BACKGROUND: Stroke survivors (SS) may experience alterations in physical and cognitive processes that increase stress and reduce well-being. Timely and accurate measurement of stress throughout the continuum of recovery is necessary to inform targeted interventions that will improve quality of life for this group. OBJECTIVE: The aim of this study was to describe the utilization of the Perceived Stress Scale (PSS) during recovery in SS. METHODS: A comprehensive literature search was conducted using CINAHL, PsycINFO, PubMed, and Scopus databases. Studies were included if they captured primary data collection using any version of the PSS at any time point in the poststroke recovery period and were published in English between 2011 and 2022. Systematic reviews and meta-analyses were excluded. Evidence was synthesized, and themes were discussed. RESULTS: Among 397 studies, a total of 13 met inclusion criteria. Of these, 8 were cross-sectional studies, 3 were longitudinal studies, 1 was a randomized controlled trial, and the remaining study was a prospective nonrandomized trial. The PSS-10 (n = 7, 54%) was the most used version of the instrument, followed by the PSS-14 (n = 3, 23%) and PSS-4 (n = 2, 15.4%), with the modified PSS-10 being used in only 1 (7.6%) study. The PSS surveys were administered at various time points, ranging from the first day of admission to 3, 6, 9, or 12 months after discharge. Perceived stress may continue to negatively influence SS's psychological and physical well-being throughout the chronic phase of recovery. CONCLUSIONS: Stress is a unique and individualized experience that influences recovery trajectories in SS, an experience often overlooked or marginalized by clinicians and healthcare providers. To help mobilize strategies to achieve long-term health and wellness goals, future studies should explore and tailor interventions to minimize the influence of stress, as identified by the PSS, on well-being and quality of life during poststroke recovery.

背景： 中风幸存者（SS）可能会经历身体和认知过程的改变，从而增加压力并降低幸福感。在整个康复过程中及时准确地测量压力对于采取有针对性的干预措施至关重要，从而改善该群体的生活质量。目的：本研究的目的是描述感知压力量表 (PSS) 在SS恢复过程中的应用。方法：使用 CINAHL、PsycINFO、PubMed 和 Scopus 数据库进行全面的文献检索。如果研究在中风后恢复期的任何时间点使用任何版本的 PSS 捕获主要数据收集，并在 2011 年至 2022 年间以英文发表，则纳入研究。系统评价和荟萃分析被排除在外。综合证据并讨论主题。结果：在 397 项研究中，共有 13 项符合纳入标准。其中，8 项为横断面研究，3 项为纵向研究，1 项为随机对照试验，其余研究为前瞻性非随机试验。PSS-10 (n = 7, 54%) 是最常用的仪器版本，其次是 PSS-14 (n = 3, 23%) 和 PSS-4 (n = 2, 15.4%)，其中仅 1 项 (7.6%) 研究中使用了改良版 PSS-10。PSS 调查在不同时间点进行，从入院第一天到出院后 3、6、9 或 12 个月。在整个恢复的慢性阶段，感受到的压力可能会继续对 SS 的心理和身体健康产生负面影响。结论：压力是一种独特且个性化的经历，影响SS 的恢复轨迹，这种经历经常被临床医生和医疗保健提供者忽视或边缘化。为了帮助调动策略来实现长期的健康和保健目标，未来的研究应该探索和定制干预措施，以最大限度地减少压力对中风后恢复期间的福祉和生活质量的影响，正如 PSS 所确定的那样。