背景：腦中風病患在出院後立即面臨無法執行日常活動的困境，若提供有效的轉銜期照護，可協助病患處理身心 的改變並加速恢復健康。
目的：瞭解提供轉銜期照護，對腦中風病患日常生活能力、照顧結果、跌倒發生率之成效。
方法：本研究採類實驗性研究設計法，在南部某醫學中心的神經科病房，以方便取樣的方式，共收集70位腦中風 病患資料；其中有36位接受轉銜期照護模式，34位對照組接受醫院常規出院衛教。測量工具包括巴氏量表、 照顧結果量表等評量項目，以f檢定、配對f檢定及卡方檢定等統計方法來進行資料分析。
結果：提供轉銜期照護模式措施，對腦中風病患之影響：（1)實驗組「巴氏量表」後測總分共增加38.75分，高於對 照組的32.80分，但無統計顯著差異；（2)「照顧結果量表」實驗組總分32.56分，高於對照組的31.26分，且 兩組達統計顯著性差異（f = -3.00,p < .05) ； (3)實驗組腦中風病患跌倒發生率低於對照組腦中風病患（0.896%。 vs. 4.744%; Z = 1.711,p < .05)。
結論：本研究結果發現，提供轉銜期照護對腦中風病患照顧結果及跌倒發生率，有統計上的顯著成效，因此可做 為相關人員幫助腦中風病患返家照護之參考。

Background: Stroke patients recently discharged from the hospital often face difficulties performing activities of daily living (ADLs). Providing effective transitional care may help patients manage their physical and psychological changes and accelerate recovery.
Purpose: This paper examines the effect of "transitional care" on daily activity skills, care outcomes, and fall incidence.
Methods: A quasi-experimental design was used. Thirty-six patients in the experimental group received "transitional care" and 34 patients in the control group received standard discharge education. Outcome measures included the Barthel Index, the Care Outcome Scale, and the fall incidence rate one month after hospital discharge. Chi-square test, independent t-test and paired t-test were used for data analysis.
Results: The post-test showed the Barthel Index score increment was greater in the experimental than the control group (38.75 vs 32.80). However, the difference did not reach statistical significance. The experimental group earned a significantly higher total score on the Care Outcome Scale than the control group (32.56 vs. 31.26; t = -3.00, p < .01) and had a significantly lower fall incidence rate than the control group (0.896%。vs. 4.744%。; Z = 1.711, p < .05).
Conclusion: This study found that providing transitional care improved daily living skills and function in stroke patients, but that the level of improvement did not reach statistical significance. The effects of transitional care on patient care outcomes and the rate of fall incidence, however, were significant. Study results can be used to improve stroke patient home care.