Abstract: Objective  To understand the continuous care needs of stroke patients based on the application (APP), and to provide effective continuous care services for such patients and their families.
Methods  Semi-structured interviews were conducted on 8 stroke patients and 4 family members who had used the APP. The data were sorted and analyzed by means of qualitative study phenomenological analysis. Also, the themes of “Internet +” continuous care needs and the feelings and suggestions of using the “stroke care clinic based on the APP” were extracted. 
Results  The subjects of respondents’ needs for “Internet +” continuous care were: physical rehabilitation guidance, drug-related knowledge, understanding the reimbursement process, video health education, home care guidance, control of risk factors, and home delivery of drugs. The respondents’ feelings and suggestions about using “stroke care clinic based on the APP” were as follows: willing to use the Internet care clinic, easy to use, timely response, time-saving, and professional. 
Conclusions  The “Internet +” continuous care clinic based on the APP should be optimized to improve the continuous care program for stroke patients and improve the medical quality of stroke.

Key words: Stroke; Continuous care need; Semi-structured interview; Internet care clinic; Qualitative study

摘要： 目的 了解基于掌上天坛APP卒中患者延续性护理需求情况，为此类患者及家属提供有效的延续性护理服务。
方法 对使用过掌上天坛APP的8例卒中患者和4例家属进行半结构式访谈，通过质性研究现象学分析法对资料进行整理和分析，并提炼“互联网+”延续性护理需求及使用“掌上天坛APP卒中护理门诊”的感受与建议两方面的主题。
结果 受访者对“互联网+”延续性护理需求的主题分别为肢体康复指导、药物相关知识、了解报销流程等、视频健康教育、居家护理指导、控制危险因素及药物快递到家七大方面的需求；受访者对使用“掌上天坛APP卒中护理门诊”的感受与建议的主题分别为：愿意使用线上互联网护理门诊就诊、使用方便、应答及时、节省时间和专业性强。
结论 应优化基于掌上天坛APP的“互联网+”延续性护理门诊，健全针对卒中患者的延续性护理方案，提升卒中医疗质量。

关键词: 卒中; 延续性护理需求; 半结构式访谈; 互联网护理门诊; 质性研究