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This study employs individualized temperature health risk early warning and risk factor management interventions for stroke, and explores their actual intervention effects. This enables patients to promptly understand their own risk levels and take corresponding protective measures, thereby enhancing the management outcomes and quality of life. The study also promotes the interdisciplinary integration of environmental epidemiology and clinical intervention management, providing new ideas and methodological support for future relevant research.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Enhanced intervention group | Experimental | Receive individualized temperature health risk warning and prevention risk factor management information for stroke through the application |
|
| Temperature health risk early warning group | Experimental | Receive individualized temperature health risk warning through the application |
|
| Risk factor management group | Experimental | Receive individualized prevention risk factor management information for stroke through the application |
|
| Routine education group | No Intervention | Only receive routine health education, without receiving individualized temperature health risk warning or prevention risk factor management information for stroke through the application |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Individualized temperature health risk early warning and risk factor management | Other | Receive individualized temperature health risk warning and prevention risk factor management information for stroke through the application |
| Measure | Description | Time Frame |
|---|---|---|
| 1-year recurrence rate of stroke | Intervention at the 1-year |
| Measure | Description | Time Frame |
|---|---|---|
| 3-month, 6-month, 9-month recurrence rate of stroke | Intervention at 3-month, 6-month, 9-month | |
| Cardiovascular system function indicators | Such as blood pressure, various electrocardiogram indicators and other examination results that can reflect cardiovascular function |
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of adverse cerebrovascular events | Intervention at the 1-year |
Inclusion Criteria:
Aged 40 to 80, with no gender restrictions;
Acute ischemic stroke inpatients within 2 weeks of onset, where the onset time is the time when stroke symptoms appear or the last known normal time of the patient (when it is an onset during sleep or the symptom onset time cannot be accurately obtained due to aphasia, impaired consciousness, etc.); â‘¢ Confirmed diagnosis of ischemic stroke by CT or MRI of the brain within 2 weeks after symptom onset;
Local residents (residing for ≥6 months); ⑤ Patients who voluntarily participate in the study, have high compliance, and can sign the informed consent form;
Exclusion Criteria:
Patients diagnosed with other cerebrovascular diseases (hemorrhagic stroke, transient ischemic attack, cerebral venous sinus thrombosis, etc.) or non-cerebrovascular diseases;
Known pregnant or lactating women, or those who tested positive on a pregnancy test before cluster randomization;
Patients with other conditions that may affect participation in the trial (e.g., refractory hypertension, severe aphasia, etc.);
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Junwei Hao | Contact | 010-83198277 | haojunwei@vip.163.com |
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| Temperature health risk early warning | Other | Receive individualized temperature health risk warning through the application |
|
| Risk factor management | Other | Receive individualized prevention risk factor management information for stroke through the application |
|
| Baseline; Intervention at 3-month, 6-month, 9-month and 1-year |
| Laboratory examination | Such as results of laboratory tests including lipid profiles, blood glucose, coagulation, and other laboratory indicators. | Baseline; Intervention at 3-month, 6-month, 9-month and 1-year |
| Modified Rankin Scale | The Modified Rankin Scale (mRS) is a scale used to assess the neurological recovery status and disability level in stroke patients. The scale ranges from zero to six, divided into seven levels, with higher grades indicating worse conditions. | Baseline; Intervention at 3-month, 6-month, 9-month and 1-year |
| European five-dimensional five-level Health Scale score | The scale includes five dimensions: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression, with each dimension containing five levels. It also includes a 0-100 scale, where a lower score indicates worse condition. | Baseline; Intervention at 3-month, 6-month, 9-month and 1-year |
| Risk perception scale of stroke recurrence | The scale uses a Likert three-point scoring method, assigning values of 1, 2, and 3 for the responses "disagree," "uncertain," and "agree," respectively. A higher score indicates a higher level of perceived ability. | Baseline; Intervention at 3-month, 6-month, 9-month and 1-year |
| Environmental temperature health risk perception assessment 1uestionnaire | Here are multiple questions related to environmental risk factors and health risks, each using a 0-100 scale where a higher score indicates greater understanding | Baseline; Intervention at 3-month, 6-month, 9-month and 1-year |
| Stroke health literacy score | The scale uses a five-point scoring method, with a higher score indicating a higher level of stroke health literacy. | Baseline; Intervention at 3-month, 6-month, 9-month and 1-year |
| Health status score | Such as barthel index (BI) and other scoring scales for evaluating patients' disease recovery, physical condition and other abilities | Baseline; Intervention at 3-month, 6-month, 9-month and 1-year |
| System usability scale | Intervention at 3-month, 6-month, 9-month and 1-year |
| ID | Term |
|---|---|
| D000083242 | Ischemic Stroke |
| ID | Term |
|---|---|
| D020521 | Stroke |
| D002561 | Cerebrovascular Disorders |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
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