韩乐瑶, 熊晶莹, 席亚亚, 张梅姗, 豆欣蔓, 王兴蕾. 脑卒中患者生活空间的概念分析[J]. 护理学杂志, 2026, 41(4): 47-51.
[2] 王颖俏, 马丽, 李维苹, 杨萌, 豆欣蔓, 王兴蕾. 生活空间概述及对老年脑卒中患者的护理启示[J]. 中华护理杂志, 2024, 59(17): 2172-2176.
[3] Kuspinar, A., Mehdipour, A., Beauchamp, M.K., Hao, Q., Cino, E., Mikton, C., et al. (2023) Assessing the Measurement Properties of Life-Space Mobility Measures in Community-Dwelling Older Adults: A Systematic Review. Age and Ageing, 52, iv86-iv99. [Google Scholar] [CrossRef] [PubMed]
[4] Baker, P.S., Bodner, E.V. and Allman, R.M. (2003) Measuring Life‐Space Mobility in Community‐dwelling Older Adults. Journal of the American Geriatrics Society, 51, 1610-1614. [Google Scholar] [CrossRef] [PubMed]
[5] Ullrich, P., Werner, C., Abel, B., Hummel, M., Bauer, J.M. and Hauer, K. (2022) Assessing Life-Space Mobility: A Systematic Review of Questionnaires and Their Psychometric Properties. Zeitschrift für Gerontologie und Geriatrie, 55, 660-666. [Google Scholar] [CrossRef] [PubMed]
[6] De Silva, N.A., Gregory, M.A., Venkateshan, S.S., Verschoor, C.P. and Kuspinar, A. (2019) Examining the Association between Life-Space Mobility and Cognitive Function in Older Adults: A Systematic Review. Journal of Aging Research, 2019, Article ID: 3923574. [Google Scholar] [CrossRef] [PubMed]
[7] Tashiro, H., Isho, T., Takeda, T., Nakamura, T., Kozuka, N. and Hoshi, F. (2019) Life-Space Mobility and Relevant Factors in Community-Dwelling Individuals with Stroke in Japan: A Cross-Sectional Study. Progress in Rehabilitation Medicine, 4, 1-8. [Google Scholar] [CrossRef] [PubMed]
[8] Yang, Y., Kim, B., Uhm, K.E., Kim, S.J., Lee, S., Oh-Park, M., et al. (2017) Life Space Assessment in Stroke Patients. Annals of Rehabilitation Medicine, 41, Article 761. [Google Scholar] [CrossRef] [PubMed]
[9] Buss, A., Strupeit, S. and Wolf-Ostermann, K. (2017) Life-Space Mobility in Older Stroke Survivors: A Cross-Sectional Study. Innovation in Aging, 1, 1097-1097. [Google Scholar] [CrossRef
[10] Oliveira, N.K.D., Santos, L.H.C.G.D., Reis, G.C.D. and Pereira, N.D. (2024) Reliability and Validity of Remote Life Space Assessment: LSA in Persons with Chronic Stroke. Arquivos de Neuro-Psiquiatria, 82, 1-6. [Google Scholar] [CrossRef] [PubMed]
[11] D’souza, J., Mishra, S., Katalkar, P. and Pagariya, S. (2025) Measurement of Compliance to Life-Space Mobility in Community-Dwelling Stroke Survivors: A Cross-Sectional Study. Bulletin of Faculty of Physical Therapy, 30, Article No. 41. [Google Scholar] [CrossRef
[12] 宋敏, 隆秀辉, 燕娜娜. 老年缺血性脑卒中患者出院后生活空间现状及其影响因素分析[J]. 中国临床护理, 2024, 16(8): 468-473.
[13] 陈娜. 养老机构脑卒中老年人生活质量现状及影响因素的研究[D]: [硕士学位论文]. 锦州: 锦州医科大学, 2025.
[14] 王颖臻, 李甜, 蔡忠香, 等. 脑卒中患者社会参与现状及其干预措施的研究进展[J]. 实用心脑肺血管病杂志, 2025, 33(10): 91-94.
[15] Yang, B., Xie, R., Ge, S., Tang, R., Cheng, K. and Wang, Y. (2025) The Heterogeneous Life Space Trajectories and Predictors in Stroke Patients: A Cohort Study. Frontiers in Neurology, 16, Article ID: 1627893. [Google Scholar] [CrossRef
[16] Tsunoda, S., Shimizu, S., Suzuki, Y., Tsunoda, A., Yamada, R., Shimose, R., et al. (2021) Longitudinal Changes in Life-Space Mobility and the Factors Influencing It among Chronic Community-Dwelling Post-Stroke Patients. Disability and Rehabilitation, 44, 7872-7876. [Google Scholar] [CrossRef] [PubMed]
[17] Kimura, Y., Nishio, N., Abe, Y., Ogawa, H., Taguchi, R., Otobe, Y., et al. (2020) Relationship between Physical Activity Levels during Rehabilitation Hospitalization and Life-Space Mobility Following Discharge in Stroke Survivors: A Multicenter Prospective Study. Topics in Stroke Rehabilitation, 28, 481-487. [Google Scholar] [CrossRef] [PubMed]
[18] Nakao, M., Izumi, S., Yokoshima, Y., Matsuba, Y. and Maeno, Y. (2019) Prediction of Life-Space Mobility in Patients with Stroke 2 Months after Discharge from Rehabilitation: A Retrospective Cohort Study. Disability and Rehabilitation, 42, 2035-2042. [Google Scholar] [CrossRef] [PubMed]
[19] Lei, Y., Bai, H., Kang, H., Xin, Q., Li, T., Yang, T., et al. (2025) The Longitudinal Mediating Effect of Life-Space Mobility on the Relationship between Nutritional Status and Cognitive Function in Community-Dwelling Older Stroke Patients. Frontiers in Public Health, 13, Article ID: 1677690. [Google Scholar] [CrossRef
[20] 雷奕娴, 孟丽娜. 生活空间移动性对社区脑卒中后老年人主观认知能力下降的影响: 衰弱和抑郁的链式中介作用[C]//中国心理学会. 第二十六届全国心理学学术会议摘要集(六). 大庆: 哈尔滨医科大学大庆校区; 大庆: 黑龙江省慢性病基础研究与健康管理重点实验室, 2025: 169-170.
[21] Zhang, Y., Yang, X., Gu, Q., Pan, J., Mao, J., Lu, D., et al. (2025) Multiple Mediators of Anxiety and Depression between Living Space and Cognitive Function among Elderly Patients with Ischemic Stroke. Frontiers in Psychiatry, 16, Article ID: 1682799. [Google Scholar] [CrossRef