基于自我控制困境的脑卒中患者上肢康复体验设计

周君; 欧阳辰雨; 王雅康; 姚湘

doi:10.19554/j.cnki.1001-3563.2026.10.003

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包装工程（设计栏目） ›› 2026, Vol. 47 ›› Issue (10) : 22-31. DOI: 10.19554/j.cnki.1001-3563.2026.10.003

专题：数智健康赋能医疗装备系统设计

基于自我控制困境的脑卒中患者上肢康复体验设计

周君, 欧阳辰雨, 王雅康^*, 姚湘

作者信息 +

Upper Limb Rehabilitation Experience Design of Stroke Patients Based on Self-control Dilemma

ZHOU Jun, OUYANG Chenyu, WANG Yakang^*, YAO Xiang

Author information +

文章历史 +

摘要

目的针对脑卒中患者上肢居家康复依从性低下及自我控制困境问题,构建融合积极体验设计理论的干预模型。方法采用半结构访谈（n=13）结合情绪粒度卡片挖掘患者情感痛点,通过设计师工作坊（n=6）对困境进行解构与重构,构建“心理赋能、行为引导”双维度干预模型,运用改进型D-H参数法建立运动学方程,通过MATLAB仿真验证系统性能。结果设计了“Posit-Move”居家康复系统,创新性集成六自由度机械臂提供物理支撑以抑制肌肉代偿,构建“软件、硬件、医师、社会支持”四端闭环体系。仿真结果表明,系统末端位置误差小于±2 mm,轨迹规划平滑,满足康复训练运动学要求。结论该模型缓解了患者即时满足诉求与延迟康复收益之间的冲突,提出“情绪、行为、认知”多维干预策略及动静结合的交互模式,为解决康复情境下自我控制困境提供了新的设计路径。

Abstract

To address the issues of low compliance and Self-control Dilemma (SCD) in upper limb home rehabilitation for stroke patients, the work aims to construct an intervention model integrating positive experience design theory. Semi-structured interviews (n=13) combined with emotional granularity cards were used to explore patients' emotional pain points. Through designer workshops (n=6), dilemmas were deconstructed and reconstructed, establishing a two-dimensional intervention model of "psychological empowerment and behavioral guidance". The kinematic equations were established with the modified Denavit-Hartenberg (D-H) parameter method, and the system performance was verified through MATLAB simulation. The "Posit-Move" home rehabilitation system was developed, which integrated a six-degree-of-freedom (6-DOF) robotic arm to provide physical support, and construct a four-terminal closed-loop system of "software, hardware, physician and social support". Simulation results indicate that the system's end position error was less than ±2 mm with smooth trajectory planning, meeting the kinematic requirements for rehabilitation training. This model eases the conflict between patients' desire for instant gratification and long-term rehabilitation benefits. It proposes multi-dimensional intervention strategies covering "emotion, behavior and cognition", as well as an interactive mode combining static and dynamic states, offering a new design approach to address self-control dilemmas in rehabilitation scenarios.

导出引用1

周君, 欧阳辰雨, 王雅康, 姚湘. 基于自我控制困境的脑卒中患者上肢康复体验设计[J]. 包装工程. 2026, 47(10): 22-31 https://doi.org/10.19554/j.cnki.1001-3563.2026.10.003

ZHOU Jun, OUYANG Chenyu, WANG Yakang, YAO Xiang. Upper Limb Rehabilitation Experience Design of Stroke Patients Based on Self-control Dilemma[J]. Packaging Engineering. 2026, 47(10): 22-31 https://doi.org/10.19554/j.cnki.1001-3563.2026.10.003

中图分类号： TB472

参考文献

[1] FEIGIN V L, BRAININ M, NORRVING B, et al.World Stroke Organization: Global Stroke Fact Sheet 2025[J]. International Journal of Stroke, 2025, 20(2): 132-144.
[2] 王陇德, 吉训明. 中国脑卒中防治报告-2023[M]. 北京: 中国人口与健康出版社, 2025.
WANG L D, JI X M.Report on Stroke Prevention and Treatment in China[M]. Beijing: People's Medical Publishing House, 2025.
[3] 冯晓东, 孙伟娟, 张裴景, 等. 脑卒中患者上肢功能障碍的预后因素分析[J]. 中国康复医学杂志, 2014, 29(10): 967-969.
FENG X D, SUN W J, ZHANG P J, et al.Prognostic Factors of Upper Limb Dysfunction in Stroke Patients[J]. Chinese Journal of Rehabilitation Medicine, 2014, 29(10): 967-969.
[4] 秦岩丁, 孟京艳, 于宁波, 等. 上肢康复外骨骼机器人关键技术研究综述与展望[J]. 机器人, 2026, 48(2): 375-394.
QIN Y D, MENG J Y, YU N B, et al.Review and Prospect on Key Technologies of Upper-Limb Rehabilitation Exoskeleton Robots[J]. Robot, 2026, 48(2): 375-394.
[5] 谢冰, 陈丹, 倪伟, 等. 末端牵引式上肢机器人联合间歇性θ短阵脉冲刺激治疗对脑卒中上肢功能障碍的疗效研究[J]. 中国康复, 2025, 40(8): 458-462.
XIE B, CHEN D, NI W, et al.Efficacy of End-Effector Upper Limb Robot Combined with iTBS on Upper Limb Dysfunction in Stroke Patients[J]. Chinese Journal of Rehabilitation, 2025, 40(8): 458-462.
[6] KENEA C D, ABESSA T G, LAMBA D, et al.Immersive Virtual Reality in Stroke Rehabilitation: A Systematic Review and Meta-Analysis of Its Efficacy in Upper Limb Recovery[J]. Journal of Clinical Medicine, 2025, 14(6): 1783.
[7] SOLEIMANI M, GHAZISAEEDI M, HEYDARI S.The Efficacy of Virtual Reality for Upper Limb Rehabilitation in Stroke Patients: A Systematic Review and Meta-Analysis[J]. BMC Medical Informatics and Decision Making, 2024, 24(1): 135.
[8] OZKARAMANLI D, ÖZCAN E, DESMET P.Long-Term Goals or Immediate Desires? Introducing a Toolset for Designing with Self-Control Dilemmas[J]. The Design Journal, 2017, 20(2): 219-238.
[9] 吴春茂, 田晓梅, 何铭锋. 提升主观幸福感的积极体验设计策略[J]. 包装工程, 2021, 42(14): 139-147.
WU C M, TIAN X M, HE M F.Positive Experience Design Strategies to Improve Subjective Well-Being[J]. Packaging Engineering, 2021, 42(14): 139-147.
[10] CSIKSZENTMIHALYI M.Flow: The Psychology of Optimal Experience[M]. Citic Press, 2017.
[11] DESMET P M A, POHLMEYER A E. Positive Design: An Introduction to Design for Subjective Well-Being[J]. International Journal of Design, 2013, 7(3): 5-19.
[12] 张昆, 李雨萱. 基于康复目标的脑卒中肘部康复游戏策略研究[J]. 包装工程, 2025, 46(6): 66-73.
ZHANG K, LI Y X.Game Strategies for Stroke Elbow Rehabilitation Based on Rehabilitation Goals[J]. Packaging Engineering, 2025, 46(6): 66-73.
[13] INZLICHT M, WERNER K M, BRISKIN J L, et al.Integrating Models of Self-Regulation[J]. Annual Review of Psychology, 2021, 72: 319-345.
[14] 吴春茂. 自我控制困境驱动的积极体验设计路径[J]. 美术大观, 2021(1): 154-157.
WU C M.A Self-Control Dilemma-Driven Approach to Positive Experience Design[J]. Art Panorama, 2021(1): 154-157.
[15] OTTIGER B, VAN WEGEN E, KELLER K, et al.Getting into a "Flow" State: A Systematic Review of Flow Experience in Neurological Diseases[J]. Journal of NeuroEngineering and Rehabilitation, 2021, 18(1): 65.
[16] BASSI M, FERRARIO N, BA G, et al.Quality of Experience during Psychosocial Rehabilitation: A Real-Time Investigation with Experience Sampling Method[J]. Psychiatric Rehabilitation Journal, 2012, 35(6): 447-453.
[17] YOON J, DESMET P M A, POHLMEYER A E. Developing Usage Guidelines for a Card-Based Design Tool[J]. Archives of Design Research, 2016, 29(4): 5.
[18] DESMET P M A. Faces of Product Pleasure: 25 Positive Emotions in Human-Product Interactions[J]. International Journal of Design, 2012, 6(2): 1-29.
[19] 吴春茂, 黄沛瑶, 张燕婷. 面向产品积极体验周期的设计策略研究[J]. 包装工程, 2023, 44(10): 60-69.
WU C M, HUANG P Y, ZHANG Y T.Design Strategies for Positive Experience Cycle of Product[J]. Packaging Engineering, 2023, 44(10): 60-69.
[20] OZKARAMANLI D, DESMET P M A, ÖZCAN E. Beyond Resolving Dilemmas: Three Design Directions for Addressing Intrapersonal Concern Conflicts[J]. Design Issues, 2016, 32(3): 78-91.
[21] WINTERICH K P, HAWS K L.Helpful Hopefulness: The Effect of Future Positive Emotions on Consumption[J]. Journal of Consumer Research, 2011, 38(3): 505-524.
[22] 胡宇航, 张尚盈, 张晓艳. 基于MATLAB的6R机械臂运动学的仿真研究[J]. 制造技术与机床, 2022(11): 27-32.
HU Y H, ZHANG S Y, ZHANG X Y.Kinematics Simulation of 6R Mechanical Arm Based on MATLAB[J]. Manufacturing Technology & Machine Tool, 2022(11): 27-32.