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墨西哥城人群对缺血性中风的了解情况。

Knowledge of ischemic stroke among a Mexico City population.

作者信息

Góngora-Rivera Fernando, Gutiérrez-Jiménez Eugenio, Zenteno Marco Antonio

机构信息

Department of Neurology, Instituto Nacional de Neurología y Neurocirugía Manuel Velasco Suárez, Mexico City, México.

出版信息

J Stroke Cerebrovasc Dis. 2009 May-Jun;18(3):208-13. doi: 10.1016/j.jstrokecerebrovasdis.2008.10.002.

Abstract

INTRODUCTION

Knowledge of risk factors (RF) and warning signs of stroke by the general population is fundamental to implement efficient preventive measures and provide timely treatment. The objective of this study was to assess this knowledge in a sample population of Mexico City.

METHODS

Personal interview was conducted in a multifamily building complex in Mexico City. The questionnaire included sociodemographic and comorbidity factors. Knowledge was determinated according to the number of correct answers. Chi-square and Wilcoxon rank tests were performed and significant variables were included in a multivariate logistic regression model using level of knowledge as the dependent variable.

RESULTS

A total of 330 subjects were interviewed. Of the respondents, 66.7% named one RF associated with ischemic stroke, whereas only 12.1% identified 3 or more; one warning sign was identified by 36.7% and only 2.1% identified 3 or more. The factors associated with knowledge of RF were history of hypertension, educational level, and family history of ischemic stroke. Educational level and a family history of stroke were also associated with knowledge of warning signs.

DISCUSSION

A Family history of ischemic stroke was the most important way to receive information about RF and warning signs of ischemic stroke. The study shows the need for informing the public about prevention and early detection of ischemic stroke.

摘要

引言

普通人群对中风风险因素(RF)和警示信号的了解是实施有效预防措施和提供及时治疗的基础。本研究的目的是评估墨西哥城样本人群对此类知识的掌握情况。

方法

在墨西哥城的一个多家庭建筑群中进行个人访谈。问卷包括社会人口统计学和合并症因素。根据正确答案的数量确定知识掌握情况。进行卡方检验和威尔科克森秩和检验,并将显著变量纳入以知识水平为因变量的多变量逻辑回归模型。

结果

共访谈了330名受试者。在受访者中,66.7%提到了一个与缺血性中风相关的风险因素,而只有12.1%的人识别出3个或更多;36.7%的人识别出一个警示信号,只有2.1%的人识别出3个或更多。与风险因素知识相关的因素有高血压病史、教育水平和缺血性中风家族史。教育水平和中风家族史也与警示信号知识相关。

讨论

缺血性中风家族史是获取缺血性中风风险因素和警示信号信息的最重要途径。该研究表明有必要向公众宣传缺血性中风的预防和早期检测。

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