Abstract: Objective: To explore the real experiences of social isolation encountered by patients in the convalescence period after stroke, in order to provide a reference for developing effective rehabilitation intervention measures and social support strategies. Methods: A descriptive qualitative research approach was adopted, using purposive sampling to select 12 stroke patients in the convalescence period who received rehabilitation treatment in the neurology department of a tertiary grade A comprehensive hospital in Guilin from March to September 2024 for semi-structured in-depth interviews. The Colaizzi phenomenological data analysis method was used to systematically analyze the interview texts and summarize the core themes. Results: A total of 4 core themes and 8 sub-themes were extracted, inclucling identity crisis (self-identity rupture, lack of sense of value and feelings of marginalization), limited social function (mobility impairment, communication limitations), imbalanced support structures (emotional value of informal support, insufficient continuity of professional rehabilitation support), and psychological adjustment to isolation (internalized regulation, proactive adjustment). Conclusion: Patients in the convalescence period after stroke generally experience social isolation due to physical impairment, negative psychological experiences, and a lack of effective social support resources. Healthcare professionals should pay close attention to the psychosocial adaptation issues of this population, actively promoting the reconstruction and integration of patients' social relationships by creating an individualized and supportive rehabilitation environment.

Key words: Stroke, Convalescence, Social alienation, Psychological care, Qualitative research

摘要： 目的：探讨脑卒中恢复期患者社会疏离的真实体验，为制定有效的康复干预措施和社会支持策略提供依据。方法：采用描述性质性研究，依据目的抽样法，于 2024 年 3 月至 9 月选取在桂林市某三级甲等综合医院神经内科就诊、接受康复治疗的 12 例脑卒中恢复期患者进行半结构式深度访谈，运用 Colaizzi 现象学资料分析法对访谈文本进行系统分析，并归纳提炼核心主题。结果：共提炼出身份认同危机（自我认同破裂、价值感缺失与边缘化感受）、社交功能受限（行动障碍、沟通受限）、支持结构失衡（非正式支持的情感价值、专业康复支持的连续性不足）、疏离心理调适（内化调控、主动调适）4 个核心主题、8 个亚主题。结论：脑卒中恢复期患者普遍因躯体功能障碍、消极心理体验和有效社会支持资源的匮乏而陷入社会疏离状态，医护人员应高度重视该群体的心理社会适应问题，通过构建个体化、支持性的康复环境，积极促进患者社会关系的重建与融入。

关键词: 脑卒中, 恢复期, 社会疏离, 心理护理, 质性研究