摘要目的:基于适应性领导框架构建脑卒中恢复期患者健康行为指导方案。方法:在国内外网站对脑卒中健康行为相关指南的检索、筛选、纳入及推荐意见的提取，以适应性领导框架为指导，构建脑卒中恢复期患者健康行为指导方案初稿。2022年1—3月，通过2轮德尔菲专家咨询法，根据专家意见进行方案修改，形成脑卒中恢复期患者健康行为指导方案。结果:最终纳入10篇指南，提取73条指南推荐意见，归纳形成6个维度、25个条目内容的健康行为指导方案初稿。2轮专家咨询均发放问卷15份，回收有效问卷15份，有效回收率均为100.00%；专家权威系数均>0.8。根据专家建议及小组讨论，最终形成包含运动、饮食营养、服药、烟酒、体重、人际与压力、睡眠、定期健康咨询8个维度，31个条目的方案。结论:基于适应性领导框架的脑卒中恢复期患者的健康行为指导方案，引入了适应性及技术性问题合理分工的新护理角度，符合我国临床实践情况，具有一定的科学性和实用性，为脑卒中患者健康行为的促进及健康教育提供了新视角及参考依据。

abstractsObjective:To develop a health behavior guidance program for stroke rehabilitation patients based on the adaptive leadership framework (ALF) .Methods:Relevant stroke health behavior guidelines were systematically retrieved, screened, included, and recommendations extracted from domestic and international websites. The initial draft of the health behavior guidance program for stroke rehabilitation patients was developed in light of the ALF. From January to March 2022, the draft was refined through two rounds of Delphi expert consultation, resulting in the finalized health behavior guidance program.Results:A total of 10 guidelines were included, and 73 guideline recommendations were extracted. These recommendations were categorized into six dimensions and 25 specific items. In both rounds of expert consultation, 15 questionnaires were distributed and all were returned, yielding an effective recovery rate of 100.00%, with an expert authority coefficient greater than 0.8. Based on expert feedback and group discussions, the final program included eight dimensions and 31 items, adding sleep management and regular health consultations to the original six dimensions.Conclusions:The health behavior guidance program for stroke rehabilitation patients, based on the ALF, introduces a new perspective on nursing by reasonably dividing adaptive and technical problems. This approach aligns with clinical practice in China, providing scientific and practical value for promoting health behaviors and offering a new perspective for health education in stroke patients.