Evidence map›Paper›PMID 40661703›Full record

ArticleRisk management and healthcare policy2025

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.

Rui Chu, Xue Zhen, Lei Wang, Min Zhang, Min Shang, Chao Wang, Jia Liu

Abstract read
In one paragraph

Article in Risk management and healthcare policy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Rui ChuThe Third Ward of Medical Oncology Department, the First Affiliated Hospital of Qiqihar Medical College, Qiqihar, People's Republic of China.
Xue ZhenNeurointerventional Ward, Department of Rehabilitation Medicine, the First Affiliated Hospital of Qiqihar Medical College, Qiqihar, People's Republic of China.
Lei WangNeurointerventional Ward, Department of Rehabilitation Medicine, the First Affiliated Hospital of Qiqihar Medical College, Qiqihar, People's Republic of China.
Min ZhangDepartment of Nursing, the First Affiliated Hospital of Qiqihar Medical College, Qiqihar, People's Republic of China.
Min ShangSecond Ward, Department of Neurology, the First Affiliated Hospital of Qiqihar Medical College, Qiqihar, People's Republic of China.ORCID 0000-0001-5633-8279
Chao WangQiqihar Medical College, Qiqihar, People's Republic of China.
Jia LiuAcademic Affairs Department, The First Affiliated Hospital of Qiqihar Medical College, Qiqihar, People's Republic of China.ORCID 0009-0001-3755-6737

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

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.

Indexed as

health educationintelligent follow-upischemic strokeLEARNS modelmedication adherenceneurological recoverysecondary prevention

Identifiers

PMID40661703
PMCPMC12258199

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.