Advances in nursing care for post-stroke limb dysfunction rehabilitation

Area of Science:

• Neurology
• Psychology
• Rehabilitation Medicine

Background:

• Stroke-induced limb dysfunction severely affects patient independence and quality of life.
• Patient motivation is crucial for rehabilitation efficacy, yet psychological factors often hinder adherence and recovery.
• Understanding these psychological influences is key to optimizing post-stroke care.

Purpose of the Study:

• To review psychological factors influencing motivation in stroke rehabilitation.
• To evaluate assessment tools for these psychological factors.
• To identify evidence-based interventions for improving motivation and functional recovery.

Main Methods:

• Narrative review of current scientific literature.
• Synthesis of evidence on psychological barriers, assessment tools, and interventions.
• Analysis of clinical implementation strategies and future research directions.

Main Results:

• Psychological barriers like kinesiophobia and low self-efficacy negatively predict outcomes.
• Validated tools like the Pittsburgh Rehabilitation Participation Scale and Motivation in Stroke Patients for Rehabilitation Scale show utility.
• Multimodal interventions combining psychological support (e.g., motivational interviewing) and technology (VR, gaming) are effective.

Conclusions:

• Early psychological screening and integrated assessments are vital for stroke patients.
• Personalized, motivation-enhancing protocols and interdisciplinary collaboration improve rehabilitation outcomes.
• Addressing both physical and psychological aspects is essential for comprehensive stroke recovery.