目的：研究基于行为分阶段改变理论模型在早期脑卒中康复训练中的应用。方法：选择自2023年3 月至 2024年12月收治本院的脑卒中偏瘫患者96例。按照随机列表法将入选患者分为对照组（n=48）与观 察组（n=48），对两组进行为期3个月的干预。对照组实施常规康复运动，观察组给予以行为分阶段改变理 论模型（TTM）为基础的早期卒中康复指导。比较两组患者的早期运动康复落实率、肢体运动功能（FMA评 分）、卒中后生活质量（SS-QOL评分）、心理弹性（CD-RISC评分）。结果：观察组的早期运动康复落实率明显 高于对照组（100% vs. 85.42%, P=0.019）；干预后观察组的上肢 FMA 评分（52.15±5.82 vs. 48.50±5.74, P= 0.003）、下肢FMA评分（25.85±3.52 vs. 23.48±3.49, P=0.001）、SS-QOL评分（78.33±10.93 vs. 73.27±6.24, P= 0.006）、CD-RISC评分（79.29±9.16 vs. 65.78±8.82, P＜0.001）均较对照组明显增加。结论：基于TTM的早期 卒中运动康复可提高脑卒中偏瘫患者早期运动康复落实率，调节患者的心理弹性，提升了患者康复依从性 与主动性，促进患者形成长期康复行为习惯，提高了卒中运动康复效果和生活质量，临床实践效果显著。

To investigate the application of the Transtheoretical Model of Behavior Change (TTM)-based approach in early-stage stroke rehabilitation training. Methods: A total of 96 stroke patients with hemiplegia admitted to our hospital from March 2023 to December 2024 were selected. Patients were randomly assigned to a control group (n=48) and an observation group (n=48) using a randomization list, and both groups underwent a 3-month intervention. The control group received conventional rehabilitation exercises, while the observation group received early stroke rehabilitation guidance based on the TTM. The implementation rate of early motor rehabilitation, limb motor function (Fugl-Meyer Assessment [FMA] scores), post-stroke quality of life (Stroke-Specific Quality of Life [SS-QOL] scores), and psychological resilience (Connor-Davidson Resilience Scale [CD-RISC] scores) were compared between the two groups. Results: The implementation rate of early motor rehabilitation was significantly higher in the observation group than in the control group (48 vs. 41, P=0.019). After the intervention, the observation group showed significantly greater improvements in upper limb FMA scores (52.15±5.82 vs. 48.50±5.74, P=0.003), lower limb FMA scores (25.85±3.52 vs. 23.48±3.49, P= 0.001), SS-QOL scores (78.33±10.93 vs. 73.27±6.24, P=0.006), and CD-RISC scores (79.29±9.16 vs. 65.78± 8.82, P<0.001) compared to the control group. Conclusion: TTM-based early stroke motor rehabilitation enhances the implementation rate of early motor rehabilitation in stroke patients with hemiplegia, improves psychological resilience, increases rehabilitation compliance and initiative, promotes the formation of long-term rehabilitation behaviors, and enhances the effectiveness of stroke motor rehabilitation and quality of life, demonstrating significant clinical efficacy.