Department of Nursing, Faculty of Health Sciences, Palacky University Olomouc, Olomouc, Czech Republic.
Department of Nursing and Midwifery, Faculty of Medicine, University of Ostrava, Ostrava, Czech Republic.
Cent Eur J Public Health. 2024 Jun;32(2):108-118. doi: 10.21101/cejph.a7936.
The aim of the study was to synthesize the body of knowledge on the factors that are important to the process of returning to work after ischaemic stroke in young adults under 55 years of age.
Guidelines regarding the scoping review methodology developed by the Joanna Briggs Institute, and the PRISMA checklist for scoping reviews were used. A total of 2,249 studies were identified through a bibliographic search in six databases.
A total of ten studies were finally selected to respond to the research questions. Eight studies were quantitative observational studies, and two studies had a case study design. The rate of returning to work varied between the studies. The frequency of returning to work in young stroke patients, independent of the time of assessment, ranged from 42.4% to 86%. Returning to work after ischaemic stroke in young adults is a complex process and multidimensional problem which is affected by clinical variables (level of neurological deficits, cognitive ability, independency in activities of daily living, fatigue and depression, cardiovascular factors), as well as the socioeconomic and occupational status.
There is insufficient evidence concerning interventions promoting return to work. Future studies should focus on examining effective interventions to help young stroke survivors return to work.
本研究旨在综合 55 岁以下缺血性脑卒中年轻患者重返工作岗位过程中重要因素的相关知识。
使用乔安娜·布里格斯研究所制定的范围综述方法指南和 PRISMA 范围综述清单，对六个数据库进行了文献检索，共识别出 2249 项研究。
最终有 10 项研究被选中以回答研究问题。8 项研究为定量观察性研究，2 项研究为病例研究设计。研究间的工作重返率有所不同。年轻卒中患者的工作重返率，无论评估时间如何，范围从 42.4%到 86%不等。缺血性脑卒中后年轻成年人重返工作是一个复杂的过程和多维度的问题，受到临床变量（神经功能缺损程度、认知能力、日常生活活动独立性、疲劳和抑郁、心血管因素）以及社会经济和职业状况的影响。
促进重返工作的干预措施的证据不足。未来的研究应侧重于研究有效的干预措施，以帮助年轻卒中幸存者重返工作岗位。
