Nordanstig A, Asplund K, Norrving B, Wahlgren N, Wester P, Rosengren L
Department of Clinical Neuroscience, Institute of Neuroscience and Physiology, The Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden.
Department of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden.
Acta Neurol Scand. 2017 Oct;136(4):345-351. doi: 10.1111/ane.12777. Epub 2017 May 31.
Time delay from stroke onset to arrival in hospital is an important obstacle to widespread reperfusion therapy. To increase knowledge about stroke, and potentially decrease this delay, a 27-month national public information campaign was carried out in Sweden.
To assess the effects of a national stroke campaign in Sweden.
The variables used to measure campaign effects were knowledge of the AKUT test [a Swedish equivalent of the FAST (Face-Arm-Speech-Time)] test and intent to call 112 (emergency telephone number) . Telephone interviews were carried out with 1500 randomly selected people in Sweden at eight points in time: before, three times during, immediately after, and nine, 13 and 21 months after the campaign.
Before the campaign, 4% could recall the meaning of some or all keywords in the AKUT test, compared with 23% during and directly after the campaign, and 14% 21 months later. Corresponding figures were 15%, 51%, and 50% for those remembering the term AKUT and 65%, 76%, and 73% for intent to call 112 when observing or experiencing stroke symptoms. During the course of the campaign, improvement of stroke knowledge was similar among men and women, but the absolute level of knowledge for both items was higher for women at all time points.
The nationwide campaign substantially increased knowledge about the AKUT test and intention to call 112 when experiencing or observing stroke symptoms, but knowledge declined post-intervention. Repeated public information therefore appears essential to sustain knowledge gains.
从中风发作到入院的时间延迟是广泛开展再灌注治疗的一个重要障碍。为了增加对中风的了解，并有可能减少这种延迟，瑞典开展了一项为期27个月的全国性宣传活动。
评估瑞典全国性中风宣传活动的效果。
用于衡量宣传活动效果的变量是对AKUT测试（瑞典版的FAST测试，即面部-手臂-言语-时间测试）的了解程度以及拨打112（紧急电话号码）的意愿。在瑞典随机抽取1500人，在八个时间点进行电话访谈：宣传活动前、活动期间三次、活动刚结束后，以及活动结束后9个月、13个月和21个月。
宣传活动前，4%的人能回忆起AKUT测试中部分或全部关键词的含义，活动期间及刚结束后这一比例为23%，21个月后为14%。对于记住AKUT这个词的人，相应比例分别为15%、51%和50%；在观察或经历中风症状时拨打112的意愿方面，相应比例分别为65%、76%和73%。在宣传活动过程中，男性和女性在中风知识的改善方面相似，但在所有时间点，女性在这两项知识的绝对水平上都更高。
全国性宣传活动大幅提高了对AKUT测试的了解以及在经历或观察到中风症状时拨打112的意愿，但干预后知识有所下降。因此，反复进行公众宣传对于维持知识增长似乎至关重要。
