中風患者在日常生活活動上常有功能損失，而以居家為基礎的復健模式可讓中風患者在真實生活情境中演練，重新回到生活中，因此本研究欲了解以居家為基礎，對中風患者日常生活功能之介入成效。方法：檢索 PudMed、MEDLINE、CINHAL、華藝線上圖書館等電子資料庫在 2013 年 1 月 ~2019 年 4 月所發表之論文，搜尋以中風患者為主，居家日常生活功能相關之隨機控制臨床試驗。結果：本文共收錄 7 篇實證層級佳的文獻，分別以基本日常生活活動、工具性日常生活活動、參與度、生活品質及滿意度、認知狀態、中風失能狀態及動作功能等面向進行探討，各篇文獻成效差異大，僅動作功能表現具一致性的統計顯著差異結果，即介入後動作功能皆顯著高於介入前之動作能力。結論：因日常生活活動所涵蓋之面向廣泛，結果成效差異可能源於評估面向不完整，建議未來可選擇同時評估實際表現 (actual performance)、自覺困難 (perceived difficulty) 以及執行能力(capacity) 三面向之日常生活功能評估工具，以全面性地評估日常生活功能。過去文獻之介入方式，常依個案需求進行介入，此方法與復能 (reablement) 之概念相似，然目前無使用復能介入中風患者之相關文獻，未來建議可進一步對此方面進行介入成效探討。

Objective: Stroke patients often have functional loss in their daily activities. Home-based rehabilitation allows patients to practice activities of daily living in real-life situations and return to life. Therefore, the purpose of this study was to review the effects of home-based rehabilitation on activities of daily living for patients with stroke. Methods: Articles published between January 2013 and April 2019 were retrieved from electrical databases (i.e., PubMed, MEDLINE, CINHAL, and Ariti Library). We searched studies involving randomized controlled trial on activities of daily living, home environment, and patients with stroke. Results: Seven randomized controlled trials with high quality methodology were included. These studies explored the effects of home-based rehabilitation for patients with stroke from different aspects: basic activities of daily life, instrumental activities of daily living, participation, quality of life and satisfaction, cognitive status, disability status, and motor function. The results showed differences in effectiveness. Only the effects on motor function showed consistent results (statistically significant). That is, motor functions after interventions were statistically better than those before interventions. Conclusion: The inconsistent results could be not assessing activities of daily living in a comprehensive manner. We recommend future studies should use measures with three domains of activities daily living (i.e., actual performance, perceived difficulty, and capability) to assess activities of daily living comprehensively. Previous studies provided home-based rehabilitation based on clients’ needs, which is similar to the reablement model. However, no studies have investigated the effects of the reablement model in home environments for patients with stroke. Future studies are recommended to explore the effects of reablement on activities of daily living in patients with stroke.