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本文引用的文献

1
Delivering Knowledge of Stroke to Parents Through Their Children Using a Manga for Stroke Education in Elementary School.通过漫画向小学生传授中风知识，从而将中风知识传递给家长。
J Stroke Cerebrovasc Dis. 2017 Feb;26(2):431-437. doi: 10.1016/j.jstrokecerebrovasdis.2016.10.005. Epub 2016 Nov 9.
2
School-based intervention to enable school children to act as change agents on weight, physical activity and diet of their mothers: a cluster randomized controlled trial.以学校为基础的干预措施，让学童成为其母亲体重、身体活动和饮食方面的变革推动者：一项整群随机对照试验。
Int J Behav Nutr Phys Act. 2016 Apr 6;13:45. doi: 10.1186/s12966-016-0369-7.
3
Effects of a Stroke Primary Prevention Program on Risk Factors for At-Home Elderly.一项中风一级预防计划对居家老年人危险因素的影响。
Med Sci Monit. 2015 Nov 28;21:3696-703. doi: 10.12659/msm.895519.
4
Effective Education Materials to Advance Stroke Awareness Without Teacher Participation in Junior High School Students.无需教师参与的初中生脑卒中认知提升有效教育材料
J Stroke Cerebrovasc Dis. 2015 Nov;24(11):2533-8. doi: 10.1016/j.jstrokecerebrovasdis.2015.07.001. Epub 2015 Jul 28.
5
Effects of stroke education of junior high school students on stroke knowledge of their parents: Tochigi project.初中生中风教育对其父母中风知识的影响：枥木项目。
Stroke. 2015 Feb;46(2):572-4. doi: 10.1161/STROKEAHA.114.007907. Epub 2014 Dec 18.
6
Randomized controlled trial of a multipronged intervention to improve blood pressure control among stroke survivors in Nigeria.在尼日利亚开展的一项多管齐下干预措施以改善中风幸存者血压控制情况的随机对照试验。
Int J Stroke. 2014 Dec;9(8):1109-16. doi: 10.1111/ijs.12331. Epub 2014 Jul 18.
7
Effects of stroke education using an animated cartoon and a manga on elementary school children.使用动画卡通和漫画对小学生进行中风教育的效果。
J Stroke Cerebrovasc Dis. 2014 Aug;23(7):1877-81. doi: 10.1016/j.jstrokecerebrovasdis.2014.02.015. Epub 2014 May 1.
8
Stroke education using an animated cartoon and a manga for junior high school students.使用动画卡通和漫画对初中生进行中风知识教育。
J Stroke Cerebrovasc Dis. 2014 Jul;23(6):1623-7. doi: 10.1016/j.jstrokecerebrovasdis.2014.01.001. Epub 2014 Mar 27.
9
Stroke education program of act FAST for junior high school students and their parents.初中学生及其家长的 FAST 行动中风教育计划。
J Stroke Cerebrovasc Dis. 2014 May-Jun;23(5):1040-5. doi: 10.1016/j.jstrokecerebrovasdis.2013.08.021. Epub 2013 Oct 2.
10
Effects of intensive and moderate public education on knowledge of early stroke symptoms among a Japanese population: the Acquisition of Stroke Knowledge study.强化和适度公众教育对日本人群早期中风症状知识的影响：获得中风知识研究。
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基于学校的卒中教育计划对卒中相关知识和行为改变的影响——在日本农村地区针对小学生和家长监护人的基于学校班级的干预研究。

Effects of a school-based stroke education program on stroke-related knowledge and behaviour modification-school class based intervention study for elementary school students and parental guardians in a Japanese rural area.

机构信息

Department of Preventive Medicine and Public Health, Keio University School of Medicine, Shinjuku, Tokyo, Japan.

Department of Neurology, Dokkyo Medical Unversity, Mibu, Tochigi, Japan.

出版信息

BMJ Open. 2017 Dec 21;7(12):e017632. doi: 10.1136/bmjopen-2017-017632.

DOI:10.1136/bmjopen-2017-017632
PMID:29273654
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5778283/
Abstract

OBJECTIVES

This study aimed to determine the effect of a stroke education programme on elementary school students and their parental guardians in a rural area in Japan that has high stroke mortality.

DESIGN

School class based intervention study.

SETTING

Eleven public elementary schools in Tochigi Prefecture, Japan.

PARTICIPANTS

268 students aged 11-12 years and 267 parental guardians.

INTERVENTIONS

Students received lessons about stroke featuring animated cartoons and were instructed to communicate their knowledge about stroke to their parental guardians using material (comic books) distributed in the lessons. Stroke knowledge (symptoms, risk factors and attitude towards stroke) and behavioural change for risk factors were assessed at baseline, immediately after the programme and at 3 months. We also evaluated behavioural change for risk factors among parental guardians.

RESULTS

The percentage of students with all correct answers for stroke symptoms, risk factors and the recommended response to stroke was significantly increased at 3 months P<0.001). We observed a significant increase in the percentage of guardians who chose all correct symptoms (P<0.001: 61.0% vs 85.4%) and risk factors (P<0.001: 41.2% vs 59.9%) at 3 months compared with baseline. The percentage of parental guardians with a high behavioural response to improving risk factors was significantly increased at 3 months compared with baseline (P<0.001).

CONCLUSIONS

In a rural population with high stroke mortality, stroke education can improve knowledge about stroke in elementary school students and their parental guardians.

ETHICS AND DISSEMINATION

We conducted the intervention as a part of compulsory education; this study was not a clinical trial. This study was approved by the Ethics Committee of the National Cerebral and Cardiovascular Center (M27-026).

摘要

目的

本研究旨在确定在日本一个中风死亡率较高的农村地区，对小学生及其家长进行中风教育计划的效果。

设计

基于学校班级的干预研究。

地点

日本栃木县 11 所公立小学。

参与者

268 名 11-12 岁的学生和 267 名家长。

干预措施

学生们通过动画卡通片接受中风课程，并被指导使用课程中分发的材料（漫画书）向家长传达他们的中风知识。在基线、项目结束后和 3 个月时，评估中风知识（症状、风险因素和对中风的态度）和风险因素行为改变。我们还评估了家长的风险因素行为改变。

结果

学生对中风症状、风险因素和推荐的中风应对措施的所有正确答案的比例在 3 个月时显著增加（P<0.001）。我们观察到选择所有正确症状的监护人比例在 3 个月时显著增加（P<0.001：61.0%比 85.4%）和风险因素（P<0.001：41.2%比 59.9%）。与基线相比，改善风险因素的高行为反应的家长比例在 3 个月时显著增加（P<0.001）。

结论

在中风死亡率较高的农村地区，中风教育可以提高小学生及其家长对中风的认识。

伦理和传播

我们将干预作为义务教育的一部分进行；这不是临床试验。本研究得到了日本国立循环器病研究中心伦理委员会的批准（M27-026）。