Jiang Hu, Lin Beilei, Liu Zhiwei, Mei Yongxia, Li Xin, Ma Ling, Zhang Zhenxiang
School of Nursing and Health, Zhengzhou University, Zhengzhou, Henan, China.
Nursing Department, The Third Affiliated Hospital of Zunyi Medical University, The First People's Hospital of Zunyi, Zunyi, China.
Clin Rehabil. 2025 Feb;39(2):224-235. doi: 10.1177/02692155241309188. Epub 2024 Dec 29.
The purpose of this study was to clarify the concept of engagement in rehabilitation by analyzing its application in both theoretical and empirical literature.
PubMed, Web of Science, CINAHL, Embase, and Scopus were searched for relevant studies published from January 1, 2003 to July 14, 2024.
A literature-based concept analysis was carried out using Rogers' six-step evolutionary concept analysis method. Literature screening and data extraction were conducted separately by two researchers according to predetermined inclusion and exclusion criteria. The basic information and the relevant primary data of the included studies were extracted in detail.
In total, 41 studies were included and analyzed. The antecedents included demographic factors, physical health, psychological and emotional factors, cognitive factors, behavioral factors, socio-cultural factors, environmental factors, and rehabilitation programs. The attributes contained collaborative therapeutic relationships, continual commitment and investment, a dynamic process and state, and goal-oriented. The consequences included multidisciplinary collaborations, communication, functional recovery, future independent exercise, and mental health.
This study clarified the concept of engagement in rehabilitation and identified antecedents, attributes, and consequences of the concept. Further research is required to investigate and apply this concept to specific populations and settings.
本研究旨在通过分析其在理论和实证文献中的应用来阐明康复参与的概念。
检索了PubMed、科学网、护理学与健康领域数据库（CINAHL）、Embase和Scopus，以查找2003年1月1日至2024年7月14日发表的相关研究。
采用罗杰斯的六步进化概念分析法进行基于文献的概念分析。两名研究人员根据预先确定的纳入和排除标准分别进行文献筛选和数据提取。详细提取了纳入研究的基本信息和相关原始数据。
共纳入并分析了41项研究。前提因素包括人口统计学因素、身体健康、心理和情感因素、认知因素、行为因素、社会文化因素、环境因素和康复计划。属性包括合作治疗关系、持续承诺和投入、动态过程和状态以及目标导向。结果包括多学科合作、沟通、功能恢复、未来独立锻炼和心理健康。
本研究阐明了康复参与的概念，并确定了该概念的前提因素、属性和结果。需要进一步研究以调查该概念并将其应用于特定人群和环境。
