Retrospective Study
Copyright ©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Psychiatry. Mar 19, 2025; 15(3): 99152
Published online Mar 19, 2025. doi: 10.5498/wjp.v15.i3.99152
Effect of hospital-community-home collaborative health management on symptoms, cognition, anxiety, and depression in high-risk individuals for stroke
Jing Wang, Chen-Xi Zhao, Jin Tian, Yan-Ru Li, Kai-Fang Ma, Rui Du, Meng-Kun Li, Rui Hu
Jing Wang, Chen-Xi Zhao, Jin Tian, Yan-Ru Li, Kai-Fang Ma, Rui Du, Meng-Kun Li, Department of Public Health, The First Hospital of Hebei Medical University, Shijiazhuang 050000, Hebei Province, China
Rui Hu, Department of Mental Health, The First Hospital of Hebei Medical University, Shijiazhuang 050000, Hebei Province, China
Co-first authors: Jing Wang and Chen-Xi Zhao.
Author contributions: Wang J and Zhao CX designed the research, wrote the first manuscript, conducted the analysis and provided guidance for the research. they contributed equally as co-first authors; Wang J, Zhao CX, Tian J, Li YR, Ma KF, Du R, Li MK, and Hu R contributed to conceiving the research and analyzing data; and all authors reviewed and approved the final manuscript.
Supported by Guiding Project of Hebei Provincial Health Commission, No. 20201190 and 20180220.
Institutional review board statement: This study was approved by the Ethic Committee of The First Hospital of Hebei Medical University (2024 Research and Approval No. 051).
Informed consent statement: Patients were not required to give informed consent to the study because the analysis used anonymous clinical data that were obtained after each patient agreed to treatment by written consent.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Data sharing statement: sharing statement: All data and materials are available from the corresponding author.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Jing Wang, Department of Public Health, The First Hospital of Hebei Medical University, No. 89 Donggang Road, Shijiazhuang 050000, Hebei Province, China. 57800677@hebmu.edu.cn
Received: October 9, 2024
Revised: November 20, 2024
Accepted: December 30, 2024
Published online: March 19, 2025
Processing time: 139 Days and 20.1 Hours
Abstract
BACKGROUND

Effective health management for high-risk stroke populations is essential. The hospital-community-home (HCH) collaborative health management (CHM) model leverages resources from hospitals, communities, and families. By integrating patient information across these three domains, it facilitates the delivery of tailored guidance, health risk assessments, and three-in-one health education.

AIM

To explore the effects of the HCH-CHM model on stroke risk reduction in high-risk populations.

METHODS

In total, 110 high-risk stroke patients screened in the community from January 2019 to January 2023 were enrolled, with 52 patients in the control group receiving routine health education and 58 in the observation group receiving HCH-CHM model interventions based on routine health education. Stroke awareness scores, health behavior levels, medication adherence, blood pressure, serum biochemical markers (systolic/diastolic blood pressure, total cholesterol, and triglyceride), and psychological measures (self-rating anxiety/depression scale) were evaluated and compared between groups.

RESULTS

The observation group showed statistically significant improvements in stroke awareness scores and health behavior levels compared to the control group (P < 0.05), with notable enhancements in lifestyle and dietary habits (P < 0.05) and reductions in postintervention systolic blood pressure, diastolic blood pressure, total cholesterol, triglyceride, self-rating anxiety scale, and self-rating depression scale scores (P < 0.05).

CONCLUSION

The HCH-CHM model had a significant positive effect on high-risk stroke populations, effectively increasing disease awareness, improving health behavior and medication adherence, and appropriately ameliorating blood pressure, serum biochemical marker levels, and negative psychological symptoms.

Keywords: Hospital-community-home-collaborative health management model; High-risk populations for stroke; Stroke awareness score; Health behavior level; Hospital-community-home

Core Tip: High-risk stroke groups often present with obesity, advanced age, multiple comorbidities, low disease awareness, and limited prevention and treatment knowledge. They also suffer considerable burden from the disease. Hence, timely and effective health management interventions are essential. This study examines the impact of the hospital-community-family collaborative health management model on individuals at high-risk for stroke. Compared with routine health education, the hospital-community-family collaborative health management model demonstrates a substantial intervention effect, effectively raising patients’ disease awareness, enhancing their health behaviors and medication adherence, and improving their blood pressure, serum biochemical marker levels, and psychological well-being. These findings offer valuable insights and new strategies for optimizing the management of high-risk stroke populations.