脑卒中患者康复动机评估工具的研究进展

doi:10.3761/j.issn.0254-1769.2024.07.018

摘要/Abstract

摘要：

脑卒中患者康复依从性普遍较低，评估患者康复动机有助于促进患者的康复管理，提升患者康复的积极性及依从性，改善康复结局。该文对脑卒中患者康复动机评估工具进行综述，从脑卒中患者康复动机评估工具的主要内容、应用现状、特点及局限性等方面进行阐述，以期为临床脑卒中患者康复动机评估工具的恰当选择、脑卒中患者康复管理及国内本土化脑卒中康复动机评估工具的研发提供参考。

关键词: 脑卒中, 康复动机, 评估工具, 综述, 护理

Abstract:

The rehabilitation compliance of stroke patients is generally low. Evaluating the rehabilitation motivation of patients is helpful to promote the rehabilitation management of patients，enhance the rehabilitation enthusiasm and compliance of patients，and improve the rehabilitation outcome. This paper reviews the existing stroke patients rehabilitation motivation assessment tools，and expounds the main contents，application status，characteristics and limitations of stroke patients rehabilitation motivation assessment tools，in order to provide references for the appropriate selection of clinical assessment tools，the rehabilitation management of stroke patients and the development of domestic localized stroke rehabilitation motivation assessment tools.

Key words: Stroke, Rehabilitation Motivation, Assessment Tool, Review, Nursing Care

熊桃, 谭雪梅, 罗静, 李阳, 郑予希, 李奉玲, 魏雪梅, 崔丽君, 罗澜峻. 脑卒中患者康复动机评估工具的研究进展[J]. 中华护理杂志, 2024, 59(7): 890-896.

XIONG Tao, TAN Xuemei, LUO Jing, LI Yang, ZHENG Yuxi, LI Fengling, WEI Xuemei, CUI Lijun, LUO Lanjun. Research progress on rehabilitation motivation assessment tools for stroke patients[J]. Chinese Journal of Nursing, 2024, 59(7): 890-896.

图/表 1

参考文献 34

[1]	段春梅, 王媛媛, 王玲玲. 多模块康复护理模式在脑卒中患者智能化随访中的应用效果[J]. 中华护理杂志, 2023, 58(3):276-282. DOI URL
	Duan CM, Wang YY, Wang LL. Application effect of multi-module rehabilitation nursing model in intelligent follow-up of stroke patients[J]. Chin J Nurs, 2023, 58(3):276-282. DOI URL
[2]	谭绍英, 林晓丽, 刘赞. 重复经颅磁刺激联合认知训练对缺血性脑卒中患者淡漠的效果研究[J]. 中华护理杂志, 2023, 58(3):282-288. DOI URL
	Tan SY, Lin XL, Liu Z, et al. Effects of repetitive transcranial magnetic stimu blation combined with cognitive training in patients with apathy ischemic stroke[J]. Chin J Nurs, 2023, 58(3):282-288.
[3]	朱金凤, 蔡卫新, 陶子荣, 等. 中青年出血性脑卒中患者康复运动依从性现状及其影响因素分析[J]. 中华护理杂志, 2023, 58(5):580-586. DOI URL
	Zhu JF, Cai WX, Tao ZR, et al. Analysis of rehabilitation exercise compliance and its influencing factors in young and middle-aged patients with hemorrhagic stroke[J]. Chin J Nurs, 2023, 58(5):580-586. DOI URL
[4]	Cook D, Artino A. Motivation to learn:an overview of contem-porary theories[J]. Med Educ, 2016, 50(10):997-1014. DOI URL
[5]	Medalia A, Saperstein A. The role of motivation for treatment success[J]. Schizophr Bull, 2011, 37(Suppl 2):S122-S128. DOI URL
[6]	Maggio MG, Latella D, Maresca G, et al. Virtual reality and cognitive rehabilitation in people with stroke:an overview[J]. J Neurosci Nurs, 2019, 51(2):101-105. DOI URL
[7]	张莹, 张桂芳, 张月兰, 等. 自我决定理论的康复干预对脑卒中患者自理能力及主观幸福感的影响[J]. 中国健康心理学杂志, 2022, 30(6):872-876.
	Zhang Y, Zhang GF, Zhang YL, et al. Effect of rehabilitation intervention based on self-determination theory on self-care ability and subjective well-being of stroke patients[J]. China J Health Psychol, 2022, 30(6):872-876.
[8]	罗阳, 石晶, 张明霞, 等. 抑郁症患者的内在动机特征[J]. 中国心理卫生杂志, 2023, 37(4):279-285.
	Luo Y, Shi J, Zhang MX, et al. Intrinsic motivation in patients with depression[J]. Chin Ment Health J, 2023, 37(4):279-285.
[9]	Ryan RM. Control and information in the intrapersonal sphere:an extension of cognitive evaluation theory[J]. J Pers Soc Psy-chol, 1982, 43(3):450-461.
[10]	Persson J, Clifford D, Wallergård M, et al. A virtual smash room for venting frustration or just having fun:participatory design of virtual environments in digitally reinforced cancer rehabilitation[J]. JMIR Rehabil Assist Technol, 2021, 8(4):e29763. DOI URL
[11]	McAuley E, Duncan T, Tammen VV. Psychometric properties of the Intrinsic Motivation Inventory in a competitive sport setting:a confirmatory factor analysis[J]. Res Q Exerc Sport, 1989, 60(1):48-58. DOI PMID
[12]	Cocca A, Veulliet N, Niedermeier M, et al. Psychometric para-meters of the Intrinsic Motivation Inventory adapted to physical education in a sample of active adults from Austria[J]. Sustainability, 2022, 14(20):13681. DOI URL
[13]	Siu K, Lopez V. Intrinsic Motivation Inventory:translation and validation in Chinese women with urinary incontinence[J]. Int J Urol Nurs, 2010, 4(1):39-46. DOI URL
[14]	Zhang L, Yan YN, Sun ZX, et al. Coaching-based teleoccupa-tional guidance for home-based stroke survivors and their family caregivers:study protocol for a superior randomized controlled trial[J]. Evid Based Complement Alternat Med, 2022, 2022:9123498.
[15]	Hafen K, Jastrebow J, Nübling R, et al. Entwicklung eines Pa-tientenfragebogens zur Erfassung der Reha-Motivation (PARE-MO)[J]. Rehabilitation(Stuttg), 2001, 40(1):3-11.
[16]	Thies S, Lehmann C, Kriz D, et al. Patientenfragebogen zur Erfas-sung der Reha-Motivation(PAREMO-20) - Testtheoretische Ube-rprüfung und Validierung an einer Stichprobe von Kreb-spatienten unterschiedlicher Diagnosegruppen[J]. Rehabilitation(Stuttg), 2008, 47(5):308-318.
[17]	Chervinsky AB, Ommaya AK, DeJonge M, et al. Motivation for Traumatic Brain Injury Rehabilitation Questionnaire(MOT-Q):reliability,factor analysis,and relationship to MMPI-2 varia-bles[J]. Arch Clin Neuropsychol, 1998, 13(5):433-446. DOI URL
[18]	Boosman H, van Heugten CM, Winkens I, et al. Further vali-dation of the Motivation for Traumatic Brain Injury Re-habilitation Questionnaire(MOT-Q) in patients with acquired brain injury[J]. Neuropsychol Rehabil, 2016, 26(1):87-102. DOI PMID
[19]	Hyde CJ. The measurement and impact of five personality changes after brain injury[D]. Swansea: University of Wales Swansea, 2006.
[20]	Kusec A, DeMatteo C, Velikonja D, et al. Psychometric proper-ties of measures of motivation and engagement after acquired brain injury[J]. Rehabil Psychol, 2018, 63(1):92-103. DOI URL
[21]	Basagni B, Navarrete E, Bertoni D, et al. The Italian version of the Brain Injury Rehabilitation Trust(BIRT) personality ques-tionnaires:five new measures of personality change after acquired brain injury[J]. Neurol Sci, 2015, 36(10):1793-1798. DOI URL
[22]	White GN. Pilot reliability and validity of the Stroke Reha-bilitation Motivation Scale[D]. Sydney: UNSW Sydney, 2010.
[23]	赵静静, 段峰, 刘志梅, 等. 脑卒中康复动机量表的汉化及信效度检验[J]. 护士进修杂志, 2023, 38(13):1158-1163.
	Zhao JJ, Duan F, Liu ZM, et al. Chinesization of the Stroke Rehabilitation Motivation Scale and its test of reliability and validity[J]. J Nurses Train, 2023, 38(13):1158-1163.
[24]	Park M, Lee JY, Ham Y, et al. Korean version of the Stroke Rehabilitation Motivation Scale:reliability and validity evalua-tion[J]. Ann Rehabil Med, 2020, 44(1):11-19. DOI URL
[25]	Yoshida T, Otaka Y, Kitamura S, et al. Development and vali-dation of new evaluation scale for measuring stroke patients’ motivation for rehabilitation in rehabilitation wards[J]. PLoS One, 2022, 17(3):e0265214. DOI URL
[26]	Tan M, Liu Y, Li H. Cross-cultural adaptation and validation of the Motivation in Stroke Patients for Rehabilitation Scale in Chinese hospitalized older adults with stroke[J]. Geriatr Nurs, 2023, 50:188-193. DOI PMID
[27]	Tan MY, Li HY, Wang XL. Analysis of the current status of rehabilitation motivation and its influencing factors in older adults with stroke:a cross-sectional study[J]. Front Aging Neurosci, 2023, 15:1186681. DOI URL
[28]	Alireza DS, Emily P. Modification of the Persian version of Hermans Achievement Motivation Questionnaire to develop an adapted scale for measuring motivation of post-stroke survivors in Iran[J]. Iran J Neurol, 2016, 15(4):189-194.
[29]	Lenze EJ, Munin MC, Quear T, et al. The Pittsburgh Rehabi-litation Participation Scale:reliability and validity of a clini-cian-rated measure of participation in acute rehabilitation[J]. Arch Phys Med Rehabil, 2004, 85(3):380-384. DOI URL
[30]	侯永辉, 刘瑛, 魏国荣, 等. 匹兹堡康复参与量表的预测效度和信度研究[J]. 中国康复医学杂志, 2014, 29(2):150-152.
	Hou YH, Liu Y, WEI GR, et al. Predictive validity and reliability of the Pittsburgh Rehabilitation Participation Scale[J]. Chin J Rehabil Med, 2014, 29(2):150-152.
[31]	Litman TJ. An analysis of the sociologic factors affecting the rehabilitation of physically handicapped patients[J]. Arch Phys Med Rehabil, 1964, 45:9-16.
[32]	Yu HF, Guo NW, Chen HY, et al. Factors affecting stroke pa-tients’ motivations for rehabilitation[J]. Kaohsiung J Med Sci, 1993, 9(5):305-316.
[33]	Chen HM, Lee HL, Yang FC, et al. Effectiveness of motiva-tional interviewing in regard to activities of daily living and motivation for rehabilitation among stroke patients[J]. Int J Environ Res Public Health, 2020, 17(8):2755. DOI URL
[34]	杨洁, 冯竞, 居馨星, 等. 基于患者健康参与模型的肺癌手术患者运动康复方案构建和初步应用[J]. 护理学杂志, 2022, 37 (7):1-5.
	Yang J, Feng J, Ju XX, et al. Construction and preliminary application of exercise rehabilitation program based on patient health engagement model for lung cancer surgery patients[J]. J Nurs Sci, 2022, 37(7):1-5.