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Application effectiveness of large language models in health consultation for stroke patients
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Hong CHEN1, Tong LIU2, Guosong LI2, Yingzhuo MA2, Mingzhao XIAO2, Qinghua ZHAO2
Chinese Nursing Research | 2026, 40(4) : 529 - 535
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Chinese Nursing Research | 2026, 40(4): 529-535
• Original Articles •
Application effectiveness of large language models in health consultation for stroke patients
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Hong CHEN1, Tong LIU2, Guosong LI2, Yingzhuo MA2, Mingzhao XIAO2, Qinghua ZHAO2
Affiliations
  • 1Fengdu County People's Hospital, Chongqing 408200 China
  • 2The First Affiliated Hospital of Chongqing Medical University
Published: 2026-02-25 doi: 10.12102/j.issn.1009-6493.2026.04.001
Outline
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Objective

To evaluate the efficacy and application potential of different large language models in health education consultation for stroke patients.

Methods

Using 21 common clinical questions of stroke and 2 sets of typical clinical scenario simulation cases,three rounds of tests were conducted on DeepSeek R1,ERNIE Bot X1,ChatGPT-4o,and Claude 3.7 Sonnet large language models.Three neurology department chief physicians were selected to evaluate the models from five dimensions:accuracy,comprehensiveness,understandability,humanistic care,and case analysis ability.

Results

The overall performance of all models was good.DeepSeek R1 had the highest total score, followed by ChatGPT-4o,Claude 3.7 Sonnet, and ERNIE Bot X1.DeepSeek R1 and ChatGPT-4o performed outstandingly in complex clinical reasoning,evidence-based medical knowledge transmission,humanistic care,and case analysis.ERNIE Bot X1 had an advantage in the adaptability to the Chinese context.

Conclusions

Large language models showed positive auxiliary application value in the field of stroke health education.However,the clinical review mechanism needs to be combined to enhance the reliability of the information.The clinical application of these models could be promoted by optimizing the transparency of the algorithms and the adaptability to the local context.

large language models  /  stroke  /  artificial intelligence  /  health consultation
陈红, 刘彤, 李国松, 马应卓, 肖明朝, 赵庆华. 大语言模型在脑卒中病人健康咨询中的应用效能. 护理研究, 2026 , 40 (4) : 529 -535 . DOI: 10.12102/j.issn.1009-6493.2026.04.001
Hong CHEN, Tong LIU, Guosong LI, Yingzhuo MA, Mingzhao XIAO, Qinghua ZHAO. Application effectiveness of large language models in health consultation for stroke patients[J]. Chinese Nursing Research, 2026 , 40 (4) : 529 -535 . DOI: 10.12102/j.issn.1009-6493.2026.04.001
Year 2026 volume 40 Issue 4
33
14
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Article Info
doi: 10.12102/j.issn.1009-6493.2026.04.001
  • Receive Date:2025-05-07
  • Online Date:2026-10-28
  • Published:2026-02-25
Article Data
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History
  • Received:2025-05-07
  • Revised:2026-02-01
Affiliations
    1Fengdu County People's Hospital, Chongqing 408200 China
    2The First Affiliated Hospital of Chongqing Medical University

Corresponding:

LIU Tong, E-mail:
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