目的：分析老年脑卒中康复期患者康复自我效能的潜在类别及其与自理能力的关系。方法：选择 44 例老年脑卒中康复期患者，于患者康复治疗期间采用一般资料调查表、脑卒中康复自我效能量表、美国国立 卫生研究院脑卒中量表、焦虑自评量表、抑郁自评量表、改良Barthel指数、简易智力状态检查量表对患者进 行调查。采用Mplus 8.3软件对患者康复自我效能进行潜在剖面分析，采用SPSS 26.0软件对比不同康复自 我效能类别患者的自理能力。结果：老年脑卒中康复期患者康复自我效能分为康复自我效能一般型 （27.78%）和康复自我效能良好型（72.22%）2个潜在类别。年龄、文化程度、卒中类型、主要照顾者、康复锻炼 依从性、神经功能损伤程度、焦虑、抑郁、认知功能障碍、吞咽障碍是影响老年脑卒中康复期患者康复自我效 能潜在剖面类别的预测因素。2个康复自我效能潜在类别患者的自理能力分级存在差异（P＜0.01）。结论： 老年脑卒中康复期患者康复自我效能分为2个类别，不同康复自我效能类别患者的自理能力存在差异。

To analyze the potential latent classes of rehabilitation self-efficacy in elderly patients during the rehabilitation phase after stroke and its relationship with self-care ability. Methods: A total of 44 elderly patients in the rehabilitation phase after stroke were selected. During their rehabilitation treatment, they were surveyed using a general information questionnaire, the Stroke Rehabilitation Self-Efficacy Scale, the National Institutes of Health Stroke Scale, the Self-Rating Anxiety Scale, the Self-Rating Depression Scale, the Modified Barthel Index, and the Mini-Mental State Examination. Mplus 8.3 software was employed to conduct latent profile analysis of patients' rehabilitation self-efficacy. SPSS 26.0 software was used to compare the self-care ability of patients with different rehabilitation self-efficacy classes. Results: The rehabilitation self-efficacy of elderly patients in the rehabilitation phase after stroke was divided into two potential latent classes: the average rehabilitation self-efficacy type (27.78% ) and the good rehabilitation self-efficacy type (72.22%). Age, educational level, stroke type, primary caregiver, compliance with rehabilitation exercises, degree of neurological impairment, anxiety, depression, cognitive dysfunction, and dysphagia were predictive factors influencing the latent profile classes of rehabilitation self-efficacy in these patients. There were differences in the self-care ability classification between the two potential latent classes of rehabilitation self-efficacy (P<0.01). Conclusion: The rehabilitation self-efficacy of elderly patients in the rehabilitation phase after stroke can be classified into two types, and there are differences in self-care ability among patients with different rehabilitation self-efficacy classes.