目的 了解居家脑卒中患者的药物素养现状和影响因素，为提高脑卒中患者出院后居家用药的安全性与规范性提供参考。方法 2023年4-8月，采用便利抽样法选取某院延续护理中心基于信息化平台随访的212例脑卒中患者为研究对象，通过平台收集患者人口学、生活方式、用药等相关资料，采用药物素养调查问卷(medication literacy questionnaire，MLQ)对其进行调查。结果 居家脑卒中患者药物素养总分为（5.52±1.63）分，多因素有序Logistic回归分析结果表明，文化程度高的脑卒中患者有较好的药物素养水平（P＜0.01），空腹血糖≥7.1 mmol/L、缺乏运动脑卒中患者的药物素养水平较低（均P＜0＜05）。 结论 医护人员应结合院外居家脑卒中患者药物素养的影响因素，制订个性化干预措施，以提升其药物素养水平，保证患者居家用药安全。

Objective To understand the current status and influencing factors of medication literacy of stroke patients at home，so as to provide reference for improving the safety and standardization of medication at home after discharge.Methods Convenience sampling method was used to select 212 stroke patients who were followed up by the information technology platform in the extended care center of our hospital from April 2023 to August 2023 as the study objects.Medication Literacy Questionnaire (MLQ) was used to investigate medication literacy of the patients and the relevant information of the patient’s demography,lifestyle and medication was collected.Results The total score of medication literacy of stroke patients at home was (5.52±1.63).The results of multi-factor ordered logistic regression analysis showed that stroke patients with higher education level had better medication literacy level (P＜0.05),while patients with fasting blood glucose≥7.1 mmol/L and lack of exercise had lower medication literacy level (all P＜0.05).Conclusions Medical staff should develop personalized intervention measures based on the influencing factors of medication literacy of stroke patients at home,so as to improve their medication literacy level and ensure the safe usage of medication for patients at home.

R473．2

国家自然科学基金项目（82001452）；安徽省级教学项目（2021jyxm1793）