Health Services Research Unit, Akershus University Hospital, Lørenskog, Norway; Department of Neurology, Akershus University Hospital, Lørenskog, Norway.
Health Services Research Unit, Akershus University Hospital, Lørenskog, Norway; Institute of Clinical Medicine, University of Oslo, Oslo, Norway.
J Stroke Cerebrovasc Dis. 2019 Nov;28(11):104359. doi: 10.1016/j.jstrokecerebrovasdis.2019.104359. Epub 2019 Sep 5.
Awareness of stroke symptoms and risk factors, and actions taken in order to reduce the risk of new stroke events, should be of great importance among stroke survivors. The aims of this study were to assess changes in stroke-related knowledge and lifestyle behavior among patients experiencing a cerebrovascular event, and to assess the agreement between the patients' self-reported diagnosis, and the discharge diagnosis.
All patients discharged with a diagnosis of stroke or transient ischemic attack during a 1-year period, received postal survey questionnaires at 3 and 12 months after discharge. The questionnaires included questions about symptom knowledge, lifestyle behavior, and patients were asked to report on their diagnosis.
A total of 282 patients were included (mean age 71.8 years, 57.1% men). Self-reported symptom knowledge was increased at 3 months (P < .001), and this persisted at 12 months. There was a poor correlation (r = .082; P = .171) between increasing symptom knowledge and stated lifestyle behavior changes. In all, 63% of the respondents correctly identified their own cerebrovascular subtype. Thirty-seven percent had quit smoking after 12 months, 30% reported that they used less sugary items, and 26% used less fatty food after the cerebrovascular event.
Stroke survivors reported increased stroke symptoms knowledge after 3 and 12 months. A proportion of patients made changes in lifestyle behavior. Only 2 out of 3 patients correctly identified their own cerebrovascular subtype, indicating room for improvement in clinical practice when informing and communicating with stroke and transient ischemic attack patients about their diagnosis.
脑卒中幸存者应高度重视对脑卒中症状和危险因素的认识，以及采取行动降低新发脑卒中事件的风险。本研究的目的是评估经历脑血管事件的患者脑卒中相关知识和生活方式行为的变化，并评估患者自我报告的诊断与出院诊断之间的一致性。
在 1 年内出院诊断为脑卒中或短暂性脑缺血发作的所有患者，在出院后 3 个月和 12 个月时通过邮寄问卷调查。问卷包括症状知识、生活方式行为的问题，要求患者报告自己的诊断。
共纳入 282 例患者（平均年龄 71.8 岁，57.1%为男性）。3 个月时自我报告的症状知识增加（P＜0.001），12 个月时仍持续增加。症状知识增加与报告的生活方式行为变化之间相关性较差（r=0.082；P=0.171）。所有患者中，63%正确识别出自己的脑血管亚型。12 个月后，37%的患者戒烟，30%报告减少含糖食物摄入，26%减少脂肪摄入。
脑卒中幸存者在 3 个月和 12 个月后报告脑卒中症状知识增加。部分患者改变了生活方式行为。仅 2/3 的患者正确识别出自己的脑血管亚型，表明临床实践在告知和与脑卒中及短暂性脑缺血发作患者沟通诊断时仍有改进空间。
