目的：探讨以脑心健康管理师为主导的健康管理对中青年缺血性脑卒中患者自我管理行为及服药依从 性的影响。方法：中青年缺血性脑卒中患者112例，分为对照组55例和干预组57例。对照组给予常规管理和 随访，干预组实施以脑心健康管理师为主导的健康管理。干预前及干预3月后采用青年脑卒中患者自我管理 行为量表及8项服药依从性量表评价效果。结果：干预后，干预组自我管理行为总分及疾病管理、日常生活管 理、饮食自我管理、康复锻炼管理及资源利用管理五个维度的分数显著高于对照组（P＜0.01），干预组服药依 从性亦高于对照组（P＜0.01）。结论：以脑心健康管理师为主导的健康管理改善了中青年缺血性脑卒中患者 的自我管理行为，同时提高了其服药依从性。

To explore effect of brain and heart health manager-led health management on self-management behavior and medication compliance of young and middle-aged patients with ischemic stroke. Methods: Young and middle-aged patients (n=112) with ischemic stroke were divided into the control group (55 cases) and intervention group (57 cases). The control group was given routine management and follow-up, and the intervention group was given brain and heart health manager-led health management. The effect of intervention was evaluated by the youth stroke patient self-management behavior scale and 8-item medication compliance scale before intervention and 3 months after intervention. Results: After intervention, the total score of self-management behavior and the scores of disease management, daily life management, diet self-management, rehabilitation exercise management, and resource utilization management in the intervention group were significantly higher than those in the control group (P<0.01). The compliance of the intervention group was also higher than that of the control group (P<0.01). Conclusion: Brain and heart health manager-led health management improves the self-management behavior of young and middle-aged patients with ischemic stroke, and also improves their medication compliance.