Becker K, Fruin M, Gooding T, Tirschwell D, Love P, Mankowski T
University of Washington School of Medicine, Harborview Medical Center, Seattle, Wash., USA.
Cerebrovasc Dis. 2001;11(1):34-43. doi: 10.1159/000047609.
Despite advances in stroke therapy, the public remains uninformed about stroke, and few stroke patients present to the hospital in time to receive treatment. Health education campaigns can increase community awareness and may decrease time to hospital presentation among stroke patients.
We conducted a community-based education campaign utilizing television and newspapers to inform the residents of King County, Wash., USA, about stroke and the need to call 911. The effectiveness of the campaign was assessed, using a pretest-posttest design, through telephone interviews with residents of King County.
Prior to the education campaign, 59.6% of persons in King County could name a risk factor for stroke, but only 45.2% knew that the brain was the organ of injury. And while 68.2% of persons stated that they would call 911 in the event of stroke, only 38.6% could name a symptom of stroke. The knowledge deficit was greatest among Asian-Americans, men, the less educated and low-income residents. There was a significant increase in stroke knowledge following the education campaign; respondents were 52% (p = 0.005) more likely to know a risk factor for stroke and 35% (p = 0.032) more likely to know a symptom of stroke after the campaign.
Baseline knowledge about stroke among the public is poor, but can be increased through public education campaigns.
尽管中风治疗取得了进展,但公众对中风仍然缺乏了解,很少有中风患者能及时到医院接受治疗。健康教育活动可以提高社区意识,并可能减少中风患者到医院就诊的时间。
我们开展了一项以社区为基础的教育活动,利用电视和报纸向美国华盛顿州金县的居民宣传中风以及拨打911的必要性。通过对金县居民进行电话访谈,采用前后测试设计评估了该活动的效果。
在教育活动之前,金县59.6%的人能说出一种中风风险因素,但只有45.2%的人知道大脑是受损器官。虽然68.2%的人表示如果中风会拨打911,但只有38.6%的人能说出中风的一种症状。知识缺陷在亚裔美国人、男性、受教育程度较低者和低收入居民中最为严重。教育活动后中风知识有显著增加;活动后,受访者知道中风风险因素的可能性增加了52%(p = 0.005),知道中风症状的可能性增加了35%(p = 0.032)。
公众对中风的基线知识较差,但可以通过公众教育活动来提高。