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高血压患者对卒中预警症状的认知及其影响因素:来自埃塞俄比亚西北部的一项基于机构的横断面研究。

Knowledge on Stroke Warning Signs and Associated Factors Among Hypertensive Patients, Northwest Ethiopia: An Institution-Based Cross-Sectional Study.

机构信息

Department of Adult Health Nursing, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia.

Department of Pediatrics and Child Health Nursing, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia.

出版信息

Vasc Health Risk Manag. 2021 Nov 22;17:721-728. doi: 10.2147/VHRM.S333394. eCollection 2021.

Abstract

INTRODUCTION

Stroke is one of the leading causes of death globally and is a major cause of disability worldwide. It is a preventable and treatable disease by the prevention of modifiable risk factors and early recognition of warning signs, respectively.

OBJECTIVE

To assess knowledge on stroke warning signs and associated factors among hypertensive patients at South Gondar Zone Comprehensive Specialized Hospital, Northwest Ethiopia, 2020.

METHODS

An institution-based cross-sectional study was conducted in South Gondar Zone Comprehensive Specialized Hospital from June 1-30, 2020. A systematic random sampling technique was used and data were collected through face to face interviews. Data were entered into Epi data version 4.6.0.0 and exported to SPSS version 25 for cleaning and analysis. Bivariate and multivariable logistic regression analysis was used and variables with p <0.05 in the multivariable analysis were considered as statistically significant.

RESULTS

Two hundred and fifty-three hypertensive patients completed the questionnaire with a response rate of 100%. Among the total respondents, 15% (95% CI: 10.7, 19.4) of participants had good knowledge of stroke warning signs. Younger age (AOR: 2.82; 95% CI: 1.18, 6.74), urban residence (AOR: 2.9; 95% CI: 1.04, 8.11), being educated (AOR: 2.6; 95% CI: 1.09, 6.23) and having long duration hypertension follow up (AOR: 2.7; 95% CI: 1.25, 5.81) were significantly associated with good knowledge of stroke warning signs.

CONCLUSION

This study revealed that participants had poor knowledge of stroke warning signs. Younger age, urban residence, being educated and having long duration hypertension follow up were predictors of good stroke warning signs knowledge. Health information dissemination needs to be strengthened for hypertensive patients, particularly for older, rural residents, the non-educated and those having short duration of hypertension follow up.

摘要

简介

中风是全球范围内主要的死亡原因之一,也是全球范围内主要的残疾原因。通过预防可改变的危险因素和及早识别警告信号,可以分别预防和治疗这种疾病。

目的

评估 2020 年在埃塞俄比亚西北南贡达尔地区综合专科医院的高血压患者对中风警告信号及其相关因素的认识。

方法

2020 年 6 月 1 日至 30 日,在南贡达尔地区综合专科医院进行了一项基于机构的横断面研究。采用系统随机抽样技术,通过面对面访谈收集数据。数据输入 Epi data 版本 4.6.0.0,并导出到 SPSS 版本 25 进行清理和分析。采用双变量和多变量逻辑回归分析,多变量分析中 p<0.05 的变量被认为具有统计学意义。

结果

253 名高血压患者完成了问卷,应答率为 100%。在总受访者中,15%(95%置信区间:10.7,19.4)的参与者对中风警告信号有较好的认识。年龄较小(AOR:2.82;95%置信区间:1.18,6.74)、城市居住(AOR:2.9;95%置信区间:1.04,8.11)、受过教育(AOR:2.6;95%置信区间:1.09,6.23)和高血压随访时间较长(AOR:2.7;95%置信区间:1.25,5.81)与中风警告信号的良好认知显著相关。

结论

本研究表明,参与者对中风警告信号的认识较差。年龄较小、城市居住、受教育程度较高和高血压随访时间较长是良好中风警告信号知识的预测因素。需要加强对高血压患者的健康信息传播,特别是对年龄较大、农村居民、未受教育者和高血压随访时间较短的患者。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/456b/8622714/21c0ea58091d/VHRM-17-721-g0001.jpg

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