Higgs Richard, Soundy Andrew
School of Sport, Exercise and Rehabilitation Sciences, University of Birmingham, Birmingham B15 2TT, UK.
Behav Sci (Basel). 2020 Jan 31;10(2):46. doi: 10.3390/bs10020046.
The disruption of a stroke can impact an individual's sense of social identity. A comprehensive review is required to understand the factors and processes that influence changes in social identity following a stroke. To undertake a review of literature to discover a process of social identity evolution for people with stroke and identify the factors which influence it. A meta-ethnographic approach to review was undertaken and a subtle realist viewpoint was assumed. Studies were included if they documented experiences and perceptions relating to stroke. Eight electronic databases were searched from January 2009 until January 2019. Quality assessment and synthesis techniques were applied. Out of the 18 papers included, a total of 251 (141/251, 56% male, 109/251, 43% female, 1/251, 0.4% undisclosed) individuals were included within the synthesis. The evolution of social-identity model was developed and identified with five key stages to represent a process that individuals with stroke can experience. Factors which influence the process were identified and direct implications for clinical practice are given. This review has highlighted the major themes within the evolution of social identity and management strategies for risk taking to achieve a desired future. Further research is required to consider how these findings may be tested in clinical practice.
中风的发作会影响个体的社会认同感。需要进行全面综述，以了解中风后影响社会认同变化的因素和过程。通过对文献进行综述，以发现中风患者社会认同演变的过程，并确定影响这一过程的因素。采用元民族志方法进行综述，并假定一种微妙的现实主义观点。如果研究记录了与中风相关的经历和看法，则将其纳入。从2009年1月至2019年1月检索了八个电子数据库。应用了质量评估和综合技术。在纳入的18篇论文中，共有251名个体（141/251，56%为男性，109/251，43%为女性，1/251，0.4%未披露）被纳入综合分析。构建了社会认同模型的演变，并确定了五个关键阶段，以代表中风患者可能经历的一个过程。确定了影响该过程的因素，并给出了对临床实践的直接启示。本综述突出了社会认同演变中的主要主题以及为实现理想未来而冒险的管理策略。需要进一步研究，以考虑如何在临床实践中检验这些发现。
