脑卒中患者生活空间的概念分析
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女,硕士在读,护师,

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2024年度甘肃省第五批省级科技计划(联合科研基金)项目(24JRRA925);2024年度甘肃省卫生健康行业科研项目(GSWSQN2024-06)


Life space in stroke patients:a concept analysis
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    摘要:

    目的 分析并阐明脑卒中患者生活空间的定义和内涵,为医护人员评估患者生活空间水平和制订护理措施提供参考。方法 系统检索中国知网、万方数据知识服务平 台、维普网、中国生物医学文献数据库、PubMed、Web of Science、Embase、Cochrane Library数据库,检索时限为建库至2025年7月。依据纳入及排除标准筛选文献 ,使用Rodgers演化概念分析法进行概念分析。结果 最终纳入39篇文献。脑卒中患者生活空间包括空间层次性、活动频率、活动自主性、活动功能性和环境交互性5个属 性特征;前置因素包括人口学因素、健康状态、心理状况和外部支持系统;后置影响包括强化机体功能、优化生存质量、缓解医疗负荷及促进社会融合。结论 通过概念分 析明确了脑卒中患者生活空间的概念特征,研究者可结合脑卒中患者生活空间的概念内涵,开发特异性评估工具,构建分阶段、多场景的生活空间干预方案,实现以生活 空间拓展为基础的功能康复与社会参与质量提升。

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    Objective To analyze and elucidate the definition and conceptual dimensions of life space in stroke patients, so as to provide references for healthcare professionals to assess patients′ life space and develop nursing interventions. Methods We systematically searched databases including CNKI, Wanfang Data, VIP, SinoMed, PubMed, Web of Science, Embase, and the Cochrane Library from their inception until July 2025. Literature was screened according to predefined inclusion and exclusion criteria. Rodgers′ evolutionary concept analysis methodology was employed for conceptual analysis and definition. Results A total of 39 articles were included. The life space in stroke patients could be classified into 5 key attributes:spatial hierarchy, activity frequency, activity autonomy, activity functionality, and environmental interaction. Antecedents included demographic factors, dimensions of health status, psychological status, and external support systems. Consequences comprised the reinforcement of physical function, optimization of quality of life, regulation of healthcare burden, and promotion of social integration. Conclusion This concept analysis clarifies the defining characteristics of life space in stroke patients. Based on this conceptual framework, researchers can develop specific assessment tools and design staged, multi-context intervention plans. These initiatives ultimately aim to expand patients′ life space, thereby promoting functional recovery and enhancing the quality of their social participation.

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柳芸芸,兰玉梦,韩乐瑶,熊晶莹,席亚亚,张梅姗,豆欣蔓,王兴蕾.脑卒中患者生活空间的概念分析[J].护理学杂志,2026,41(4):47-51

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  • 收稿日期:2025-09-03
  • 最后修改日期:2025-11-02
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  • 在线发布日期: 2026-03-27