School of Medicine and Public Health, The University of Newcastle, Callaghan, New South Wales, Australia
Hunter Medical Research Institute, New Lambton Heights, New South Wales, Australia.
BMJ Open. 2020 Mar 26;10(3):e035592. doi: 10.1136/bmjopen-2019-035592.
Several studies have shown that stroke survivors report experiencing high and unremitting levels of stress, which can negatively affect brain repair processes and psychological outcomes and thereby compromise recovery. However, it is presently unclear which interventions have been trialled to manage stress in stroke survivors and whether they translate to clinically relevant outcomes. The aim of this scoping review will be to examine stress management interventions in stroke survivors in order to map the types of interventions trialled, commonly reported stress outcome measures and whether a reduction in stress contributes to reductions in relevant clinical outcomes.
The methodological framework described in Arksey and O'Malley will be applied to this review. A draft search strategy was developed in collaboration with an experienced senior health research librarian. A systematic search of Medline, Embase, CINAHL, Cochrane library, PsycInfo and Clinicaltrials.gov as well as hand searching of reference lists and reviews will identify relevant studies for inclusion. To be eligible for inclusion, studies must report on the outcomes of an intervention targeting stress management and resilience in stroke survivors. Study selection and critical appraisal of selected studies will be carried out independently by two authors, with discrepancies resolved by consensus. Data will be charted using a standard extraction form. Results will be tabulated and narratively summarised to highlight findings relevant to our research questions and to inform recommendations for future research.
This study does not require ethics approval. This scoping review will provide a synthesis of evidence for stress management interventions in stroke survivors. It will identify and clarify the gaps in stress research specific to stroke pathologies and highlight promising interventions for future research. Findings will be relevant to researchers and healthcare workers and will be disseminated via publications in peer-reviewed journals and presented at conferences.
多项研究表明，中风幸存者报告经历了高强度和持续不断的压力，这可能对大脑修复过程和心理结果产生负面影响，从而影响康复。然而，目前尚不清楚哪些干预措施已被尝试用于管理中风幸存者的压力，以及这些干预措施是否转化为临床相关的结果。本综述的目的是研究中风幸存者的压力管理干预措施，以绘制所尝试的干预类型、常见的压力结果测量以及压力的减轻是否有助于相关临床结果的改善。
将应用 Arksey 和 O'Malley 描述的方法框架进行这项综述。与一位经验丰富的高级健康研究图书馆员合作制定了一份草稿搜索策略。对 Medline、Embase、CINAHL、Cochrane 图书馆、PsycInfo 和 Clinicaltrials.gov 进行系统搜索，并对手头的参考文献和综述进行手动搜索，以确定纳入的相关研究。为了符合纳入标准，研究必须报告针对中风幸存者的压力管理和韧性的干预措施的结果。两名作者将独立进行研究选择和对选定研究的批判性评估，通过协商解决分歧。使用标准提取表对数据进行图表绘制。结果将以表格形式列出，并以叙述性方式进行总结，以突出与我们的研究问题相关的发现，并为未来的研究提供建议。
本研究不需要伦理批准。本范围综述将提供中风幸存者压力管理干预措施的综合证据。它将确定并阐明特定于中风病理的压力研究中的差距，并突出有前途的干预措施供未来研究。研究结果将与研究人员和医疗保健工作者相关，并通过在同行评议期刊上发表文章和在会议上展示来传播。
