To conduct a systematic review of qualitative studies on rehabilitation barriers in stroke patients during the rehabilitation phase. Methods: A computer-based search was conducted in Embase, Web of Science, CINAHL, PubMed, Wanfang Database, and CNKI Database, with a cutoff date of September 9, 2023. Results: This systematic review included 22 articles that met the criteria and ultimately categorized into 4 themes and 13 subcategories. Conclusion: It systematically integrates the multi-level barriers encountered by stroke survivors during their rehabilitation process.