School of Medicine and Public Health, The University of Newcastle, Callaghan, NSW, Australia.
Hunter Medical Research Institute, New Lambton Heights, NSW, Australia.
Ann Behav Med. 2023 Feb 4;57(2):111-130. doi: 10.1093/abm/kaac002.
Stroke can be a life-changing event, with survivors frequently experiencing some level of disability, reduced independence, and an abrupt lifestyle change. Not surprisingly, many stroke survivors report elevated levels of stress during the recovery process, which has been associated with worse outcomes.
Given the multiple roles of stress in the etiology of stroke recovery outcomes, we aimed to scope the existing literature on stress management interventions that have been trialed in stroke survivors.
We performed a database search for intervention studies conducted in stroke survivors which reported the effects on stress, resilience, or coping outcome. Medline (OVID), Embase (OVID), CINAHL (EBSCO), Cochrane Library, and PsycInfo (OVID) were searched from database inception until March 11, 2019, and updated on September 1, 2020.
Twenty-four studies met the inclusion criteria. There was significant variation in the range of trialed interventions, as well as the outcome measures used to assess stress. Overall, just over half (13/24) of the included studies reported a benefit in terms of stress reduction. Acceptability and feasibility were considered in 71% (17/24) and costs were considered in 17% (4/24) of studies. The management of stress was rarely linked to the prevention of symptoms of stress-related disorders. The overall evidence base of included studies is weak. However, an increase in the number of studies over time suggests a growing interest in this subject.
Further research is required to identify optimum stress management interventions in stroke survivors, including whether the management of stress can ameliorate the negative impacts of stress on health.
中风可能是改变人生的事件，幸存者经常会经历某种程度的残疾、独立性降低和生活方式的突然改变。毫不奇怪，许多中风幸存者在康复过程中报告压力水平升高，这与更糟糕的结果有关。
鉴于压力在中风康复结果病因学中的多种作用，我们旨在综述已经在中风幸存者中进行的压力管理干预措施的现有文献。
我们对在中风幸存者中进行的干预研究进行了数据库搜索，这些研究报告了对压力、韧性或应对结果的影响。检索了 Medline（OVID）、Embase（OVID）、CINAHL（EBSCO）、Cochrane 图书馆和 PsycInfo（OVID），从数据库建立开始到 2019 年 3 月 11 日，并于 2020 年 9 月 1 日更新。
24 项研究符合纳入标准。试验干预的范围以及用于评估压力的结果测量指标存在显著差异。总体而言，超过一半（13/24）的纳入研究报告了减轻压力的益处。71%（17/24）的研究考虑了可接受性和可行性，17%（4/24）的研究考虑了成本。压力管理很少与预防与压力相关的疾病的症状联系起来。纳入研究的总体证据基础较弱。然而，随着时间的推移，研究数量的增加表明人们对这一主题越来越感兴趣。
需要进一步研究以确定中风幸存者的最佳压力管理干预措施，包括压力管理是否可以减轻压力对健康的负面影响。
