目的 全面了解脑卒中患者与照顾者家庭亲密关系变化过程中的体验，为制订脑卒中患者及照顾者二元应对干预方案提供参考。 方法 检索PubMed、Web of Science、Embase、CINAHL、Cochrane Library、知网、万方、维普等中英文数据库，筛选关于脑卒中患者或照顾者家庭亲密关系变化体验相关的质性研究，检索时限为建库至2023年1月。 结果 共纳入14篇研究，提炼出34个研究结果，最终归纳形成7个新类别，综合出3个整合结果：亲密关系变化过程中负性体验突出；亲密关系变化的适应困境；积极适应关系变化，获得正性体验。 结论 护理人员应加强对脑卒中患者与照顾者家庭亲密关系变化的动态评估，识别关系变化过程中的未满足需求，促进多元支持系统的建立，引导家庭亲密关系平稳转变。

Objective To comprehensively explore the intimate family relationship changes between stroke patients and family caregivers,and to enrich targets for the development of dual coping intervention programs for stroke patients and caregivers.Methods PubMed,Web of Science,Embase,CINAHL,Cochrane Library,CNKI,Wanfang ,VIP and other Chinese and English databases were searched.Qualitative studies related to stroke patients or caregivers and the experience of changing intimate family relationships were screened from the inceptions until January 2023.Results A total of 14 studies were included and 34 clear research results were extracted.Finally,7 new categories were concluded with 3 integrated results,namely the prominent negative experience in the process of intimate relationship change;the difficulty of adapting to changes in intimate relationships;and active adaption to changes in relationship and obtain positive experience.Conclusions Nursing staff should strengthen the dynamic assessment of the intimate relationship changes,identify the unmet needs in the process of relationship changes,promote the establishment of multiple support systems,and guide the smooth transformation.

R473.74

2021年度河南省医学科技攻关计划联合共建项目（LHGH20210366）