Fan Xiaowen, Xia Yi, Wu Junrong, Jia Shulei, Hu Jiangyu
School of Nursing, Nanchang University, Nanchang, Jiangxi, China.
Front Neurol. 2025 Jul 23;16:1615905. doi: 10.3389/fneur.2025.1615905. eCollection 2025.
Mounting epidemiological evidence indicates a rising global prevalence of stroke among adults and older populations, often leading to severe functional impairments that compromise daily living. While rehabilitation exercise is recognized as a safe and effective strategy for functional recovery, inadequate rehabilitation motivation frequently undermines therapeutic efficacy. Exercise adherence plays a critical role in mitigating physical disability and mortality rates, yet current research lacks systematic insights into influencing of patient rehabilitation motivation. This scoping review synthesizes evidence from 23 studies across domestic and international databases to identify multidimensional factors influencing post-stroke rehabilitation motivation. Key influencing include intrinsic drivers (e.g., self-efficacy, depression), extrinsic supports (familial or social support, economic burden), disease-specific characteristics (severity, functional deficits), and intervention strategies (cognitive-behavioral therapy, gamified rehabilitation). Findings highlight the necessity of integrating personalized motivational assessments into clinical protocols and developing interdisciplinary interventions to address motivational barriers. These insights provide a foundation for optimizing rehabilitation frameworks and improving long-term patient outcomes.
越来越多的流行病学证据表明，全球成年人和老年人群中中风的患病率在上升，这往往会导致严重的功能障碍，影响日常生活。虽然康复锻炼被认为是功能恢复的一种安全有效的策略，但康复动机不足常常会削弱治疗效果。运动依从性在减轻身体残疾和死亡率方面起着关键作用，但目前的研究缺乏对影响患者康复动机的系统性见解。本综述综合了来自国内外数据库的23项研究的证据，以确定影响中风后康复动机的多维度因素。关键影响因素包括内在驱动因素（如自我效能感、抑郁）、外在支持（家庭或社会支持、经济负担）、疾病特定特征（严重程度、功能缺陷）和干预策略（认知行为疗法、游戏化康复）。研究结果强调了将个性化动机评估纳入临床方案以及制定跨学科干预措施以解决动机障碍的必要性。这些见解为优化康复框架和改善患者长期预后奠定了基础。
