脑卒中患者康复动机的概念分析 [中文引用][英文引用]

目的  对脑卒中患者康复动机进行概念分析，阐明脑卒中患者康复动机的概念内涵，为相关研究提供参考依据。方法  系统检索中国知网、万方数据库、维普数据库、PubMed、Web of Science 中英文数据库中脑卒中患者康复动机的相关文献，时间为建库至 2025 年 1 月 1 日，并以 Walker 和 Avant 的经典概念分析法对脑卒中患者康复动机进行深入分析和界定。结果  最终纳入 53 篇文献，脑卒中患者康复动机涉及 4 个定义属性，即内在驱动力、外在驱动力、目标导向行为和希望促进健康的行为；前因包括人口社会学因素、疾病相关因素、社会心理因素以及康复医疗因素；后果涉及对脑卒中患者自身、医疗资源利用以及社会层面的影响。结论  脑卒中患者康复动机内涵特征及影响因素分析，可为制定个性化护理方案提供理论依据。可为相关理论框架构建、康复动机评估工具研发以及针对性干预措施探索等方面提供参考。

Objective To clarify the concept connotation of rehabilitation motivation through concept analysis of rehabilitation motivation in stroke patients, therefore providing a reference for researches in rehabilitation motivation. Methods Databases of CNKI, Wanfang Data, VIP, PubMed and Web of Science were searched from inception to 1st January, 2025 for literature on post-stroke rehabilitation motivation. A concept analysis with Walker and Avant's approach was employed to analyse and classify the rehabilitation motivation in stroke patients. Results A total of 53 articles were included in this study. Rehabilitation motivation in stroke patients encompassed four defining attributes：intrinsic drive, extrinsic drive, goal-directed behaviour, and health-promoting behaviour. Antecedents were categorised as demographic and sociological factors, disease-related factors, psychosocial factors, and rehabilitationservice factors. Consequences were identified in three levels：patient outcomes, utilisation of medical resources, and societal impact. Conclusion Systematic investigation of the rehabilitation motivation in stroke patients including its defining characteristics and factors influencing a rehabilitation motivation, can furnish a theoretical basis for developing individualised nursing plans, which offers a guidance for related, establishment of theoretical framework, development of rehabilitation-motivation assessment tools, and exploration of targeted interventions.