Department of Medicine, Faculty of Medicine, University of Kelaniya, Sri Lanka; Professorial Medical Unit, North Colombo Teaching hospital, Ragama, Sri Lanka.
Department of Pharmacology, Faculty of Medicine, University of Kelaniya, Sri Lanka.
J Stroke Cerebrovasc Dis. 2020 Jun;29(6):104790. doi: 10.1016/j.jstrokecerebrovasdis.2020.104790. Epub 2020 Apr 10.
Stroke awareness is known to influence treatment seeking and risk reduction behavior, but there is limited data from Sri Lanka and South Asia.
To describe stroke awareness in incident stroke patients and to compare with patients without stroke and/or ischemic heart disease (IHD) in a Sri Lankan tertiary-care center.
We studied awareness of stroke in all incident stroke patients admitted to a tertiary-care center in Sri Lanka and compared with a group of age- and sex-matched patients without stroke and/or IHD, over 2 years. Knowledge on stroke mechanisms, risk factors, symptoms, prognosis, treatment, and prevention were evaluated using a 40-item interviewer-administered questionnaire and converted to a composite score of 100%. Total awareness was categorized as Very poor (<24%), Poor (25%-49%), Good (50%-74%), and Very good (>74%).
One hundred and sixty four incident stroke patients (mean age 62.0 ± 11.5 years; 64.6% males) and 164 patients without stroke and/or IHD were studied. Mean stroke awareness was 47.79% ± 14.6 in stroke patients, and 47.73% ± 14.9 in the nonstroke and/or IHD patients (P = .95). Of the associations studied, better stroke awareness (>50%) was associated only with higher education levels (OR 1.90, 95%CI 1.33-2.72, P < .001) in stroke patients.
Stroke awareness is not satisfactory in incident stroke patients and is no better than in patients without stroke and/or IHD. Better stroke awareness was associated with higher education levels.
人们普遍认为，对脑卒中的认识会影响寻求治疗和降低风险的行为，但来自斯里兰卡和南亚地区的数据十分有限。
描述斯里兰卡一家三级医疗中心新发脑卒中患者对脑卒中的认知情况，并将其与无脑卒中及/或缺血性心脏病（IHD）的患者进行比较。
我们研究了所有在斯里兰卡一家三级医疗中心入院的新发脑卒中患者对脑卒中的认知情况，并在 2 年时间内，将其与一组年龄和性别相匹配的无脑卒中及/或 IHD 的患者进行了比较。采用 40 项访谈者管理的问卷评估了对脑卒中发病机制、危险因素、症状、预后、治疗和预防的了解程度，并将其转换为 100 分制的综合评分。总体认知情况分为很差（<24%）、差（25%-49%）、好（50%-74%）和很好（>74%）。
共纳入了 164 例新发脑卒中患者（平均年龄 62.0 ± 11.5 岁，64.6%为男性）和 164 例无脑卒中及/或 IHD 的患者。脑卒中患者的脑卒中认知平均得分为 47.79% ± 14.6，非脑卒中及/或 IHD 患者的脑卒中认知平均得分为 47.73% ± 14.9（P =.95）。在所研究的各项关联中，仅在脑卒中患者中，较高的教育水平（OR 1.90，95%CI 1.33-2.72，P <.001）与更好的脑卒中认知（>50%）相关。
新发脑卒中患者对脑卒中的认知并不理想，与无脑卒中及/或 IHD 的患者相比并无改善。更好的脑卒中认知与较高的教育水平相关。
