Abstract: Background　Recurrence risk perception is associated with recurrence risk awareness and healthy behaviors of patients to a certain extent，however，there have been few studies about recurrence risk perception in stroke patients. Objective　To explore the characteristics and related factors of recurrence risk perception in stroke patients，to provide a recurrence risk perception-based reference for forming healthy behavior habits and improving health outcomes in the stroke patients. Methods　Convenience sampling was used to select 17 stroke patients hospitalized in the Fifth Affiliated Hospital of Zhengzhou University，Zhengzhou Central Hospital and Hua County People's Hospital of Henan Province from April to October 2019. Semi-structured，in-depth，face-to-face interviews were conducted to understand patients' recurrence risk perception and associated factors，analyzed and categorized into dominant themes. Results　Three dominant themes identified were factors，contents and characteristics of recurrence risk perception. Factors of recurrence risk perception were mainly stroke-related knowledge，attitude and psychology，health behavior awareness，and family and social environment. The contents of recurrence risk perception mainly included recurrence possibility，recurrence risk factors and recurrence severity. The main characteristics of recurrence risk perception were subjective underestimation of recurrence risk，subjective avoidance of recurrence problems，and objective perception of recurrence risk with individual experience limitations. Conclusion　The perceived risk of recurrence in stroke patients is not homogeneous，which is influenced by multiple factors and problematic. In view of this，medical workers should pay attention to provide scientific and appropriate recurrence risk perception assessment and management services for these patients to help them develop correct awareness of recurrence risk perception，master recurrence risk related knowledge and develop healthy habits.

Key words: Stroke, Recurrence, Qualitative research, Perception

摘要： 背景　复发风险感知在一定程度上影响着患者复发风险意识与健康行为，但目前关于脑卒中患者疾病复发风险感知的研究报道较少见。目的　剖析脑卒中患者复发风险感知特征及相关因素，从复发风险感知角度为脑卒中患者健康行为习惯养成和健康结局改善提供参考。方法　采用方便抽样法选取2019年4—10月在郑州大学第五附属医院、郑州市中心医院及河南省滑县人民医院住院的脑卒中患者17例，采用面对面、半结构式深入访谈法进行访谈，并按照质性研究中的类属分析法对访谈资料进行整理与分析。结果　共析出复发风险感知因素、复发风险感知内容、复发风险感知特征3大类属，其中复发风险感知因素主要为疾病相关知识、疾病态度与心理、健康行为意识、家庭社会环境；复发风险感知内容主要为复发可能性、复发危险因素、复发严重性；复发风险感知特征主要为主观上低估复发风险、主观上回避复发问题、客观上具有个体经验局限性。结论　脑卒中患者复发风险感知内容并不单一，受多方面因素影响且存在一定问题，医护人员应注意提供科学、合理的复发风险感知评估与管理服务，使其树立正确的复发风险感知意识、掌握复发风险相关知识、养成良好的健康行为习惯。

关键词: 卒中, 复发, 定性研究, 感知