Department of Biomedicine and Prevention, University of Rome Tor Vergata, Rome, Italy.
Department of Experimental and Clinical Medicine, University of Catanzaro "Magna Graecia", Viale Europa, Italy.
Disabil Rehabil. 2024 Oct;46(21):4901-4914. doi: 10.1080/09638288.2023.2287016. Epub 2023 Nov 28.
To describe which needs and difficulties are experienced by stroke patients and caregivers regarding their return to work and to synthesise the lived experiences of stroke patients and caregivers.
A systematic review and metasynthesis was conducted on PubMed, CINAHL, Scopus, Web of Sciences and PsycInfo, in according to the Enhancing Transparency in Reporting the Synthesis of Qualitative Research. Studies eligible for the review had to fulfil the following inclusion criteria: qualitative studies, stroke patients and their caregivers in a working age (approximately from 18 to 65 years old), discharged from the hospital.
Thirty-eight studies involving stroke patients and caregivers were included in this review. For the stroke patients' group, three main themes were identified: (a) Towards the future; (b) Professional support in return to work; and (c) return to work and employment perspective, while for caregivers two main themes were: (a) daily life challenges and role overload; and (b) employment challenges.
Integrating public employment, social and health services, support for job placement, return to work, and social participation of stroke patients should be more supported in individual rehabilitation programs to help stroke survivors and caregivers in their return-to-work process.
描述脑卒中患者及其照顾者在重返工作岗位方面所经历的需求和困难，并综合脑卒中患者及其照顾者的生活体验。
根据《提高定性研究综合报告透明度指南》，对 PubMed、CINAHL、Scopus、Web of Sciences 和 PsycInfo 进行了系统评价和元分析。有资格纳入本综述的研究必须符合以下纳入标准：定性研究、处于工作年龄（约 18 至 65 岁）的脑卒中患者及其照顾者、从医院出院。
本综述共纳入 38 项涉及脑卒中患者及其照顾者的研究。对于脑卒中患者群体，确定了三个主要主题：（a）展望未来；（b）重返工作岗位的专业支持；（c）重返工作岗位和就业前景，而对于照顾者，则确定了两个主要主题：（a）日常生活挑战和角色超负荷；（b）就业挑战。
在个体康复计划中，应更多地支持整合公共就业、社会和卫生服务、工作安置支持、重返工作岗位以及脑卒中患者的社会参与，以帮助脑卒中幸存者及其照顾者重返工作岗位。
