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WANG Xiaoli, CA0 Junjing, LI Lingjie, ZHANG Dong, SI Xiaona(Department of Neurology, Zhengzhou People's Hospital, Zhengzhou 450000, China )

AbstractObjective 'To analyze the effects of applying the 4C management model in stroke nursing clinicsto high-risk populations for cerebral infarction, Methods 73 high-risk individuals for cerebral infarctionadmitted from January to December 2021 were selected as the control group, and 75 high-risk individualsfor cerebral infarction admitted from January to December 2022 were selected as the 4C management group. T'he control group were adopted the conventional continuous care model of the stroke nursing outpatientdepartment , while the 4C management group were added the 4C management model of the stroke nursingoutpatient department on the basis of the control group. Follow up for 6 months , the compliance rate of riskfactors for cerebral infarction were investigated. Health behavior using the Health Promotion Lifestyle Seale- ( HPLP. ll ) 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 healthbehavior scores such as health responsibility, self-actualization, nutrition, exercise, interpersonarelationships, and stress management, as well as self-care skills, self-care responsibility, healthknowledge level, self-concept, and other self-care ability scores were higher than those in the controlgroup , and the difference was statistically significant ( P<0.05 ). The invidenee of cerebral infareition inthe control group was higher than that in the 4C management group during the management period in thehigh-risk population for cerebral infarction. ( P<0.05 ) Conclusion The 4C management model of strokenursing clinies can significantly improve the risk faetor complianee rate of high-risk populations for cerebralinfarction , and can enhance healthy behavior and self-care abilities.Keywords: stroke care clinic;4C management mode; people at high risk of cerebral infarction;compliance rate of risk factors for cerebral infaretion; healthy behavior; self-care ability

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