摘要目的:探讨结构化干预对脑卒中患者居家照顾的影响，为脑卒中患者居家照顾提供依据。方法:选取聊城市第二人民医院神经内科121例首次脑卒中患者，按照患者入院的先后顺序随机分为试验组61例和对照组60例。试验组接受结构化干预，即结合疾病发展阶段，分别在急性期、恢复期及后遗症期给予不同的干预措施，同时在居家照护的基础上增加对照顾者的干预。对照组按照脑卒中护理常规进行护理。分别于患者出院后1个月、3个月、6个月评价干预效果。结果:两组患者干预后日常生活能力(ADL)、总生存质量、照顾者照顾能力、患者满意度方面比较差异均有统计学意义(均 P<0.05)，再住院率方面出院后1个月比较差异无统计学意义( P>0.05)，出院后3个月、6个月比较差异有统计学意义( P<0.05)。 结论:结构化干预能提高患者日常生活能力、照顾者照顾能力、降低再住院率、改善患者生存质量及满意度。

abstractsObjective:To explore the effect of structured intervention on home care of stroke patients, and to provide evidence for home care of stroke patients.Methods:A total of 121 patients with first stroke in the Department of Neurology of the Second People's Hospital of Liaocheng City were selected and randomly divided into experimental group (61 cases) and control group (60 cases) according to the order of admission.The experimental group received structured intervention, that is, combined with the development stage of the disease, in the acute stage, convalescence stage and sequelae stage of different interventions, while on the basis of home care to increase the intervention for caregivers.The control group received nursing care according to the routine of stroke nursing.The efficacy of the intervention was evaluated at 1 month, 3 months and 6 months after discharge.Results:After intervention, there were statistically significant differences in ADL, overall quality of life, caregiver's ability to care and patient satisfaction between the two groups( P<0.05).There was no significant difference in the readmission rate 1 month after discharge( P>0.05), while the difference between 3 and 6 months after discharge was statistically significant( P<0.05). Conclusions:Structured intervention can improve patients' daily living ability, caregivers' caring ability, reduce readmission rate, improve patients' quality of life and satisfaction.