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Objective To explore the impacts of health empowerment model combined with binary coping intervention on neurological function,coping style,and hope level in elderly stroke patients. Methods A total of 144 elderly stroke patients admitted to Handan Central Hospital from October 2020 to October 2022 were selected as the research subjects,they were randomly separated into a reference group and an observation group,with 72 cases in each group.The reference group received routine nursing intervention,while observation group received health empowerment combined with binary coping intervention,The neurological function [National Institutes of Health Stroke Scale(NIHSS)] ,coping style [Simplified coping style questionnaire(SCSQ)] ,and hope level [Herth hope index(HHI)] of both groups were evaluated before and after intervention. Results There was no statistically significant difference in NIHSS scores,SCSQ scores,and HHI scores between the two groups before intervention(P>0.05).After intervention,the NIHSS scores of the observation group were lower than those in the control group(P<0.05),the positive coping style scores of SCSQ were higher than those in the control group(P<0.05),the negative coping style scores of SCSQ were lower than thos in the control group(P<0.05),and the scores of all dimensions in HHI were higher than those in the control group(P<0.05). Conclusion The combination of health empowerment model and binary coping intervention can obviously improve the neurological function of elderly stroke patients,enhance positive coping styles,and effectively enhance their hope level.