随着现代医学的发展和医学模式的改变,人们不仅把提高生活质量(quality of life,QOL)作为康复治疗效果的客观依据,也将其作为患者康复的最终目标〔1〕。脑卒中是临床常见病,其死亡率和致残率较高〔2〕,目前中国约有15%的脑卒中患者日常生活不能自理〔3〕,给患者及其家属造成了沉重的经济及心理负担,很大程度上影响了患者的生活质量。神经内科常规治疗和护理主要关注患者躯体功能的恢复等方面,较少考虑到患者的社会、心理需要和家庭适应需求,本研究旨在 With the development of modern medicine and the change of medical model, people not only regard improving quality of life (QOL) as the objective basis of rehabilitation treatment, but also regard it as the ultimate goal of patient rehabilitation [1]. Stroke is a common clinical disease, its mortality and disability rate is high 〔2〕, at present, about 15% of stroke patients in China can not take care of their daily life 〔3〕, to patients and their families caused heavy economic and psychological Burden, largely affected the quality of life of patients. Neurology, conventional treatment and care are mainly concerned with the recovery of physical function in patients with less consideration to the patient’s social and psychological needs and family needs, the purpose of this study