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社区居民对脑卒中相关知识的认知及强化健康教育后的改善:一项横断面研究。

Recognition of stroke-related knowledge among community residents and the improvement after intensive health education: a cross-sectional study.

机构信息

Department of Neurology, The Second People's Hospital of Chengdu, Chengdu, Sichuan, China.

出版信息

BMC Neurol. 2020 Oct 12;20(1):373. doi: 10.1186/s12883-020-01951-6.

DOI:10.1186/s12883-020-01951-6
PMID:33045995
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7549216/
Abstract

BACKGROUND

The high morbidity, mortality, and disability rates of stroke constitute a heavy burden to the society. The level of understanding about stroke warning symptoms and first aid systems among community residents was generally low. The aim of our work is to investigate stroke-related knowledge in community residents of Jinjiang district of Chengdu and to raise public awareness about stroke through an intensive educational program.

METHODS

Nine communities in Jinjiang district were sampled and a questionnaire about stroke-related knowledge was applied before and after stroke educational activities. We analyzed the impact of such activities in stroke recognition and management.

RESULTS

We collected 1685 valid questionnaires. The awareness about stroke risk before educational activities was 11.4%. The recognition of stroke warning signs among community residents was 29.8-59.5%. Among them, the recognition of major signs, such as limb weakness, language disorder, and imbalance was more than 50%. When faced with five stroke warning signs, the proportion of participants who chose to make an emergency call was 41.5%. Less than 10% of the participants chose to consult a doctor, take medicine, or wait. After strengthening publicity and educational activities regarding stroke, there was a significant improvement in the identification of stroke risk factors, warning signs, and stroke management. The percentage of participants who chose to make an emergency call increased from 53.2 to 82.7%.

CONCLUSIONS

The knowledge about stroke among community residents in Jinjiang District of Chengdu was low. Strengthening publicity and educational activities may raise awareness about stroke prioritizing call emergency after the onset of stroke signs.

摘要

背景

脑卒中具有较高的发病率、死亡率和致残率,给社会带来了沉重的负担。社区居民对脑卒中预警症状和急救系统的了解程度普遍较低。我们旨在调查成都市锦江区社区居民的脑卒中相关知识,并通过强化教育计划提高公众对脑卒中的认识。

方法

在脑卒中教育活动前后,对锦江区的 9 个社区进行抽样,并应用脑卒中相关知识问卷进行调查。我们分析了这些活动对脑卒中识别和管理的影响。

结果

共收集了 1685 份有效问卷。教育活动前,居民对脑卒中风险的知晓率为 11.4%。社区居民对脑卒中预警信号的识别率为 29.8-59.5%。其中,对肢体无力、言语障碍和失衡等主要症状的识别率超过 50%。当面对 5 个脑卒中预警信号时,选择拨打急救电话的参与者比例为 41.5%。不到 10%的参与者选择咨询医生、服药或等待。加强脑卒中宣传和教育活动后,对脑卒中危险因素、预警信号和脑卒中管理的识别有显著提高。选择拨打急救电话的比例从 53.2%增加到 82.7%。

结论

成都市锦江区社区居民对脑卒中的认识较低。加强宣传和教育活动可能会提高公众对脑卒中的认识,优先考虑在脑卒中症状出现后拨打急救电话。

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