1.Exercise rehabilitation preferences in stroke patients:a concept analysis
Yuting DAI ; Qing WANG ; Min ZHANG ; Huiling SHI ; Kangling JI
Journal of Clinical Medicine in Practice 2024;28(8):113-118
Objective To analyze and explicate the conceptual connotations of exercise rehabili-tation preferences in stroke patients.Methods A systematic search was conducted across multiple da-tabases including the China National Knowledge Infrastructure(CNKI),the Wanfang Data Knowledge Service Platform,the Chinese Biomedical Literature Database,PubMed,Web of Science,Embase,and CINAHL,with the search period extending from inception to October 2022.In accordance with in-clusion and exclusion criteria,eligible literatures were selected,and a comprehensive analysis was per-formed by Rodgers'evolutionary concept analysis method.Results A total of 34 literatures were in-cluded.Exercise rehabilitation preferences for stroke patients encompassed 5 concept attributes:prefer-ences for exercise rehabilitation programs,risk tolerance in rehabilitation,time preferences for engaging in exercises,supervision and support,and confidence and challenges;the antecedents to these prefer-ences included demographic factors,disease-related factors,emotional and psychological factors,exter-nal environmental factors,and fatigue;outcomes associated with these preferences included the realiza-tion of individualized exercise rehabilitation,improvement in adherence to rehabilitation regimens,in-creased levels of physical activity,and facilitation of motor function recovery.Conclusion Through the conceptual analysis of exercise rehabilitation preferences in stroke patients,healthcare professionals can better understand its underlying dimensions,thereby enabling more in-depth research and explora-tion into exercise rehabilitation practices tailored for stroke patients.
2.Exercise rehabilitation preferences in stroke patients:a concept analysis
Yuting DAI ; Qing WANG ; Min ZHANG ; Huiling SHI ; Kangling JI
Journal of Clinical Medicine in Practice 2024;28(8):113-118
Objective To analyze and explicate the conceptual connotations of exercise rehabili-tation preferences in stroke patients.Methods A systematic search was conducted across multiple da-tabases including the China National Knowledge Infrastructure(CNKI),the Wanfang Data Knowledge Service Platform,the Chinese Biomedical Literature Database,PubMed,Web of Science,Embase,and CINAHL,with the search period extending from inception to October 2022.In accordance with in-clusion and exclusion criteria,eligible literatures were selected,and a comprehensive analysis was per-formed by Rodgers'evolutionary concept analysis method.Results A total of 34 literatures were in-cluded.Exercise rehabilitation preferences for stroke patients encompassed 5 concept attributes:prefer-ences for exercise rehabilitation programs,risk tolerance in rehabilitation,time preferences for engaging in exercises,supervision and support,and confidence and challenges;the antecedents to these prefer-ences included demographic factors,disease-related factors,emotional and psychological factors,exter-nal environmental factors,and fatigue;outcomes associated with these preferences included the realiza-tion of individualized exercise rehabilitation,improvement in adherence to rehabilitation regimens,in-creased levels of physical activity,and facilitation of motor function recovery.Conclusion Through the conceptual analysis of exercise rehabilitation preferences in stroke patients,healthcare professionals can better understand its underlying dimensions,thereby enabling more in-depth research and explora-tion into exercise rehabilitation practices tailored for stroke patients.
3.Early mobilization safety and effectiveness in stroke patients: an overview of systematic reviews
Yuting DAI ; Qing WANG ; Kangling JI ; Guiling XU ; Min ZHANG ; Huiling SHI
Chinese Journal of Modern Nursing 2024;30(9):1151-1158
Objective:To conduct an overview of systematic reviews on the safety and effectiveness of early mobilization in stroke patients.Methods:Systematic reviews of early mobilization in stroke were electronically searched on China National Knowledge Infrastructure, WanFang Data, VIP, Chinese Biology Medicine, Cochrane Library, PubMed, Web of Science, CINAHL, Embase, and the Joanna Briggs Institute Evidence-Based Health Care Center Database. The search period was from database establishment to May 2023. Two researchers independently conducted literature screening, data extraction, and methodological quality evaluation of the included literature, as well as evidence summary and grading.Results:A total of 10 systematic reviews were included. The methodological quality evaluation showed that one article was of medium quality, two articles were of low quality, and seven articles were of extremely low quality. The evidence quality evaluation indicated that there were three pieces of high-quality evidence, 17 pieces of medium-quality evidence, 21 pieces of low-quality evidence, and 17 pieces of extremely low-quality evidence.Conclusions:Early mobilization is beneficial for improving the daily living ability and limb motor function of stroke patients, reducing the incidence of complications, shortening hospital stay, and enhancing their walking ability in the short term. However, the quality of evidence in the systematic review is relatively low, and further improvement is needed in the research design of early mobilization intervention measures to provide strong support for clinical practice.
4.Exercise rehabilitation experience of stroke patients:a qualitative meta-synthesis
Huiling SHI ; Qing WANG ; Yuanyuan JIANG ; Min ZHANG ; Yuting DAI ; Kangling JI
Chinese Journal of Nursing 2024;59(11):1397-1404
Objective To systematically evaluate the qualitative research on the experience and feeling of elderly patients with hip fracture during rehabilitation.Methods We searched databases including the PubMed,Embase,Web of Science,Cochrane Library,CNAIHL,CNKI,Wanfang,VIP,SinoMed.The literature of qualitative research on the exercise rehabilitation experience of stroke patients from the establishment of the database to August 17,2023 was retrieved.Results A total of 59 clear research topics were extracted,and 14 new categories were formed after induction and integration,which were finally merged into 5 integrated results.Integration results 1:Perceived benefits of exercise rehabilitation.Integration results 2:Multiple driving forces of exercise rehabilitation.Integration results 3:Gradual loss of patience in long-term rehabilitation.Integrated results 4:Generating new rehabilitation needs and actively coping with them.Integrated results 5:There are many difficulties in carrying out self-rehabilitation.Conclusion During the process of exercise rehabilitation for stroke patients,medical personnel should pay attention to the patients'actual feelings,inner needs,and the practical challenges they face in participating in exercise rehabilitation.Personalized exercise rehabilitation facilitation strategies should be developed for stroke patients,aiming for the scientific and precise advancement of exercise rehabilitation,and ultimately improving long-term rehabilitation outcomes for patients.