Abstract: Objective To investigate the activities of daily living （ADL） and its related factors in stroke patients when they discharging from the hospital after specialist rehabilitation. Methods Taking stroke patients admitted to the rehabilitation department of a hospital in Hai’an from June 2019 to December 2020 as the research object, the ADL status was evaluated when the patients were discharged from the hospital after the specialist rehabilitation, and univariate and multivariate analysis methods were used to analyze the influencing factors of ADL. Results The ADL score of 523 stroke patients after specialist rehabilitation was （62.23 ± 18.27）, of which the proportion of stroke patients with poor ADL score （<60） was 28.49%. Multivariate Logistic regression analysis showed that age （OR=1.861）, body mass index<18.5 kg/m² （OR=1.379） and ≥ 24.0 kg/m² （OR=1.119）, family monthly income （OR=0.666）, rehabilitation course （OR=0.870）, rehabilitation intervention time （OR=4.740）, depression （OR=6.123）, cognitive impairment （OR=3.031）, rehabilitation participation （OR=0.123）, general doctor-patient relationship （OR=0.393） and good doctor-patient relationship （OR=0.264） were influencing factors of ADL score<60 after specialist rehabilitation of stroke patients. Conclusion The ADL of stroke patients is still poor when they discharge from the hospital after specialist rehabilitation. Early prevention and intervention of the influencing factors that affect the outcome of specialist rehabilitation of stroke patients is an effective means to improve the ADL effect of stroke patients after specialist rehabilitation.

Key words: Stroke, Specialist rehabilitation, Activities of daily living, Influencing factor