Application Of China-PAR Model In Stroke Risk Assessment And Short-term Intervention Effect Of High-risk Stroke Population Classification

Objective: Stroke is not only a major public health problem in various countries around the world,but also the first cause of death or disability among adults in my country.It is of great practical significance to identify the risk of stroke early and intervene in its development.This study adopts a comparative research method.By carrying out the risk assessment of stroke disease in the community,and trying to carry out primary preventive measures of graded and classified management according to the evaluation results,the intervention effect of the intervention group and the control group is used to judge whether the graded and classified management is effective..At the same time,we should understand the current situation and influencing factors of stroke incidence risk and stroke prevention and control related knowledge,belief,behavior and influencing factors in this community,so as to provide scientific basis for formulating more scientific and reasonable stroke intervention and prevention measures.Methods: A total of 600 people in the community aged 35-75 were selected by stratified random sampling as the survey objects,and they were divided into 300 people in the control group and 300 people in the experimental group.After the completion of the grouping,different intervention measures for stroke were taken in the two groups for one year,and relevant information was collected through the baseline questionnaire,the stroke knowledge,belief and behavior questionnaire and the Chinese cardiovascular disease risk prediction model.All data were statistically analyzed using SPSS 26.0.Results: The average 10-year stroke risk score of 600 residents before intervention was5.12±4.05 points,and the high-risk risk rate was 12.3%;the average lifetime onset risk score was 19.59±10.06 points,and the high-risk risk rate was 11.03%.The risk of the disease is slightly higher in men than in women.The average score of the knowledge dimension of stroke prevention and control was 4.67±1.74 points,and the rate of reaching the standard was 23.2%.The average score of prevention and control belief was25.35±13.61,and the rate of reaching the standard only accounted for 17.2%,which was the lowest among the three dimensions.The average score of prevention and control behavior was 4.53±2.31 points,and the rate of reaching the standard was 32.3%,which was the highest proportion of the three dimensions of stroke knowledge,belief,and behavior.Prevention and control belief holding is a positive factor for prevention and control knowledge(P<0.05);no other physical diseases,no family history of cancer,good prevention and control knowledge,and implementation of prevention and control behavior are positive effects of prevention and control belief holding Factors(P<0.05);female,56-65 years old,and belief in prevention and control were the positive influencing factors for the formation of prevention and control behaviors(P<0.05).After the end of the project,the 10-year stroke risk and lifetime risk assessment scores of the residents in the street who participated in the project decreased from 5.12±4.05 points and 19.67±10.13 points before the project to 4.81±3.68 points and 17.53±7.61 points after the project,respectively.After the intervention,the average 10-year stroke risk score of the experimental group was 4.42 points and the average lifetime stroke risk score was 16.33 points,which were lower than the average scores of 5.19 points and 19.15 points in the control group after the intervention(All P<0.05).Residents who participated in the project scored 4.67±1.74 points before the intervention on stroke prevention and control knowledge,25.35±13.61 points before the intervention on the prevention and control belief,and 4.53±2.31 points before the intervention on the prevention and control behavior,which were lower than the6.64±1.87 points after the intervention,respectively.score,41.90±12.66,6.10±1.73(all P<0.05).The average scores of prevention and control knowledge,prevention and control belief,and prevention and control behavior in the experimental group after intervention were 7.47 points,50.71 points,and 6.99 points,respectively,which were better than the average scores of 5.80 points,33.08 points,and 5.22 points in the control group after intervention(all P<0.05).Conclusions: The ten-year and lifetime risk of stroke in this street population is close to the general level of other researchers,and the knowledge,belief,and behavior of stroke in the population still needs to be further improved.Deepening the depth of publicity and education,enhancing the confidence in the prevention and treatment of this disease,and carrying out more cultural and sports activities,prevention and treatment of chronic diseases such as hypertension and diabetes will be a meaningful attempt to reduce the risk of stroke in residents and improve the level of knowledge,belief,and behavior.The comparison results before and after the intervention show that the hierarchical and classified management of high-risk stroke population is more effective in improving residents’ knowledge of stroke prevention and control,belief in prevention and control,and reducing residents’ ten-year risk of stroke and lifetime risk of stroke.Current interventions for people at high risk of stroke.