心理行为干预在脑卒中偏瘫患者康复护理中的应用进展

Advances in the Application of Psychological Behavioral Intervention in Rehabilitation Nursing for Stroke Patients with Hemiplegia

摘要: 脑卒中偏瘫患者常面临康复周期长、训练枯燥、依从性差等问题，心理行为因素对康复效果具有重要影响。心理行为干预通过激发康复动机、促进行为改变、增强自我管理能力，已成为提升康复效果的关键手段。本文综述了目标导向训练、奥瑞姆自理模式、信息–动机–行为技巧模型、动机访谈等心理行为干预方法在脑卒中偏瘫康复护理中的应用进展，分析了各方法的理论基础、实施策略及应用效果，并提出了基于患者动态评估的整合应用框架及未来研究方向，以期为临床康复护理提供参考。

Abstract: Patients with hemiplegia following stroke often face challenges such as prolonged rehabilitation periods, monotonous training regimens, and poor compliance, with psychological and behavioral factors playing a significant role in rehabilitation outcomes. Psychological-behavioral interventions have become a key approach to enhancing rehabilitation efficacy by stimulating motivation, facilitating behavioral changes, and strengthening self-management capabilities. This article reviews the application progress of various psychological-behavioral intervention methods—including goal-oriented training, the Orem Self-Care Model, the Information-Motivation-Behavior Skills Model, and motivational interviewing—in the rehabilitation care of stroke-induced hemiplegia patients. It analyzes the theoretical foundations, implementation strategies, and clinical effectiveness of each method, and proposes an integrated application framework based on dynamic patient assessment along with future research directions, aiming to provide valuable insights for clinical rehabilitation practice.