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Research progress on social participation of young and middle-aged stroke survivors: a narrative review
1The Second Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou, China.
Insights
Young and middle-aged stroke survivors face significant challenges in social participation, impacting their recovery and quality of life. Understanding these factors is crucial for improving rehabilitation outcomes and guiding clinical practice.
Area of Science:
- Neurology
- Rehabilitation Medicine
- Public Health
Background:
- Stroke is a leading cause of death and disability globally, with a significant burden among young and middle-aged adults.
- In China, this demographic represents a substantial portion of stroke cases and survivors, often experiencing long-term functional limitations.
- Impaired social participation is a common consequence of stroke, affecting survivors' independence and quality of life.
Purpose of the Study:
- To review the current status of social participation among young and middle-aged stroke survivors.
- To identify and analyze available assessment tools for social participation in this population.
- To explore factors influencing social participation in young and middle-aged stroke survivors, guided by the ICF framework.
Main Methods:
- Systematic literature review guided by the International Classification of Functioning, Disability and Health (ICF) framework.
- Analysis of studies focusing on social participation in stroke survivors aged 40-60 years.
- Examination of assessment tools and influencing factors reported in the literature.
Main Results:
- Young and middle-aged stroke survivors experience significant declines in social participation, impacting their overall recovery.
- Various assessment tools exist, but their application and standardization for this specific age group require further investigation.
- Multiple factors, including physical, psychological, and environmental aspects, influence social participation levels.
Conclusions:
- Social participation is a critical indicator of recovery and quality of life for young and middle-aged stroke survivors.
- Further research is needed to refine assessment tools and understand the complex interplay of factors affecting social participation.
- Findings aim to inform evidence-based clinical practices to enhance social reintegration and improve long-term outcomes for stroke survivors.
Abstract:
Stroke is characterized by high morbidity, disability, and mortality, and has become the third leading cause of death worldwide. In China, stroke accounts for 39.9% of all cerebrovascular diseases, with young and middle-aged survivors (aged 40-60 years) comprising 33% of global stroke survivors in this age group and over 51.51% of all stroke cases in China. Despite significant improvements in treatment, 70-80% of survivors still lose the ability to live independently, and social participation declines to varying degrees. Social participation plays an important role in rehabilitation outcome indicators, which can reflect the overall recovery of survivors and is closely related to quality of life. Guided by the International Classification of Functioning, Disability and Health (ICF) framework, this review aims to examine the current status, assessment tools, and influencing factors of social participation among young and middle-aged stroke survivors, with the goal of informing future research and guiding clinical practice.
