Rudolf Magnus Institute of Neuroscience and Center of Excellence for Rehabilitation Medicine, University Medical Center Utrecht and Rehabilitation Center De Hoogstraat, Utrecht, The Netherlands.
Patient Educ Couns. 2013 Nov;93(2):169-76. doi: 10.1016/j.pec.2013.06.003. Epub 2013 Jul 17.
Social support to stroke survivors has been recognized as an important determinant of their health-related quality of life (HRQoL), but this relationship is not clarified to date. More insight in the relationships between various types (i.e. emotional, instrumental, or informational support) and sources (i.e. partner, children) of social support and HRQoL might target post-stroke educational and counseling interventions to strengthen patient's social networks and supportive relationships.
Systematic review.
11 original articles could be included. Most of these articles studied the overall perceived social support without further specification of type or source. They show a positive relation between perceived social support and stroke survivors' HRQoL. Relations between perceived social support and HRQoL seems to be more often significant and were stronger than relationships between specific social support types or sources and HRQoL.
Due to the small number of studies and the heterogeneity in methods of assessing social support, a clear statement about the specific influence of social support source or type could not be made.
Attention should be paid to promoting social support on the short and long term. Further research is needed to clarify the influence of social support type and source.
社会支持被认为是影响中风幸存者健康相关生活质量（HRQoL）的一个重要决定因素，但目前尚不清楚这种关系。更深入地了解各种类型（即情感、工具或信息支持）和来源（即伴侣、子女）的社会支持与 HRQoL 之间的关系，可能会针对中风后的教育和咨询干预措施，以加强患者的社交网络和支持性关系。
系统综述。
共纳入 11 篇原始文章。其中大多数文章研究了整体感知社会支持，而没有进一步明确类型或来源。结果表明，感知社会支持与中风幸存者的 HRQoL 呈正相关。感知社会支持与 HRQoL 之间的关系似乎更常具有统计学意义，并且比特定社会支持类型或来源与 HRQoL 之间的关系更强。
由于研究数量较少且评估社会支持的方法存在异质性，因此无法明确说明社会支持来源或类型的具体影响。
应注意在短期和长期内促进社会支持。需要进一步研究以阐明社会支持类型和来源的影响。
