Yan Huey-Yeu, Lin Hung-Ru
School of Nursing, National Taipei University of Nursing and Health Sciences, Taipei City 112303, Taiwan.
Department of Nursing, University of Kang Ning, Taipei City 114311, Taiwan.
Healthcare (Basel). 2022 Nov 14;10(11):2281. doi: 10.3390/healthcare10112281.
(1) Resilience enables individuals to develop positive coping strategies when faced with adversity. However, knowledge on resilience in stroke patients remains limited, and resilience assessment methods continue to be debated. (2) To perform a concept analysis of resilience in stroke patients. (3) The Walker and Avant approach to concept analysis was adopted. Searches were performed in the PubMed, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Medical Literature Analysis and Retrieval System Online (MEDLINE), and Chinese Electronic Periodical Services (CEPS) databases and grey literature using the keywords "stroke patient", "resilience", and "concept analysis". (4) The defining attributes of resilience in stroke patients were classified into internal personality traits and external environmental support. Antecedents included physical, mental, and familial and social impairments caused by the disease, and the consequences were good adaptation, which included active cooperation with rehabilitation activities, positive thinking, goal setting, and harboring hope for the future. (5) Resilience is of a diverse and complex nature. Optimism and positivity, problem-solving ability, and familial and social support may assist in re-adjusting or restoring the balance between physical and mental health when a stroke patient faces adversity. Key factors affecting resilience in stroke patients should be further investigated in future research to assist in the development of effective interventional treatment measures.
(1) 心理韧性使个体在面对逆境时能够制定积极的应对策略。然而,关于中风患者心理韧性的知识仍然有限,且心理韧性评估方法仍存在争议。(2) 对中风患者的心理韧性进行概念分析。(3) 采用沃克和阿凡特的概念分析方法。通过使用关键词“中风患者”“心理韧性”和“概念分析”,在PubMed、护理及相关健康文献累积索引数据库(CINAHL)、医学在线文献分析与检索系统(MEDLINE)以及中国电子期刊服务数据库(CEPS)和灰色文献中进行检索。(4) 中风患者心理韧性的定义属性分为内在人格特质和外在环境支持。前提因素包括疾病导致的身体、心理以及家庭和社会方面的损害,而结果是良好的适应,包括积极配合康复活动、积极思考、设定目标以及对未来抱有希望。(5) 心理韧性具有多样且复杂的性质。乐观与积极、解决问题的能力以及家庭和社会支持,可能有助于中风患者在面对逆境时重新调整或恢复身心健康的平衡。未来研究应进一步探究影响中风患者心理韧性的关键因素,以助力制定有效的干预治疗措施。