目的 系统评价中青年脑卒中患者出院准备需求的质性研究，为提高其出院准备度提供参考。方法 检索Cochrane Library、PubMed、Embase、Web of Science、CINAHL、PsycINFO、中国生物医学数据库、知网、万方和维普数据库中中青年脑卒中患者出院准备需求的质性研究，检索时限为建库至2023年10月。采用汇集性整合法进行Meta整合。结果 共纳入10项研究，提炼出33个结果，归纳为8个类别，并综合为3个整合结果：信息教育需求、心理情感需求；服务与资源需求。结论 中青年脑卒中患者出院准备需求形式多样，医护人员及家庭应提供符合患者年龄和多维度的个性化支持，制订以患者需求为导向的康复策略。

Objective To systematically evaluate qualitative studies on discharge readiness needs of young and middle-aged stroke patients so as to provide reference for improving their discharge readiness.Methods Qualitative studies on the discharge readiness needs of young and middle-aged stroke patients were searched in Cochrane Library,PubMed,Embase,Web of Science,CINAHL,PsycINFO,CBM,CNKI,WanFang Data,and VIP databases from inception to October 2023. Meta-synthesis was employed to summarize and integrate the results.Results A total of 10 studies were included,with 33 findings grouped into 8 categories and synthesized into 3 themes:information and educational needs,psychological and emotional needs,service and resource needs.Conclusions There are various forms of discharge readiness needs of young and middle-aged stroke patients.Healthcare professionals and family members should provide multi-dimensional and age-appropriate personalized support,and develop patient-centered rehabilitation strategies.

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国家社会科学基金项目（20BRK041）；河南省医学科技攻关计划联合共建项目(LHGJ20200264）；河南省科技厅-科技攻关项目（242102310234）