非老年成年人脑卒中症状识别和应对的公众教育活动的效果：系统评价和荟萃分析。

Effectiveness of Public Education Campaigns for Stroke Symptom Recognition and Response in Non-Elderly Adults: A Systematic Review and Meta-Analysis.

机构信息

Ng Teng Fong General Hospital, 1 Jurong East Street 21, Singapore 609606.

Research Fellow, National University of Singapore, Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Level 3, Clinical Research Centre, Block MD11, 10 Medical Drive, 117597, Singapore.

出版信息

J Stroke Cerebrovasc Dis. 2022 Feb;31(2):106207. doi: 10.1016/j.jstrokecerebrovasdis.2021.106207. Epub 2021 Nov 26.

DOI:10.1016/j.jstrokecerebrovasdis.2021.106207

PMID:34844126

Abstract

OBJECTIVES

The incidence of stroke is on the rise among younger adults. Stroke educational campaigns are often used to raise public knowledge of stroke warning signs and response actions, but their effectiveness in non-elderly adults is unclear. This study investigated the effectiveness of stroke campaigns in improving stroke symptom recognition and intention to call emergency medical services in adults aged < 65 years, and described the characteristics of public stroke education in this demographic group.

MATERIALS AND METHODS

Seven databases (Cochrane Library, CINAHL, Embase, Medline, PsycINFO, Scopus, and ProQuest Dissertations and Theses) were searched from inception to 24 January 2021. A meta-analysis was conducted to synthesize the effects of stroke education campaigns on stroke symptom recognition and intention to call emergency medical services in adults < 65 years. A narrative synthesis approach was used to explore the types of educational content and campaign best suited to this demographic group.

RESULTS

Thirteen studies from 2001 to 2019 were included in this review. Out of the thirteen studies, five were included in the meta-analysis to synthesize the effects of stroke education campaigns on symptom recognition and four were included for synthesizing the effects on intention to call emergency medical services. The estimated pooled risk ratio for post-campaign compared with pre-campaign in stroke symptom recognition and intention to call emergency medical services was 1.20 (95% CI: 1.07-1.36, p = 0.002) and 1.19 (95% CI: 1.11-1.28, p < 0.00001), respectively. Usage of acronyms in broadcast and digital media campaigns appears promising in enhancing recognition of and responsiveness to stroke symptoms.

CONCLUSIONS

Public stroke education campaigns were found to have a significant impact on stroke symptom recognition and intention to call emergency medical services. The evidence generated from this review could be applied to inform future campaigns targeted at younger adults.

摘要

目的

中风在年轻人中的发病率正在上升。中风教育活动通常用于提高公众对中风警告信号和应对措施的认识，但在非老年人中的效果尚不清楚。本研究调查了中风活动在提高<65 岁成年人中风症状识别和拨打紧急医疗服务电话的意图方面的有效性，并描述了这一年龄段人群中公众中风教育的特点。

材料和方法

从建库到 2021 年 1 月 24 日，在 Cochrane Library、CINAHL、Embase、Medline、PsycINFO、Scopus 和 ProQuest Dissertations and Theses 七个数据库中进行了检索。对中风教育活动对<65 岁成年人中风症状识别和拨打紧急医疗服务电话的意图的影响进行了荟萃分析。采用叙述性综合方法探讨了适合该人群的教育内容和活动类型。

结果

纳入了 2001 年至 2019 年的 13 项研究。其中 5 项研究被纳入荟萃分析以综合中风教育活动对症状识别的影响，4 项研究被纳入综合对拨打紧急医疗服务电话的意图的影响。与干预前相比，干预后中风症状识别和拨打紧急医疗服务电话的意向的估计汇总风险比分别为 1.20（95%CI：1.07-1.36，p=0.002）和 1.19（95%CI：1.11-1.28，p<0.00001）。在广播和数字媒体活动中使用缩写词似乎有望提高对中风症状的识别和反应能力。