目的 探讨导航模式在提高缺血性脑卒中患者出院准备度中的应用效果。方法 采用便利抽样法选取2021年5月至2023年4月上海市某三级甲等医院首次住院的129例缺血性脑卒中患者为研究对象，按就诊病区分成对照组和观察组，对照组给予常规出院准备护理；观察组在对照组基础上，采用导航模式制订出院准备护理方案。比较两组患者干预后出院准备度、服药依从性及非计划再入院的情况。结果 干预后，观察组患者的出院准备度量表得分、服药依从性量表得分均高于对照组，非计划再入院率低于对照组，差异均有统计学意义（均P＜0.05）。结论 应用导航模式能够提升缺血性脑卒中患者出院应对能力，提高患者的出院准备度和出院后服药依从性，并降低非计划再入院率。

Objective To explore the application effect of navigation mode in improving discharge readiness of patients with ischemic stroke.Methods Convenience sampling method was used to select 129 patients with ischemic stroke who were hospitalized for the first time in a tertiary A hospital in Shanghai from May 2021 to April 2023.They were divided into the control group and the intervention group according to the consultation ward.The control group was given routine discharge preparation care.On the basis of the control group,the intervention group adopted the navigation mode to develop a nursing plan for discharge preparation.The discharge readiness,medication compliance and unplanned readmission were compared between the two groups.Results After the intervention,the scores of discharge readiness scale and medication compliance scale in the intervention group were higher than those in the control group,and the rate of unplanned readmission in the intervention group was lower than that in the control group,with statistical significance（P＜0.05）.Conclusions The application of navigation mode can improve the discharge coping ability of patients with ischemic stroke,improve their discharge readiness and medication compliance after discharge,and reduce the rate of unplanned readmission.

R473.54;R823

上海市卫生健康委卫生行业临床研究专项（20214Y0500）