目的：深入探究脊髓损伤(SCI)伴神经源性膀胱(NB)患者居家期间的康复需求，为实施针对性干预措施提供参考。方法：采用目的抽样法，选取南京市某三级甲等医院康复医学科的SCI伴NB患者为研究对象，对12名患者进行半结构式访谈，采用Colaizzi 七步分析法对访谈资料进行编码、分析、提炼主题。结果：患者居家康复需求可归纳为4个主题：对医疗服务的需求、生活管理、情绪体验和政策支持需求。结论：转变居家康复理念，提高患者自护知识和技能，进一步完善医疗保险体系，提高社区全科诊疗，医护人员应及时关注患者及家属的情绪变化，提供心理支持等措施，以提升患者居家康复质量。

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