关键词: 缺血性脑卒中, 中医适宜技术, 卫生服务需求, 社区卫生服务, 随访, 二级预防, 影响因素分析

Abstract: Background　Rehabilitation and secondary prevention of ischemic stroke is a long-term process，and community intervention of traditional Chinese medicine （TCM） is an effective means.However，there is no literature on the distribution of patients' demand for appropriate technique of TCM，the mastery of appropriate technique and the relationship between them.Objective　To provide a reference for the community to carry out TCM intervention in patients with ischemic stroke by analyzing the needs and long-term mastery of appropriate technique of TCM in communities.Methods　A total of 17 patients who met the inclusion criteria with ischemic stroke were selected by convenience sampling in Jiading Community Health Service Center，Shanghai，from August to September 2016，including 13 patients who participated in follow-up intervention.Epidemiological questionnaires were used to interview patients，including general information，stroke risk and physical condition assessment，and demand for stroke prevention services.From September 2016 to February 2017，13 patients with ischemic stroke were intervened on the spot once every 2-3 weeks on average，with a total of 9 on-the-spot interventions.At the end of each intervention，patients self-evaluated their mastery of appropriate TCM techniques.Results　Only one of the 17 patients did not need any suitable techniques of TCM.More than half of the patients needed TCM herbal tea，Chinese patent medicine，health exercises，medication guidance，dietary guidance and other appropriate techniques of TCM.Patient's demand for appropriate TCM techniques such as Chinese herbal decoction pieces，acupuncture，acupoint pressing and emotion regulation is low.Thirteen patients who participated in nine follow-up interventions were able to grasp the appropriate techniques of TCM，such as acupoint pressing，TCM herbal tea，health exercises，dietary guidance，daily living and emotional regulation.The complete mastery rate of TCM herbal tea，dietary guidance and emotional regulation was 100.0%.Conclusion　The application of TCM intervention on ischemic stroke should comprehensively consider the actual needs and long-term mastery of appropriate techniques of TCM to improve patient compliance and TCM intervention efficiency.

Key words: Ischemic stroke, Appropriate technique of traditional Chinese medicine, Health services needs and demand, Community health services, Follow-up, Secondary prevention, Root cause analysis