脑卒中后的认知障碍与在工作年龄的中风幸存者中返回工作的结果较差有关:系统性审查
Libby J Cunningham1,2, Tadhg Stapleton3, Killian Walsh1
1School of Post-Graduate Studies, Royal College of Surgeons in Ireland (RCSI) University of Medicine and Health Sciences, Dublin, Ireland.
Clinical rehabilitation
|February 10, 2026
概括
脑卒中后的认知障碍显著影响返回工作,即使在轻微的中风后. 一致的评估和管理对于就业成果至关重要.
科学领域:
- 神经学 神经学
- 职业健康 职业健康 职业健康
- 心理学 心理学 心理学
背景情况:
- 脑卒中后的认知障碍很普遍,影响到工作年龄的幸存者.
- 了解其对恢复工作的影响对于康复和就业支持至关重要.
研究的目的:
- 检查中风后认知障碍与返回工作的结果之间的联系.
- 评估中风幸存者研究中使用的认知评估方法.
主要方法:
- 从2003年到2025年,在多个数据库 (MEDLINE,EMBASE,CINAHL,APA PsycINFO) 中进行系统的文献搜索.
- 包括39项研究 (观察性,定性,RCT),包括独立选,数据提取和质量评估.
- 由于研究异质性而导致叙事综合.
主要成果:
- 认知障碍,特别是注意力集中,记忆和处理速度,是常见的 (17.5%-89%).
- 认知是恢复工作的最强有力的预测因素,其次是中风严重程度,情绪和功能状态.
- 认知评估实践和时间的显著变化被观察到.
结论:
- 脑卒中后的认知障碍会对恢复工作产生负面影响,即使在轻微的情况下也是如此.
- 认知缺陷往往没有被雇主和临床医生认识到.
- 需要进行一致的评估,管理和提高意识,以改善中风幸存者的就业成果.
相关概念视频
Regulation of Stroke Volume
5.2K
The regulation of stroke volume, which is the amount of blood the heart pumps out during each heartbeat, is critical for maintaining a healthy circulatory system. Stroke volume is influenced by three main factors: preload, contractility, and afterload.
Preload refers to the degree of stretch on the heart before it contracts. It's analogous to the stretching of a rubber band; the more it's stretched, the more forcefully it snaps back. This concept is encapsulated in the Frank-Starling law of the...
Preload refers to the degree of stretch on the heart before it contracts. It's analogous to the stretching of a rubber band; the more it's stretched, the more forcefully it snaps back. This concept is encapsulated in the Frank-Starling law of the...
5.2K
Cardiac Output and Stroke Volume
4.9K
Cardiac output (CO) is an integral aspect of human physiology, reflecting the heart's efficiency and responsiveness to the body's needs. It represents the volume of blood that the left or right ventricle ejects into the aorta or pulmonary trunk each minute. The CO is calculated by multiplying the heart rate (HR)—the number of heartbeats per minute—by the stroke volume (SV)—the amount of blood pumped out with each heartbeat.
In an average resting adult male, the typical cardiac...
In an average resting adult male, the typical cardiac...
4.9K
Cognitive Dissonance
37.5K
Social psychologists have documented that feeling good about ourselves and maintaining positive self-esteem is a powerful motivator of human behavior (Tavris & Aronson, 2008). In the United States, members of the predominant culture typically think very highly of themselves and view themselves as good people who are above average on many desirable traits (Ehrlinger, Gilovich, & Ross, 2005). Often, our behavior, attitudes, and beliefs are affected when we experience a threat to our...
37.5K
Cardiac Output II: Effect of Stroke Volume on Cardiac Output
3.5K
Cardiac output (CO), the amount of blood the heart pumps per minute, is a parameter in cardiovascular physiology determined by stroke volume and heart rate. Stroke volume, the amount of blood pushed from one of the ventricles per heartbeat, is influenced by preload, afterload, and contractility.
Preload
Preload refers to the initial elongation of the cardiac myocytes before contraction and is related to the volume of blood filling the heart at the end of diastole, or end-diastolic volume. The...
Preload
Preload refers to the initial elongation of the cardiac myocytes before contraction and is related to the volume of blood filling the heart at the end of diastole, or end-diastolic volume. The...
3.5K
Venous Return
12.5K
The circulatory system plays a crucial role in ensuring the optimal functioning of the human body. One of its critical components is venous return - the process that completes the blood circulation cycle. This article will delve into the concept of venous return, how it works, and its significance to our health.
What is Venous Return?
Venous return refers to the rate at which blood flows back to the heart from the body's peripheral veins. It's an integral part of the circulatory system...
What is Venous Return?
Venous return refers to the rate at which blood flows back to the heart from the body's peripheral veins. It's an integral part of the circulatory system...
12.5K
Review and Preview
8.4K
In statistics, several tools are used to interpret the data. Measures of central tendency represent the characteristics of the data, such as mean, median, and mode. Additionally, measures of variance like standard deviation and range are used to find the spread of data from the mean. Relative standing measures the distance between data locations. Commonly used measures of relative standings are percentile, z score, and quartiles.
Percentiles are a type of fractile that partition data into...
Percentiles are a type of fractile that partition data into...
8.4K


