摘要目的:调查上海市5家综合医院脑卒中后残疾老年人专业化照护需求现状，为上海地区更好地开展居家照护服务，及相关部门制订、落实科学可行的居家照护服务政策提供参考依据。方法:2019年5—10月，采取便利抽样的方法选取上海市5所综合医院神经内科的301例预出院回归家庭的脑卒中后残疾老年人为调查对象。采用一般资料调查表和居家脑卒中患者专业化照护需求问卷对其进行调查。采用 t检验、单因素方差分析和多重线性回归分析对照护需求的影响因素进行分析。 结果:脑卒中后残疾老年人专业化照护需求总体均分为（3.46±0.83）分。照护需求中排在前5位的条目分别是预防疾病复发的相关知识，得到家人的关心和帮助，血压监测，常用药物使用方法、注意事项、不良反应等，讲解疾病相关知识。性别、居家照顾者、疾病类型、脑卒中病程、其他慢性疾病、残疾程度不同的脑卒中后残疾老年人需求得分比较，差异有统计学意义（ P<0.05），其中女性患者、照顾者为护工/保姆的患者、脑出血患者、脑卒中病程>1～6个月的患者、合并糖尿病的患者、严重残疾的患者对专业化照护需求更为迫切。多重线性回归分析结果显示，性别（β'=0.117， t=2.327， P=0.021）和残疾程度（β'=0.496， t=9.706， P<0.001）是影响脑卒中后残疾老年人专业化照护需求的主要因素。 结论:上海地区脑卒中后残疾老年人专业化照护需求程度较高，建议相关部门以最迫切的需求为导向，加快居家护理政策完善和实施，提供有针对性的护理服务。

abstractsObjective:To explore the professional care need of the disabled aged post stroke in 5 general hospitals in Shanghai so as to provide a basis for developing the home care service, formulating and implementing the scientific and practicable policy of home care service in Shanghai.Methods:From May 2019 to October 2019, this study selected 301 disabled elderly patients post stroke planning to level hospital and return home in Neurology Department from 5 general hospitals in Shanghai as subjects by convenience sampling. All of patients were investigated with the General Information Scale and the Professional Care Demand Tool for Stroke Survivors Lived in Community. The t-test, one-way ANOVA and multiple linear regression were used to analyze the influencing factors of care needs. Results:The total average score of the professional care need for the disabled aged post stroke was (3.46±0.83) . The top 5 items of care need included the disease recurrence prevention knowledge, getting the care and help from family members, blood pressure monitoring, use methods, attention and adverse reactions of common drugs, explaining disease related knowledge. There were statistical differences in the scores of professional care need among the professional care need of the disabled aged post stroke with different genders, family caregivers, disease types, duration of stroke, other chronic disease and degree of disability ( P<0.05) . The demand of patients who were female, took nursing workers or nannies as caregivers, were with cerebral hemorrhage, stroke duration>1 to 6 months, combined with diabetes and severe disability for professional care need was urgent. Multiple linear regression analysis showed that the influencing factors of professional care need of the disabled aged post stroke were genders (β'=0.117, t=2.327, P=0.021) and degrees of disability (β'=0.496, t=9.706, P<0.001) . Conclusions:The disabled aged post stroke in Shanghai has the high level of the professional care need. Related departments should accelerate the perfection and implementation of home care policy, and provide targeted nursing service based on the most urgent needs.