The application of transtheoretical model combined with WeChat follow-up in blood lipid management of acute ischemic stroke patients with concomitant dyslipidemia

ZHANG Xiaoxia; WANG Wenfang; JI Weizhong; LUO Yuru; JU Xiaoming

doi:10.12173/j.issn.1004-5511.202407032

Abstract：Objective To explore the application of the transtheoretical model combined with WeChat follow-up on the levels of lipid levels,health knowledge of lipid management,attitudes and behaviours in acute ischemic stroke patients with concomitant dyslipidemia.Methods Data of patients diagnosed with acute ischemic stroke concomitant with dyslipidemia admitted to the Neurology Department of Qinghai Provincial People's Hospital between December 2022 and November 2023 were collected and randomly divided into the combined intervention group and the conventional control group.The combined intervention group received transtheoretical model combined with WeChat follow-up intervention,while the conventional control group received traditional health education.The differences of blood lipid biochemical indicators[total cholesterol(TC),triglycerides(TG),low-density lipoprotein cholesterol(LDL-C),high-density lipoprotein cholesterol(HDL-C),apolipoprotein A1(ApoA1)and apolipoprotein B(ApoB)],health knowledge-attitude-behavior level of blood lipid management,intervention compliance,nursing satisfaction,and psychological status between two groups were compared.Results A total of 120 patients with acute ischemic stroke complicated by dyslipidemia were included,with 60 in the combined intervention group and 60 in the conventional control group.Before treatment,there were no statistically significant differences in baseline characteristics between the two groups(P＞0.05).After three months of intervention,serum levels of TC,TG,LDL-C,and ApoB were significantly lower in both groups compared to pre-intervention levels(P＜0.05),while serum levels of ApoA1 and HDL-C increased(P＜0.05).Patients in the combined intervention group exhibited significantly lower levels of TC,TG,LDL-C,and ApoB compared to the conventional control group,with significantly higher levels of ApoA1 and HDL-C(P＜0.05).Knowledge,attitude and behavioural scores for lipid management were elevated in both groups,with each score significantly higher in the combined intervention group than in the conventional control group(P＜0.05).After 3 months of intervention,the compliance and nursing satisfaction of patients in the combined intervention group were significantly higher than those in the conventional control group(P＜0.05).The scores of somatization,obsessive-compulsive symptoms,interpersonal relationships,depression,anxiety,hostility,fear,paranoia,and psychoticism in the combined intervention group were significantly lower than those in the conventional control group(P＜0.05).Conclusion The application of the transtheoretical model combined with WeChat follow-up can effectively improve the lipid profiles of patients with acute ischemic stroke concomitant with dyslipidemia.It also can enhance patients'health knowledge,attitudes,and behavioral patterns regarding lipid management,increases intervention adherence and nursing satisfaction,and ameliorate psychological well-being.