School for Health, University of Bath, England, UK.
Disabil Rehabil. 2012;34(7):553-63. doi: 10.3109/09638288.2011.613511. Epub 2011 Oct 10.
To identify the key factors that are necessary to account for in planning and developing rehabilitation and community services for stroke based on users' perspectives.
A meta-synthesis of qualitative research comprising three stages: (i) systematic searching and identification of relevant reports; (ii) critical appraisal of selected reports; (iii) analysis and synthesis of included reports.
A total of 138 reports were identified, 101 were rejected after applying the inclusion criteria. Following critical appraisal, 18 papers were included. The main interconnecting themes relate to how the impact of stroke is influenced by: (i) the person; (ii) close social relationships; (iii) the social environment; (iv) interactions between all three. The lines-of-argument synthesis relates to the social world a person inhabits and its effect on how a person will perceive and deal with their stroke. Support will be most effective when delivered in the context of this social world.
How stroke is perceived is highly dependent on a person's identity. Support can be effective if delivered within the existing structures of a stroke survivor's unique social world.
基于使用者的观点，确定在规划和发展脑卒中康复和社区服务时需要考虑的关键因素。
对包括三个阶段的定性研究进行元综合：（i）系统搜索和确定相关报告；（ii）对选定报告进行批判性评估；（iii）对纳入报告进行分析和综合。
共确定了 138 份报告，应用纳入标准后有 101 份被拒绝。经过严格评估，有 18 篇论文被纳入。主要的相互关联主题涉及中风的影响如何受到：（i）个人；（ii）密切的社会关系；（iii）社会环境；（iv）三者之间的相互作用。论证的主线综合与一个人所处的社会世界及其对一个人如何感知和应对中风的影响有关。在这个社会世界的背景下提供支持将是最有效的。
中风的感知高度取决于个人的身份。如果在中风幸存者独特的社会世界的现有结构内提供支持，那么支持将是有效的。
