Research Progress on the Relationship between Stroke Environment and Social Participation

doi:10.12114/j.issn.1007-9572.2020.00.086

Abstract

Abstract: Stroke is a serious threat to the health of residents globally，and eliminating or reducing environmental barriers may have a rapid and positive impact on the social participation of patients.This paper introduces the related concepts and assessment tools of stroke environment and social participation，summarizes the research progress of the relationship between stroke environment and social participation，and finds that the stroke environment is closely related to the social participation of patients.However，the specific relationship between stroke environment and social participation still needs to be further explored.The future research should pay attention to and optimize the stroke environment，so as to improve the level of social participation of community stroke patients，and then promote patients' rehabilitation.

Key words: Stroke, Environment factors, Social participation, Review

摘要： 脑卒中严重威胁全球居民健康，消除或减少环境障碍或可对患者社会参与产生迅速和积极的影响。本文介绍了脑卒中环境和社会参与的相关概念和测评工具，综述了脑卒中环境与社会参与关系的研究进展，发现脑卒中环境与患者社会参与水平密切相关，但二者之间的具体关系仍需进一步探究。未来研究应重视并优化脑卒中环境，以提高社区脑卒中患者社会参与水平，进而促进患者康复。

关键词: 卒中, 环境因素, 社会参与, 综述

WANG Wenna,ZHANG Leyun,FU Bo, et al. Research Progress on the Relationship between Stroke Environment and Social Participation　[J]. Chinese General Practice, 2020, 23(16): 2090-2094. DOI: 10.12114/j.issn.1007-9572.2020.00.086.
王文娜,张乐芸,符博等. 脑卒中环境与社会参与关系的研究进展[J]. 中国全科医学, 2020, 23(16): 2090-2094. DOI: 10.12114/j.issn.1007-9572.2020.00.086.

References

［1］THRIFT A G，THAYABARANATHAN T，HOWARD G，et al．Global stroke statistics［J］．Int J Stroke，2017，12（1）：13-32．DOI：10.1177/1747493016676285.
［2］JOHNSON C O，NGUYEN M，ROTH G A，et al．Global，regional，and national burden of stroke，1990—2016：a systematic analysis for the Global Burden of Disease Study 2016［J］．Lancet Neurol，2019，18（5）：439-458．DOI：10.1016/S1474-4422（19）30034-1.
［3］LACKLAND D T，ROCCELLA E J，DEUTSCH A F，et al．Factors influencing the decline in stroke mortality：a statement from the American Heart Association/American Stroke Association［J］．Stroke，2014，45（1）：315-353．DOI：10.1161/01.str.0000437068.30550.cf.
［4］胡盛寿，高润霖，刘力生，等．《中国心血管病报告2018》概要［J］．中国循环杂志，2019，34（3）：209-220．DOI：10.3969/j.issn.1000-3614.2019.03.001.
HU S S，GAO R L，LIU L S，et al．Summary of the 2018 Report on Cardiovascular Diseases in China［J］．Chinese Circulation Journal，2019，34（3）：209-220．DOI：10.3969/j.issn.1000-3614.2019.03.001.
［5］燕铁斌．康复护理学［M］．北京：人民卫生出版社，2012：53-175.
［6］KWOK T，PAN J H，LO R，et al．The influence of participation on health-related quality of life in stroke patients［J］．Disabil Rehabil，2011，33（21/22）：1990-1996．DOI：10.3109/09638288.2011.553709.
［7］国务院办公厅．国务院关于印发“十三五”卫生与健康规划的通知［EB/OL］．（2017-01-10）［2019-06-13］．http://www.gov.cn/zhengce/content/2017-01/10/content_5158488.htm.
［8］UNDPI U A．The standard rules on the equalization of opportunities for persons with disabilities［M］．New York：United Nations Publishers，1994.
［9］CARDOL M，DC JONG B A，WARD C D．On autonomy and participation in rehabilitation［J］．Disabil Rehabil，2002，24（18）：970-1004．DOI：10.1080/09638280210152003.
［10］BURTON C R.Living with stroke：a phenomenological study［J］．J Adv Nurs，2000，32（2）：301-309．DOI：10.1046/j.1365-2648.2000.01477.x.
［11］HEINEMANN A W．Putting outcome measurement in context：a rehabilitation psychology perspective［J］．Rehabilitation Psychol，2005，50（1）：6-14．DOI：10.1037/0090-5550.50.1.6.
［12］WHO．International classification of functioning，disability and health（ICF）［R］．Geneva：World Health Organization，2001.
［13］FOLEY E L，NICHOLAS M L，BAUM C M，et al．Influence of environmental factors on social participation post-stroke［J］．Behav Neurol，2019，2019：2606039．DOI：10.1155/2019/2606039.
［14］DWORZYNSKI K，RITCHIE G，PLAYFORD E D．Stroke rehabilitation：long-term rehabilitation after stroke［J］．Clin Med（Lond），2015，15（5）：461-464．DOI：10.7861/clinmedicine.15-5-461.
［15］JETTE A M．Toward a common language for function，disability，and health［J］．Phys Ther，2006，86（5）：726-734.
［16］BABULAL G M，TABOR CONNOR L．The Measure of Stroke Environment（MOSE）：development and validation of the MOSE in post-stroke populations with and without aphasia［J］．Top Stroke Rehabilitation，2016，23（5）：348-357．DOI：10.1080/10749357.2016.1143697.
［17］邱卓英，陈迪．基于ICF的残疾和康复信息标准体系及其应用研究［J］．中国康复理论与实践，2014，20（6）：501-507．DOI：10.3969/j.issn.1006-9771.2014.06.001.
QIU Z Y，CHEN D．ICF based disability and rehabilitation information standard and its applications［J］．Chinese Journal of Rehabilitation Theory and Practice，2014，20（6）：501-507．DOI：10.3969/j.issn.1006-9771.2014.06.001.
［18］KIELHOFNER G．Model of Human Occupation：theory and application［M］．4th ed.Philadelphia：Williams，Wilkins，2008.
［19］PI?KUR B，DANI?LS R，JONGMANS M J，et al．Participation and social participation：are they distinct concepts［J］．Clin Rehabil，2014，28（3）：211-220．DOI：10.1177/0269215513499029.
［20］PERENBOOM R J，CHORUS A M．Measuring participation according to the international classification of functioning，disability and health（ICF）［J］．Disabil Rehabil，2003，25（11/12）：577-587．DOI：10.1080/0963828031000137081.
［21］HEMMINGSSON H，JONSSON H．An occupational perspective on the concept of participation in the International Classification of Functioning，Disability and Health：some critical remarks［J］．Am J Occup Ther，2005，59（5）：569-576．DOI：10.5014/ajot.59.5.569.
［22］周璇，唐秀花，周兰姝．社会参与概念的研究进展［J］．中国康复医学杂志，2018，33（4）：475-478．DOI：10.3969/j.issn.1001-1242.2018.04.022.
［23］Craig Hospital Research Department.Craig Hospital Inventory of Environmental Factors（CHIEF） manual version 3［M］．Colorado：Craig Hospital Research Department，2001：2-34.
［24］WHITENECK G G，HARRISON-FELIX C L，MELLICK D C，et al．Quantifying environmental factors：a measure of physical，attitudinal，service，productivity，and policy barriers［J］．Arch Phys Med Rehabil，2004，85（8）：1324-1335．DOI：10.1016/j.apmr.2003.09.027.
［25］LIAO L R，LAU R W，PANG M Y．Measuring environmental barriers faced by individuals living with stroke：development and validation of the Chinese version of the Craig Hospital Inventory of Environmental Factors［J］．J Rehabil Med，2012，44（9）：740-746．DOI：10.2340/16501977-1014.
［26］EPHRAIM P L，MACKENZIE E J，WEGENER S T，et al．Environmental barriers experienced by amputees：the Craig Hospital Inventory of Environmental Factors-Short Form［J］．Arch Phys Med Rehabil，2006，87（3）：328-333．DOI：10.1016/j.apmr.2005.11.010.
［27］HANG L F，YAN T B，YOU L M，et al．Barriers to activity and participation for stroke survivors in rural China［J］．Arch Phys Med Rehabil，2015，96（7）：1222-1228．DOI：10.1016/j.apmr.2015.01.024.
［28］HEINEMANN A W，MAGASI S，HAMMEL J，et al．Environmental factors item development for persons with stroke，traumatic brain injury，and spinal cord injury［J］．Arch Phys Med Rehabil，2015，96（4）：589-595．DOI：10.1016/j.apmr.2013.11.024.
［29］HAHN E A，GARCIA S F，LAI J S，et al．Measuring access to information and technology：environmental factors affecting persons with neurologic disorders［J］．Arch Phys Med Rehabil，2016，97（8）：1284-1294．DOI：10.1016/j.apmr.2016.01.027.
［30］HEINEMANN A W，LAI J S，WONG A，et al．Using the ICF's environmental factors framework to develop an item bank measuring built and natural environmental features affecting persons with disabilities［J］．Qual Life Res，2016，25（11）：2775-2786．DOI：10.1007/s11136-016-1314-6.
［31］LAI J S，HAMMEL J，JEROUSEK S，et al．An item bank to measure systems，services，and policies：environmental factors affecting people with disabilities［J］．Arch Phys Med Rehabil，2016，97（12）：2102-2112．DOI：10.1016/j.apmr.2016.06.010.
［32］GARCIA S F，HAHN E A，MAGASI S，et al．Development of self-report measures of social attitudes that act as environmental barriers and facilitators for people with disabilities［J］．Arch Phys Med Rehabil，2015，96（4）：596-603．DOI：10.1016/j.apmr.2014.06.019.
［33］陈善佳．基于整体观脑卒中患者社会参与能力及影响因素模型构建［D］．福州：福建中医药大学，2018.
［34］周璇，周兰姝．国内外脑卒中患者社会参与测量工具的文献分析［J］．解放军护理杂志，2018，35（9）：17-21，70．DOI：10.3969/j.issn.1008-9993.2018.09.004.
ZHOU X，ZHOU L S．Literature analysis of instruments of measuring stroke survivors' social participation in China and overseas［J］．Nursing Journal of Chinese PLA，2018，35（9）：17-21，70．DOI：10.3969/j.issn.1008-9993.2018.09.004.
［35］DUNCAN P W，BODE R K，MINLAI S，et al．Rasch analysis of a new stroke-specific outcome scale：the Stroke Impact Scale［J］．Arch Phys Med Rehabil，2003，84（7）：950-963．DOI：10.1016/s0003-9993(03)00035-2.
［36］兰月，黄东锋，胡昔权，等．脑卒中患者生存质量量表的编译及使用研究［J］．中国康复医学杂志，2004，19（10）：50-52．DOI：10.3969/j.issn.1001-1242.2004.10.017.
［37］POST M W，DE WITTE L P．Good inter-rater reliability of the Frenchay Activities Index in stroke patients［J］．Clin Rehabil，2003，17（5）：548-552．DOI：10.1191/0269215503cr648oa.
［38］CARDOL M，DE HAAN R J，VAN DEN BOS G A，et al．The development of a handicap assessment questionnaire：the Impact on Participation and Autonomy（IPA）［J］．Clin Rehabil，1999，13（5）：411-419．DOI：10.1191/026921599668601325.
［39］贺亚楠，周嫣，周兰姝．首发脑卒中患者出院后一周的心理状态与社会参与的相关性分析［J］．中国护理管理，2014，14（8）：868-869，870．DOI：10.3969/j.issn.1672-1756.2014.08.025.
HE Y N，ZHOU Y，ZHOU L S.A study on correlation between mental health status and social participation among first-stroke patients［J］．Chinese Nursing Management，2014，14（8）：868-869，870．DOI：10.3969/j.issn.1672-1756.2014.08.025.
［40］JELLEMA S，VAN DER SANDE R，VAN HEES S，et al．Role of environmental factors on resuming valued activities poststroke：a systematic review of qualitative and quantitative findings［J］．Arch Phys Med Rehabil，2016，97（6）：991-1002．DOI：10.1016/j.apmr.2016.01.015.
［41］REID D．Impact of the environment on role performance in older stroke survivors living at home［J］．Int J Ther Rehabilitation，2004，11（12）：567-573．DOI：10.12968/ijtr.2004.11.12.17208.
［42］BROOKFIELD K，MEAD G．Physical environments and community reintegration post stroke：qualitative insights from stroke clubs［J］．Disabil Soc，2016，31（8）：1013-1029．DOI：10.1080/09687599.2016.1223606.
［43］CHIMATIRO G L．Barriers to reintegration experienced by stroke clients post discharge from a rehabilitation center in Malawi［D］．Bellville：University of the Western Cape，2017.
［44］LE DORZE G，SALOIS-BELLEROSE é，ALEPINS M，et al．A description of the personal and environmental determinants of participation several years post-stroke according to the views of people who have aphasia［J］．Aphasiology，2014，28（4）：421-439．DOI：10.1080/02687038.2013.869305.
［45］RIGOROVICH A，CAMERON J I．Personal and environmental factors influence survivors' participation in activities one-year post-stroke：a mixed method study［J］．Arch Phys Med Rehabilitation，2014，95（10）：e12．DOI：10.1016/j.apmr.2014.07.013.
［46］LLOKER T，RHODA A J．The relationship between social support and participation in stroke：a systematic review［J］．Afr J Disabil，2018，7：357．DOI：10.4102/ajod.v7i0.357.
［47］WONG A W K，NG S，DASHNER J，et al．Relationships between environmental factors and participation in adults with traumatic brain injury，stroke，and spinal cord injury：a cross-sectional multi-center study［J］．Qual Life Res，2017，26（10）：2633-2645．DOI：10.1007/s11136-017-1586-5.
［48］FOLEY E L，NICHOLAS M L，BAUM C M，et al．Influence of environmental factors on social participation post-stroke［J］．Behav Neurol，2019，2019：2606039．DOI：10.1155/2019/2606039.
［49］WANG R R，LANGHAMMER B．Predictors of quality of life for chronic stroke survivors in relation to cultural differences：a literature review［J］．Scand J Caring Sci，2018，32（2）：502-514．DOI：10.1111/scs.12533.
［50］NORLANDER A，CARLSTEDT E，J?NSSON A C，et al．Long-term predictors of social and leisure activity 10 years after stroke［J］．PLoS One，2016，11（2）：e0149395．DOI：10.1371/journal.pone.0149395.
［51］万宏伟，王静，陈长香．家庭及社区环境对脑卒中患者社会参与功能的影响［J］．中国康复，2017，32（2）：133-135．DOI：10.3870/zgkf.2017.02.014.
［52］ZHANG L F，SUI M H，YAN T B，et al．A study in persons later after stroke of the relationships between social participation，environmental factors and depression［J］．Clin Rehabil，2017，31（3）：394-402．DOI：10.1177/0269215516641300.

[1]	YANG Ji, ZHANG Yao, ZHAO Yingqiang, ZHANG Qiuyue. Evaluation of the Effectiveness of TCM Three-level Prevention and Control Model in the Management of Patients with Coronary Heart Disease and Stroke: a Single-center, Prospective Cohort Study [J]. Chinese General Practice, 2025, 28(22): 2750-2761.
[2]	TAN Yi, ZHU Lihong, YIN Zengwei, HOU Shunan, YU Houming. A Real-world Study of MRI-guided Intravenous Thrombolytic Therapy in Acute Ischemic Stroke [J]. Chinese General Practice, 2025, 28(20): 2508-2515.
[3]	CHU Tianyu, GU Yan. Carotid Artery Calcification Features in Plaque Stability and Clinical Events [J]. Chinese General Practice, 2025, 28(18): 2247-2252.
[4]	TAN Wenbin, LI Jia, LIU Mingyu, LU Yongxin, CHENG Yaxin. Research Progress on the Influence of Nervous System Diseases and Related Therapeutic Drugs on Osteoporosis [J]. Chinese General Practice, 2025, 28(17): 2092-2100.
[5]	LIU Yuting, QIU Lixia, LI Yuling. Impact of Frailty on Cognitive Function in Chinese Older Adults: a Moderated Chain-mediated Effect [J]. Chinese General Practice, 2025, 28(17): 2119-2126.
[6]	LI Mei, JIANG Dongsheng, ZHAO Jingjing, CAO Yajing, ZHANG Fan, TANG Lijuan, LIU Xiaoli. Correlation Analysis of Homocysteine and Stroke in People over 40 Years Old [J]. Chinese General Practice, 2025, 28(14): 1723-1729.
[7]	ZHAO Zhixin, MEI Yongxia, WANG Xiaoxuan, JIANG Hu, WANG Wenna, ZHANG Zhenxiang. Cognition and Experience of Social Participation in Stroke Survivors: a Meta-synthesis Based on Qualitative Studies [J]. Chinese General Practice, 2025, 28(10): 1273-1280.
[8]	LIU Zuting, XU Minghuan, YANG Xuezhi, MO Jiali, LIU Xingyu, DU Huijie, ZHANG Huiqin, YI Yingping, KUANG Jie. Correlation between the Systemic Inflammatory Response Index and Risk of Ischemic Stroke Recurrence [J]. Chinese General Practice, 2025, 28(05): 541-547.
[9]	DU Huijie, LIU Xingyu, XU Minghuan, YANG Xuezhi, ZHANG Huiqin, MO Jiali, LU Yi, KUANG Jie. Advances in the Prognostic Prediction of Acute Ischemic Stroke: Using Machine Learning Predictive Models as an Example [J]. Chinese General Practice, 2025, 28(05): 554-560.
[10]	ZHANG Pingshu, XUE Jing, XING Aijun, WANG Lianhui, MA Qian, FU Yongshan, YUAN Xiaodong. Study on Sleep Status and Prognostic Factors in Patients with Acute Posterior Circulation Ischemic Stroke [J]. Chinese General Practice, 2025, 28(05): 548-553.
[11]	ZHOU Chenxi, LIN Beilei, TANG Shangfeng, ZHANG Zhenxiang, WANG Xiaoxuan, JIANG Hu, ZHANG Dudu, LIU Bowen, LI Xin. Construction of Conceptual Framework of Proactive Health Behavior in Stroke Patients [J]. Chinese General Practice, 2025, 28(05): 534-540.
[12]	NI Xiaojia, LIN Hao, LUO Xufei, KUANG Zhuoran, LIU Yunlan, GUO Jianwen, CHEN Yaolong, CAI Yefeng, Working Group of Clinical Practice Guideline for the Prevention and Treatment of Stroke with Integrated Traditional Chinese and Western Medicine. Clinical Practice Guideline for the Prevention and Treatment of Stroke with Integrated Traditional Chinese and Western Medicine (2023 Edition) [J]. Chinese General Practice, 2025, 28(05): 521-533.
[13]	YUAN Dan, WANG Ying, WANG Yingpeng, XU Li, XUE Jia, CHENG Jingjing, WANG Haipeng. Effect of the Remote Ischemic Postconditioning on the Prognosis of Patients with Acute Ischemic Stroke beyond Time Window: a Randomized Controlled Trial [J]. Chinese General Practice, 2025, 28(02): 169-174.
[14]	REN Xiaoqiao, WANG Pan, WU Hao, JI Yong, SHI Zhihong. Correlation of Serum Uric Acid to Serum Creatinine Ratio with the Recurrence of Cerebrovascular Events and Mortality in Patients with Acute Cerebrovascular Disease: a Prospective Cohort Study [J]. Chinese General Practice, 2025, 28(02): 175-182.
[15]	LIN Jiali, ZHANG Shuyang, LIN Jiaying, ZHOU Yuxin, ZHAO Yuehua, CHEN Yun, JIA Jie. Correlation between Upper Limb Motor Function and Attention after Stroke: a Multicenter Cross-sectional Study [J]. Chinese General Practice, 2025, 28(02): 208-213.