Abstract: Abstract Objective: To analyze current status and influencing factors of readiness in family caregivers of elderly patients with first-time stroke and provide reference for future intervention guidance. Methods: A total of 160 elderly patients with first-time stroke and the main caregivers were included in the study. Caregiver readiness scale, first-time stroke related knowledge scale and medical social supports scale were used in the investigation. Results: Score of readiness was 23.53± 6.18. Caregiver′s readiness was positively associated with the level of stroke related knowledge (r=0.309, P<0.05), and positively associated with social medical support (r=0.248, P<0.05). Multivariate analysis revealed that care experience, number of caregivers, patient Rankin level, stroke related knowledge level, and medical social support were factors affecting family care readiness of first-time elderly stroke patients (P<0.05). Conclusion: The readiness of family caregivers of elderly patients with first-time stroke needs to be improved, and medical staff should give timely health education, and help patients and caregivers to develop personalized guidance programs for further rehabilitation. 

Key words: First-time stroke, Care readiness, Elderly, Nursing

摘要： 目的：探讨首发脑卒中老年患者家庭照顾者照顾准备度现状并分析其影响因素。方法：选取首发脑卒中老年患者及主要照顾者各160 名为研究对象。应用照顾者准备度量表、照顾者首发脑卒中相关知识水平量表和医疗社会支持量表对照顾者进行调查。 结果：首发脑卒中家庭照顾者的照顾准备度得分为（23.53±6.18）分；首发脑卒中患者照顾者准备度与照顾者脑卒中相关知识水平呈正相关（r=0.309，P＜0.05），与家庭社会医疗支持水平呈正相关（r=0.248，P＜0.05）。多因素分析显示，照顾者有无照顾经验、照顾者的人数、患者的Rankin 等级、照顾者脑卒中相关知识水平、医疗社会支持水平为首发老年脑卒中患者家庭照顾者准备度的影响因 素（P＜0.05）。结论：首发脑卒中老年患者家庭照顾者准备度有待提高。医护人员应及时给予健康宣教，并帮助患者和照顾者制定个性化的康复方案。

关键词: 首发脑卒中, 照顾者准备度, 老年, 护理