Bhutta Zain A, Pathan Sameer A, Puolakka Tuukka, Akhtar Naveed, Thomas Stephen H, Harris Tim, Shuaib Ashfaq, Cameron Peter A, Castren Maaret
Department of Emergency Medicine, Hamad Medical Corporation, Doha, Qatar.
Department of Emergency Medicine and Services, Helsinki University Hospital and University of Helsinki, Helsinki, Finland.
J Patient Exp. 2024 Aug 5;11:23743735241242717. doi: 10.1177/23743735241242717. eCollection 2024.
Evaluating stroke campaigns and associated behavioural changes is crucial to assess intervention effectiveness and inform future strategies. We aimed to evaluate patient's and bystanders' foreknowledge of stroke signs and symptoms and their response at stroke onset. We interviewed stroke patients using a validated questionnaire or their bystanders if the stroke patient had disabling stroke. The questionnaire was administered to 165 participants, 142 (86.1%) stroke patients and 23 (13.9%) bystanders. The mean age was 52.6 (SD = 11.7), and male-female ratio was 7:1. Among the participants, 33 (20.1%) had foreknowledge of stroke signs, and of these, 27 (16.5%) were aware of the stroke campaign in Qatar. The behavioural responses at stroke onset included; activating Emergency Medical Services (EMS) ( = 55, 33.3%), calling friends/relatives ( = 69, 41.8%), driving to hospital ( = 33, 20%), waiting for improvement in condition ( = 21, 12.7%). There was no association of ethnicity, marital status, or campaign awareness with EMS activation. Despite limited community awareness of stroke signs and campaign, help-seeking behaviour through EMS activation was generally high, underscoring the need for focused educational efforts and public health interventions.
评估中风宣传活动及相关行为变化对于评估干预效果和为未来策略提供依据至关重要。我们旨在评估患者及旁观者对中风体征和症状的预先了解情况以及他们在中风发作时的反应。如果中风患者患有致残性中风,我们会使用经过验证的问卷对其进行访谈,或者对其旁观者进行访谈。该问卷被发放给了165名参与者,其中142名(86.1%)为中风患者,23名(13.9%)为旁观者。平均年龄为52.6岁(标准差 = 11.7),男女比例为7:1。在参与者中,33名(20.1%)了解中风体征,其中27名(16.5%)知晓卡塔尔的中风宣传活动。中风发作时的行为反应包括:呼叫紧急医疗服务(EMS)(n = 55,33.3%)、打电话给朋友/亲戚(n = 69,41.8%)、开车去医院(n = 33,20%)、等待病情好转(n = 21,12.7%)。种族、婚姻状况或对宣传活动的知晓程度与呼叫EMS之间没有关联。尽管社区对中风体征和宣传活动的认知有限,但通过呼叫EMS寻求帮助的行为普遍较高,这突出了开展有针对性的教育工作和公共卫生干预措施的必要性。