Risk Management and Healthcare Policy (Jul 2025)
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
Abstract
Rui Chu,1 Xue Zhen,2 Lei Wang,2 Min Zhang,3 Min Shang,4 Chao Wang,5 Jia Liu6 1The Third Ward of Medical Oncology Department, the First Affiliated Hospital of Qiqihar Medical College, Qiqihar, People’s Republic of China; 2Neurointerventional Ward, Department of Rehabilitation Medicine, the First Affiliated Hospital of Qiqihar Medical College, Qiqihar, People’s Republic of China; 3Department of Nursing, the First Affiliated Hospital of Qiqihar Medical College, Qiqihar, People’s Republic of China; 4Second Ward, Department of Neurology, the First Affiliated Hospital of Qiqihar Medical College, Qiqihar, People’s Republic of China; 5Qiqihar Medical College, Qiqihar, People’s Republic of China; 6Academic Affairs Department, The First Affiliated Hospital of Qiqihar Medical College, Qiqihar, People’s Republic of ChinaCorrespondence: Jia Liu, Email [email protected]: 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.Keywords: LEARNS model, health education, intelligent follow-up, ischemic stroke, secondary prevention, medication adherence, neurological recovery
