Ali Reem Jaffar, Manorenj Sandhya, Zafar Ruqya
Department of Neurology, Princess Esra Hospital, Deccan College of Medical Sciences, Hyderabad, Telangana, India.
J Neurosci Rural Pract. 2024 Jan-Mar;15(1):111-116. doi: 10.25259/JNRP_312_2023. Epub 2024 Jan 12.
The objective of this study was to determine the awareness of stroke in regards to the risk factors, warning symptoms, and knowledge of the therapeutic window period among varied strata of non-medical people attending a tertiary care center.
The interventional study involved the collection of data regarding awareness of stroke using a structured questionnaire with a total score of 16. Pre-intervention assessment was followed by intervention in the form of education regarding awareness of stroke administered one-on-one for personalized and effective comprehension by subjects. Then, subjects were asked to recall the information that was delivered to them and were scored accordingly.
Among the 500 subjects included, 51% were female. About 76.8% of participants were young (age <50 years), and 83.4% were literate. Only 25.4% of participants were aware of the brain as the site of stroke. About 32.2% of candidates were aware of a few risk factors for stroke. Among them, the majority of participants were aware of hypertension (24%) as a risk factor. The most known warning symptom was "Numbness" or weakness of arm. The majority of the subjects (97.8%) were unaware of a therapeutic window period for stroke being 4.5 h or below. The mean pre-intervention score was 2.52 ± 1.65 while the mean post-intervention score was 15.10 ± 1.79 ( < 0.0001).
The study showed that even among literate participants, only a meager number of subjects were aware of the golden window period of intravenous thrombolysis. Educational intervention by means of an in-person and one-on-one explanation achieved significant levels of understanding of stroke. The study could be used to formulate large-scale educational programs that focus on spreading awareness of symptoms and risk factors while also instilling the importance of timely medical intervention for efficient thrombolytic therapy.
本研究的目的是确定在一家三级医疗中心就诊的不同层次非医学人群对中风的危险因素、警示症状以及治疗窗口期知识的知晓情况。
这项干预性研究通过使用一份总分16分的结构化问卷来收集有关中风知晓情况的数据。在干预前进行评估，然后以一对一的形式开展关于中风知晓情况的教育干预，以便受试者能够个性化且有效地理解相关内容。之后，要求受试者回忆所传达给他们的信息并据此评分。
纳入的500名受试者中，51%为女性。约76.8%的参与者为年轻人（年龄<50岁），83.4%有文化。只有25.4%的参与者知道大脑是中风的发病部位。约32.2%的受试者知晓一些中风的危险因素。其中，大多数参与者知道高血压（24%）是一个危险因素。最常见的警示症状是手臂“麻木”或无力。大多数受试者（97.8%）不知道中风的治疗窗口期为4.5小时或更短。干预前的平均得分为2.52±1.65，而干预后的平均得分为15.10±1.79（<0.0001）。
该研究表明，即使在有文化的参与者中，也只有极少数受试者知道静脉溶栓的黄金窗口期。通过面对面一对一解释进行的教育干预使对中风的理解达到了显著水平。该研究可用于制定大规模教育项目，重点是传播症状和危险因素的知晓情况，同时灌输及时医疗干预对有效溶栓治疗的重要性。
