With China's aging population, the incidence of stroke is increasing year by year, and the high disability rate places a significant burden on patients, families, and society. It is extremely important to strengthen the rehabilitation self-efficacy of home-based stroke patients in order to assist them return to society as soon as feasible. Currently, less emphasis is being paid to the influence of environmental factors on rehabilitation self-efficacy in stroke.

To investigate the current status of rehabilitation self-efficacy of stroke patients in community, and explore the influence of different environmental factors on rehabilitation self-efficacy of stroke patients.

Using convenience sampling, from December 2019 to September 2020, 262 stroke patients in the subordinate communities of 4 community health service centers in Zhengzhou, Henan Province were enrolled in the survey. The Demographic Information Questionnaire was used to collect general data, the Modified Rankin Scale was used to assess the physical function of stroke patients, the Measure of Stroke Environment was used to assess the current situation of stroke environment, and the Chinese Version of Stroke Self-efficacy Questionnaire was used to assess the rehabilitation self-efficacy of stroke patients. The effects of various environmental factors on rehabilitation self-efficacy of stroke patients were investigated by hierarchical regression analysis.

A total of 285 questionnaires were distributed, a total of 262 valid questionnaires were collected, with an effective response rate of 91.93%. The rehabilitation self-efficacy score of 262 stroke patients was (76.1±26.3). Receptivity, physical environment and communication environment accounted for 30.9% of the total variation in rehabilitation self-efficacy (P<0.05) .

The rehabilitation self-efficacy of community stroke patients is in the medium level. Receptivity, physical environment and communication environment are the important influence factors for self-efficacy of stroke patients. In the future, we should attach importance to the environmental construction of stroke patients, explore positive stroke environmental construction models, effectively guide the rehabilitation of stroke patients, enhance rehabilitation self-efficacy, improve prognosis, and help them return to society as soon as possible.

随着我国人口老龄化问题日益凸显，脑卒中发病率逐年升高，身体功能障碍给患者、家庭和社会带来沉重负担。提高居家脑卒中患者康复自我效能，帮助其尽快回归社会尤为关键。目前较少关注脑卒中环境因素对康复自我效能的影响。

分析脑卒中患者康复自我效能现况，探讨不同环境因素对脑卒中患者康复自我效能的影响。

采用便利抽样法，于2019年12月—2020年9月选取郑州市4个社区的脑卒中患者262例，采用一般资料调查表收集脑卒中患者一般资料，采用改良版Rankin量表评估脑卒中患者身体功能状况，采用脑卒中环境量表评估脑卒中环境现状，采用中文版脑卒中康复自我效能量表评估脑卒中患者康复自我效能水平。利用分层回归分析探讨各环境因素对脑卒中患者康复自我效能的影响。

发放问卷285份，回收有效问卷262份，有效回收率为91.93%。脑卒中患者的康复自我效能得分为（76.1±26.3）分；分层回归分析结果显示，接受度环境、建成环境和沟通交流环境共解释康复自我效能总变异的30.9%（P<0.05）。

社区脑卒中患者康复自我效能处于中等水平；接受度环境、建成环境和沟通交流环境是脑卒中患者康复自我效能的重要影响因素。未来应重视脑卒中患者环境建设，探索积极脑卒中环境建设模式，对脑卒中患者康复进行有效引导，增强康复自我效能，改善预后，帮助其尽快回归社会。