REVIEW article
Front. Public Health
Sec. Public Mental Health
Influencing factors of family resilience in stroke patients and family caregivers: A systematic review and meta-analysis
Provisionally accepted
- The First Affiliated Hospital of Kunming Medical University, Kunming, China
Select one of your emails
You have multiple emails registered with Frontiers:
Notify me on publication
Please enter your email address:
If you already have an account, please login
You don't have a Frontiers account ? You can register here
Objective: To systematically evaluate and explore the current status and the factors influencing family resilience in stroke patients and family caregivers through meta-analysis. Methods: This meta-analysis was registered in the International Prospective Register of Systematic Reviews (PROSPERO) [CRD42024588737]. We conducted keyword search of PubMed, Cochrane Library, Web of Science, Embase, American Psychological Association (APA), CNKI, SinoMed, CINAHL, Wan Fang Database, and VIP Database up to August 2025. The process of screening literature, extracting data, and assessing literature quality were executed by two researchers by carefully reading the titles, abstracts, and entire texts. Meta-analysis was performed using Review Manager 5.4 and Stata 16.0 software after extracting relevant data. Results: Seventeen papers were finally included, with a cumulative total of 4,252 people surveyed. The results indicated that family caregivers had a higher level of family resilience than stroke patients. Additionally, no statistically significant relationship was found between family resilience and any of the examined demographic factors, including the patients' gender, marital status, occupational status, disease duration, stroke history, and stroke type, as well as the family caregivers' gender, religion, residence type, chronic disease status, and the presence of co-caregivers. Patients' family function, social support, self-efficacy, and positive coping were statistically significantly related to their family resilience. Similarly, family caregivers' family function, social support, self-efficacy, positive coping, and burden were associated with their family resilience. However, negative coping by neither patients nor caregivers had a significant effect on family resilience. Conclusion: This study explored the factors influencing family resilience from the dual perspectives of stroke patients and family caregivers. The results should be applied in clinical practice to guide interventions for improving family resilience, thereby helping stroke patients and family caregivers cope with the challenges and rehabilitation process following a stroke. However, future longitudinal research is still needed to verify the dynamic changes and mechanisms of family resilience.
Keywords: Stroke, family resilience, Patients, family caregivers, Influencing factors, Meta-analysis
Received: 30 Sep 2025; Accepted: 19 Nov 2025.
Copyright: © 2025 杨, Ma, Chen, Wang, Zhou, Zhang, Bai and Hu. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Zhisong Chen, czs13759579088@163.com
Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.