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Application effect of cognitive behavioral intervention based on health managers in the high-risk groups of stroke |
LAN Yan FAN Jianni ZHU Lehu▲ |
Department of Neurology, the 987th Hospital of the Joint Service Support Unit of Chinese People’s Liberation Army, Shaanxi Province, Baoji 721000, China |
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Abstract Objective To explore the impact of cognitive behavioral intervention based on health managers-led on the cognitive level of stroke prevention knowledge and health behaviors of people at high-risk groups of stroke. Methods A total of 124 high-risk groups of stroke patients admitted to the 987th Hospital of the Joint Service Support Unit of the Chinese People’s Liberation Army from September 2019 to March 2020 were selected and divided into an intervention group and a control group with 62 cases each by random number table method. The control group was given regular health education, and the observation group was given cognitive behavioral intervention based on health managers. Follow-up for six months, the cognitive level of stroke prevention knowledge, health behavior, blood pressure level of two groups were compared. Results After six months of follow-up, the scores of the cognitive level of stroke prevention knowledge in the two groups were higher than those before the intervention, and the intervention group was higher than the control group, and the differences were statistically significant (P < 0.05). Follow-up for six months, the health behavior scores of the two groups were higher than those before the intervention (P < 0.05), and the interpersonal relationship, nutrition, personal goals, health responsibility, and exercise scores of the intervention group were higher than those of the control group, and the differences were statistically significant (P < 0.05). Follow-up for six months, body mass index (BMI), systolic blood pressure (SBP), diastolic blood pressure (DBP), glucose (Glu) and triacylglycerol (TG) of the observation group were lower than before the intervention, the BMI, SBP, Glu, and TG of the control group were lower than those before the intervention, the BMI, SBP, and Glu of the intervention group were significantly lower than those of the control group, and the differences were statistically significant (P < 0.05). Conclusion Cognitive behavior intervention led by health managers can help raise the knowledge level of stroke prevention and treatment in high-risk populations, improve healthy behaviors, and control risk factors for stroke.
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