对中风幸存者的社会参与干预措施的比较影响:使用社会生态模型进行网络元分析
Huijing Zhang1, Yuhang Yang1, Fei Li2
1School of Nursing, Jilin University, 965 Xinjiang Street, Chaoyang District, Changchun 130021, Jilin, China.
Annals of physical and rehabilitation medicine
|September 30, 2025
概括
解决个人和环境因素的干预措施,或包括人际关系,最有效地改善了中风幸存者的社会参与. 建议对多维方法进行进一步的研究,以实现持续的恢复.
科学领域:
- 康复医学 康复医学 康复医学
- 社会科学 社会科学 社会科学
- 公共卫生 公共卫生
背景情况:
- 社会参与对于中风幸存者康复至关重要,但在中风后往往会下降.
- 现有的干预措施在提高参与度方面表现出不同的有效性.
研究的目的:
- 为了比较基于社会生态模型的干预措施对改善中风幸存者的社会参与的有效性.
主要方法:
- 系统审查和随机对照试验 (RCT) 的元分析发表至2024年4月.
- 包括32个RCT,共有3211名18岁以上的参与者,重点关注中风后的社会参与.
- 利用双向和网络元分析,评估干预层次结构,以积累性排名曲线 (SUCRA) 值下的表面.
主要成果:
- 双对分析显示,干预后短期改善,但在3,6或12个月后没有持续的影响.
- 网络元分析发现个人-物理环境干预是最有效的 (SUCRA 86%),其次是个人-人际-物理环境干预 (SUCRA 85%).
- 对于最有效的干预措施,效果大小 (SMD) 从0.72到0.75不等.
结论:
- 针对个人和物理环境障碍,并特别关注人际关系,是提高中风幸存者的社会参与的关键.
- 强调需要强有力的多维干预措施,以实现社会参与的持久改善.
更多相关视频
相关概念视频
Impact of Social Context on Individuals
279
Social psychology examines how the real or imagined presence of others influences individuals' thoughts, feelings, and behaviors. A key concept in this field is the role of social context in shaping behavior. The same individual may act differently depending on the social setting, due to the varying expectations and norms associated with each environment. This context-dependent behavior illustrates the influence of social roles, which prescribe appropriate conduct in specific situations.Social...
279
Social Facilitation
36.0K
Not all intergroup interactions lead to negative outcomes. Sometimes, being in a group situation can improve performance. Social facilitation occurs when an individual performs better when an audience is watching than when the individual performs the behavior alone. This typically occurs when people are performing a task for which they are skilled.
36.0K
Community Based Intervention
277
Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
277


