目的研究家庭医师式服务在社区脑卒中患者中的应用效果。方法 94例上级医院下转本社区的脑卒中患者,随机分为家庭医师式服务组(64例)和常规护理组(30例)。家庭医师式服务组患者建立脑卒中家庭病床,采取定期访视,进行家庭医师式服务,常规护理组进行一般常规护理。比较两组患者护理前后的Barthel指数、并发症发生情况以及患者家属对患者日常生活功能状态和生活质量满意度。结果常规护理组家庭护理前以及家庭护理后4个月和8个月的Barthel指数分别为(27.38±7.25)、(41.97±9.88)、(50.74±12.27)分;家庭医师式服务组分别为、(28.14±6.33)、(55.31±10.15)、(65.96±13.33)分。两组患者家庭护理后4个月和8个月的Barthel指数均高于本组家庭护理前,且家庭医师式服务组高于常规护理组,差异均具有统计学意义(P<0.05)。家庭医师式服务组患者并发症发生率12.5%低于常规护理组的33.3%,差异具有统计学意义(χ~2=5.726,P<0.05)。家庭医师式服务组患者家属对患者日常生活功能状态和生活质量满意度为84.4%,高于常规护理组的43.3%,差异具有统计学意义(χ~2=16.805,P<0.05)。结论家庭医师式服务与常规护理相比,能够更明显的改善脑卒中患者的日常活动的功能状态,对患者的康复具有促进作用,同时患者家属对护理服务更为满意。 Objective To study the effect of family physician service in community-based stroke patients. Methods A total of 94 patients with upper respiratory tract stroke were divided into two groups: the family physician service group (64 cases) and the routine nursing group (30 cases). The family physician service set up a family sick bed for stroke, took regular visits, carried out family physician services, and routine care groups conducted routine care. Barthel index before and after nursing care was compared between the two groups, the incidence of complications and family members’ satisfaction with functional status and quality of life of patients. Results The Barthel indexes at 4 months and 8 months after nursing home care and home nursing in the general nursing group were (27.38 ± 7.25) and (41.97 ± 9.88) and (50.74 ± 12.27) points respectively. The family physician service group were (28.14 ± 6.33), (55.31 ± 10.15), (65.96 ± 13.33) points respectively. The Barthel index at 4 and 8 months after home care in both groups were higher than those before the home care, and the family physician-service group was higher than the conventional care group, the difference was statistically significant (P <0.05). The incidence of complication in the family physician service group was 12.5% ​​lower than that in the general nursing group (χ ~ 2 = 5.726, P <0.05). Satisfaction of family members of family physician service group to patients with daily life function status and quality of life was 84.4%, which was higher than that of routine care group (43.3%), the difference was statistically significant (χ ~ 2 = 16.805, P <0.05). Conclusion Compared with routine nursing care, family physician service can more obviously improve the functional status of daily activities of stroke patients and promote the rehabilitation of patients. At the same time, family members are more satisfied with nursing services.