中文摘要：

目的探讨首发脑卒中患者出院后1周的社会参与水平及影响因素，为制订针对性的措施提供依据。方法选取符合纳入标准的271例首发脑卒中患者，使用参与和自主性测评问卷在患者出院后1周进行随访调查。结果首发脑卒中患者出院后1周的社会参与总分为（61．14±13．44）分；各维度得分为：家庭角色自主参与（21．69±5．07）分、室外自主参与（15．22±2．55）分、室内自主参与（14．27±4．88）分、社会生活自主参与（9．96±5．50）分。经多元逐步回归分析显示，影响首发脑卒中患者社会参与水平的主要因素是：婚姻状况、照顾者类型、医疗费用支付方式和发病到入院的间隔时间。结论首发脑卒中患者社会参与水平受限，医护人员应根据其影响因素制订针对性的干预措施，以促进其参与社会，提高其生活质量。

英文摘要：

Objective To explore the status and influencing factors of first -stroke patients＇social participation one week after discharge, thus to provide reference to develop specific measures. Method Totally,271 first - stroke patients were investigated by Impact on Participation and Autonomy Questionaire （IPA） one week after discharge. Results One week after discharge, IPA score of first - stroke patients was （ 51.14 ＋ 13.44） , the scores of each dimension were as the following： family role （ 21.69 ~ 5.07 ）, outdoor autonomy （ 15.22 ~ 2.55 ）, indoor antnnomy （ 14.27 ~ 4.88 ）, social life （ 9.96 ＋ 5.50 ）. Multiple linear regression analysis showed that the influential factors of social participation were ： marital status, type of caregivers, cost and the time interval between onset to ad- mission. Conclusion The findings of this study demonstrated that the stroke survivors have restriction in social participation. It is important to provide interven- tion measures based on the influencing factors, thus to improve the social participation and quality of life of first - stroke patients .