learn健康教育结合智能随访管理在缺血性脑卒中二级预防中的应用及其对患者依从性和神经功能影响的随机对照研究

IF 2.7 4区 医学 Q2 HEALTH CARE SCIENCES & SERVICES
Risk Management and Healthcare Policy Pub Date : 2025-07-10 eCollection Date: 2025-01-01 DOI:10.2147/RMHP.S516608
Rui Chu, Xue Zhen, Lei Wang, Min Zhang, Min Shang, Chao Wang, Jia Liu
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引用次数: 0

摘要

目的:本随机对照研究旨在评估learn健康教育结合智能随访管理在缺血性脑卒中二级预防中的有效性,重点关注患者依从性和神经功能结局。学习模型是一个结构化的患者教育框架,包括倾听,建立,采用,强化,命名和加强,旨在支持个性化和互动的患者学习。方法:选取我院神经内科2024年4 - 6月收治的首发IS患者120例,随机分为对照组(n = 60)和观察组(n = 60),分别接受常规健康教育+智能随访管理。采用一般药物依从性量表(GMAS)、二级预防控制措施(包括血糖、血压、脂质控制、戒烟/戒酒、肥胖控制和运动依从性)、Barthel神经功能指数(BI)和缺血性卒中复发来评估患者结局。在出院时和出院后6个月内的所有随访时间点进行评估。结果:观察组患者的药物依从率显著高于对照组,各二级预防措施的控制性较好,各随访时间点神经功能恢复率显著高于对照组(P < 0.05)。观察组6个月复发率(1.67%)显著低于对照组(13.33%),差异有统计学意义(P < 0.05)。结论:learn健康教育结合智能随访管理可有效提高缺血性脑卒中患者的依从性,改善二级预防效果,支持神经功能恢复,降低复发风险。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A Randomized Controlled Study on the Application of LEARNS Health Education Combined with Intelligent Follow-up Management in Secondary Prevention of Ischemic Stroke and Its Impact on Patient Compliance and Neurological Function.

Objective: This randomized controlled study aimed to evaluate the effectiveness of LEARNS health education combined with intelligent follow-up management in the secondary prevention of ischemic stroke (IS), focusing on patient compliance and neurological function outcomes. The LEARNS model is a structured patient education framework encompassing Listen, Establish, Adopt, Reinforce, Name, and Strengthen, aiming to support individualized and interactive patient learning.

Methods: A total of 120 first-episode IS patients admitted to the Neurology Department of our hospital from April to June 2024 were enrolled and randomly assigned to either a control group (n = 60), receiving conventional health education plus intelligent follow-up, or an observation group (n = 60), receiving LEARNS health education combined with intelligent follow-up management. Patient outcomes were assessed using the General Medication Adherence Scale (GMAS), secondary prevention control measures (including blood glucose, blood pressure, lipid control, smoking/alcohol cessation, obesity control, and exercise adherence), the Barthel Index (BI) for neurological function, and ischemic stroke recurrence. Evaluations were conducted at discharge and at all follow-up time points within six months post-discharge.

Results: Compared to the control group, the observation group showed significantly higher medication adherence rates, better control in all secondary prevention measures, and higher neurological function recovery rates at all follow-up time points (P < 0.05). Additionally, the 6-month recurrence rate was significantly lower in the observation group (1.67%) than in the control group (13.33%) (P < 0.05).

Conclusion: LEARNS health education combined with intelligent follow-up management effectively enhances patient compliance, improves secondary prevention outcomes, supports neurological recovery, and reduces recurrence risk in patients with ischemic stroke.

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来源期刊
Risk Management and Healthcare Policy
Risk Management and Healthcare Policy Medicine-Public Health, Environmental and Occupational Health
CiteScore
6.20
自引率
2.90%
发文量
242
审稿时长
16 weeks
期刊介绍: Risk Management and Healthcare Policy is an international, peer-reviewed, open access journal focusing on all aspects of public health, policy and preventative measures to promote good health and improve morbidity and mortality in the population. Specific topics covered in the journal include: Public and community health Policy and law Preventative and predictive healthcare Risk and hazard management Epidemiology, detection and screening Lifestyle and diet modification Vaccination and disease transmission/modification programs Health and safety and occupational health Healthcare services provision Health literacy and education Advertising and promotion of health issues Health economic evaluations and resource management Risk Management and Healthcare Policy focuses on human interventional and observational research. The journal welcomes submitted papers covering original research, clinical and epidemiological studies, reviews and evaluations, guidelines, expert opinion and commentary, and extended reports. Case reports will only be considered if they make a valuable and original contribution to the literature. The journal does not accept study protocols, animal-based or cell line-based studies.
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