Application of 4C management model based on stroke care outpatient clinic in high-risk groups of cerebral infarction
Objective To analyze the effects of applying the 4C management model in stroke nursing clinics to high-risk populations for cerebral infarction.Methods 73 high-risk individuals for cerebral infarction admitted from January to December 2021 were selected as the control group,and 75 high-risk individuals for cerebral infarction admitted from January to December 2022 were selected as the 4C management group.The control group were adopted the conventional continuous care model of the stroke nursing outpatient department,while the 4C management group were added the 4C management model of the stroke nursing outpatient department on the basis of the control group.Follow up for 6 months,the compliance rate of risk factors for cerebral infarction were investigated.Health behavior using the Health Promotion Lifestyle Scale-Ⅱ(HPLP-Ⅱ)and self-care ability using the exercise of self-care agency scale(ESCA)were evaluated.Results After intervention,the compliance rate of stroke risk factors such as blood pressure,blood lipids,blood glucose,exercise ability,and body mass index in the 4C management group,as well as health behavior scores such as health responsibility,self-actualization,nutrition,exercise,interpersonal relationships,and stress management,as well as self-care skills,self-care responsibility,health knowledge level,self-concept,and other self-care ability scores were higher than those in the control group,and the difference was statistically significant(P<0.05).The invidence of cerebral infarcition in the control group was higher than that in the 4C management group during the management period in the high-risk population for cerebral infarction.(P<0.05)Conclusion The 4C management model of stroke nursing clinics can significantly improve the risk factor compliance rate of high-risk populations for cerebral infarction,and can enhance healthy behavior and self-care abilities.
stroke care clinic4C management modepeople at high risk of cerebral infarctioncompliance rate of risk factors for cerebral infarctionhealthy behaviorself-care ability
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