目的：系统评价脑卒中患者健康促进行为的关键驱动因素。方法：检索中国知网、万方、维普、PubMed、 Scopus、Web of Science、Cochrane、CINAHL、EMBase、PsycINFO、Sinomed等数据库中与脑卒中患者健康促进行 为相关的质性研究，检索时间截至2023年12月。采用JBI循证卫生保健中心的质性研究质量评价标准对文献进 行质量评价，并对纳入文献的主题进行Meta整合。结果：本研究共纳入9篇文献，提取出52个主题，最终将相似 的结果归纳成2个整合结果、10个类别。结论：脑卒中患者的健康促进行为转变是多种因素共同作用的结果。

To systematically evaluate the key driving factors of health-promoting behaviors in stroke patients. Methods: Qualitative studies related to health-promoting behaviors in stroke patients were retrieved from databases such as CNKI, Wanfang, VIP, PubMed, Scopus, Web of Science, Cochrane, CINAHL, EMBase, PsycINFO, and Sinomed, up to December 2023. The quality of the included studies was evaluated using the JBI's quality appraisal tools for qualitative research in evidence-based healthcare, and a meta-synthesis was conducted on the themes extracted from the included studies. Results: A total of 9 studies were included in this study, yielding 52 themes. These themes were ultimately summarized into 2 synthetic findings and 10 categories. Conclusion: The transition to health-promoting behaviors in stroke patients is the result of the combined effects of multiple factors.