目的 探讨脑卒中恢复期患者居家自我管理任务清单的设计及应用效果。方法 采用半结构式访谈、专家会议等方式设计自我管理任务清单,清单包括行为、角色、情绪及改善自评4个部分。于2020年3月—9月便利选取上海市某康复医院74例脑卒中恢复期患者为研究对象,按照抽签法分为对照组（n=38）和试验组（n=36）。试验组采用自行设计的居家自我管理任务清单,指导患者及家属参照清单执行居家康复锻炼;对照组根据宣教内容自行锻炼。在出院后2个月、出院后6个月,分别采用自行设计的患者康复锻炼依从性问卷、中风自我管理行为评定量表进行评估。结果 出院后2个月、出院后6个月,试验组依从性得分均优于对照组（Z=8.408,18.941;P<0.05）。试验组与对照组自我管理行为得分组间与时间存在交互效应（F=119.506,P<0.001）,简单效应分析显示,出院后2个月、出院后6个月,试验组自我管理行为得分均高于对照组（t=4.112,13.047;P<0.001）。结论 居家自我管理任务清单可以提升脑卒中恢复期患者康复依从性,提高其自我管理能力。

Objective To explore the development and effects of a home self-management checklist for stroke patients in recovery. Methods The self-management checklist was designed based on semi-structured interviews and expert meetings. The record list consisted of four parts:behavior,role,emotion and self-assessment. From March to September,2020,a total of 74 stroke patients in a rehabilitation hospital in Shanghai were randomly divided into the control group（n=38） and the experimental group（n=36）. Patients in the experimental group received the self-designed home self-management checklist and their home rehabilitation exercises were guided by the checklist. Patients in the control group exercised according to the contents of the education. At 2 months and 6 months after discharge,patients were assessed by the self-designed patient compliance questionnaire and the stroke self-management behavior assessment scale. Results After 2 months and 6 months after discharge from hospital,the compliance scores of patients in the experimental group were higher than those of the control group（Z=8.408,18.941;P<0.05）. There was a interaction effect regarding the self-management behavior score in group and time（F=119.506,P<0.001）. Simple effect analysis showed that the self-management behavior score of the experimental group was higher than that of the control group at 2 and 6 months after discharge（t=4.112,13.047;P<0.001）. Conclusion Self-management checklist can improve the rehabilitation compliance and self-management capacity of stroke patients in recovery.