目的系统评价脑卒中患者康复动机的影响因素，为制订针对性干预策略提供参考依据。方法系统检索PubMed、Web of Science、Embase、中国知网、万方、维普等中英文数据库，纳入脑卒中患者康复动机影响因素的相关研究，检索时限为建库至2025年3月。根据自我决定理论对文献中脑卒中患者康复动机的影响因素进行识别和编码，依据其三大心理需要进行归类和整理。结果共纳入20篇文献。通过对纳入文献研究结果进行提取，总结出脑卒中患者康复动机的促进因素40条和阻碍因素28条。结论脑卒中患者康复动机受自主、胜任、关系三大心理需要的综合影响，未来可针对其制订针对性的干预策略，以期激发患者的康复动机。

Objective To systematically review the factors influencing rehabilitation motivation in stroke patients，and to provide reference for developing targeted intervention strategies.MethodsSystematic searches were conducted in Chinese and English databases including PubMed，Web of Science，Embase，CNKI，Wanfang，and VIP for relevant studies，from inception to March 2025.Such influencing factors in the literature were identified and coded according to Self-Determination Theory，and were categorized and organized based on 3 psychological needs.Results A total of 20 articles were included.Extraction of findings from the studies summarized 40 facilitating factors and 28 hindering factors for rehabilitation motivation in stroke patients.Conclusions The rehabilitation motivation of stroke patients is synthetically influenced by 3 psychological needs：autonomy，competence，and relationship.Targeted intervention strategies can be developed in the future to stimulate patients’ rehabilitation motivation.

R47；R473.74

江苏省人兽共患病学重点实验室“护馨基金”(HX2104)