目的 基于供需平衡理论探究脑卒中患者出院过渡期照护服务供需双方的真实体验,为优化出院过渡期护理服务体系提供参考依据。方法 2025年2-4月,采用目的抽样法选取上海市某社区卫生服务中心脑卒中专科护士(供给方)及脑卒中患者(需求方)为研究对象进行半结构式访谈,以Colaizzi 7步法分析资料并提炼主题。结果 结合供需平衡理论中供给、需求、供给条件3个维度,共归纳出供给能力不足与服务失配、需求启动不足与参与受限、机制支撑不足与衔接不畅3个主题和9个亚主题。结论 脑卒中患者出院过渡期照护服务供需双方存在着供需错配、供给失衡等问题,需通过强化健康教育、完善需求评估、优化供给结构、推动医院与社区联动等,完善脑卒中患者出院过渡期照护服务体系。

Objective To explore the real experience of both supply and demand sides in transitional care service for stroke patients after discharge based on the supply-demand balance theory,and to provide reference for optimizing the transitional care service system.Methods From February to April 2025,purposive sampling was used to select stroke specialist nurses (suppliers) from a community health service center in Shanghai and stroke patients (demanders) for semi-structured interviews.Data were analyzed using the Colaizzi 7-step method,and themes were extracted.Results Based on the 3 dimensions of supply,demand,and supply conditions in the supply-demand balance theory,3 main themes and 9 sub-themes were identified: insufficient supply capacity and service mismatch,insufficient demand initiation and limited participation, and insufficient mechanism support and poor coordination.Conclusions There are issues such as supply-demand mismatch and imbalance between supply and demand sides of transitional care service for stroke patients after discharge.It is necessary to strengthen health education,improve needs assessment,optimize supply structure,and promote hospital-community linkage to enhance the transitional care service system for such patients.

R473.74

国家自然科学基金资助项目(72074168)；上海市第十人民医院重点学科(C类学科-护理)