目的 通过范围综述明确现有的脑卒中康复动机干预策略的特征和主要内容。方法 计算机系统检索PubMed、Embase、CINAHL、Web of Science、Cochrane Library、中国知网、万方、维普和中国生物医学文献数据库中的相关文献，检索时限为建库至2024年10月，由2名研究者根据纳入和排除标准进行文献的筛选和数据提取。结果 共纳入15篇文献，康复动机干预方案包括动机性访谈、虚拟现实技术、游戏疗法、康复辅助技术、动物辅助疗法、奖励策略、基于理论模型和远程专业指导；干预时机为亚急性期、恢复期和慢性期；干预频率多为1次/周；干预时间多为12周；结局指标为康复动机。结论 应重视脑卒中康复动机，并基于现有的干预策略特征，构建出本土化的康复动机临床干预方案。

Objective A scoping review was performed to identify the characteristics and core components of rehabilitation motivation intervention strategies for stroke patients.Methods Relevant studies were searched in PubMed,EMBASE,CINAHL,Web of Science,Cochrane Library,CNKI,Wan Fang,VIP,and CBM databases from inception to October 2024.Two researchers screened the literature and extracted data according to the inclusion and exclusion criteria.Results A total of 15 literature were included.The rehabilitation motivation intervention strategy included motivational interview,virtual reality technology,game-based therapy,rehabilitation assistive technology,animal-assisted therapy,reward strategy,theory-based model and remote professional coaching.Interventions were primarily implemented during subacute,recovery and chronic phases.Intervention frequency was mostly once a week over 12-week durations.Intervention outcome indicators was rehabilitation motivitation.Conclusions Rehabilitation motivation of stroke patients should be emphasized.In the future,it is necessary to further build a localized clinical motivation intervention based on these identified strategy characteristics.

R473.54;R823

国家社会科学基金重大项目（21&ZD188）