Osman Walid Abdulkadir, Ahmed Hassan Muse, Abdullahi Maryan Mukhtar, Kuule Amal Adam, Hassan Qaali Barre
Faculty of Health Sciences Mogadishu University Mogadishu Somalia.
Health Sci Rep. 2024 Dec 5;7(12):e70242. doi: 10.1002/hsr2.70242. eCollection 2024 Dec.
Stroke is a leading cause of death and disability globally, with hypertension identified as the main risk factor. Therefore, the knowledge, attitudes, and practices (KAP) of hypertensive patients are crucial for the early recognition and timely intervention needed to prevent strokes and minimize their long-term complications. This study aimed to evaluate the knowledge, attitudes, and practices regarding stroke among hypertensive patients.
The study used a cross-sectional design and enrolled 289 hypertensive patients. A consecutive sampling technique was employed to select the participants. Data were collected through an interviewer-administered questionnaire and analyzed using SPSS software (version 26). A significance level of 0.05 was established for the study.
70.6% of participants identified stroke as an interruption in blood flow to the brain. The majority of respondents (94.5%) identified hypertension and diabetes as risk factors for stroke. Sudden loss of vision or double vision is the most prominent indicator of stroke (75.8%). In terms of stroke complications, chronic headaches (89.3%) were widely recognized. Only 41.9% of the patients checked their blood pressure, and 37% took their medications regularly. The knowledge level significantly differed only with sex. However, significant differences were observed in the mean scores for attitudes based on age, education, and income, and in the practice mean score based on sex, education, employment status, and income. A weak positive correlation was found between patients' knowledge and attitude, but no significant correlation between knowledge and practice, or attitude and practice.
The study demonstrated that respondents had good knowledge about stroke but struggled to convert it into a positive attitude and practice. These findings suggest the need for targeted interventions to improve attitudes and practices towards stroke prevention.
中风是全球死亡和残疾的主要原因，高血压被确定为主要危险因素。因此，高血压患者的知识、态度和行为（KAP）对于预防中风并将其长期并发症降至最低所需的早期识别和及时干预至关重要。本研究旨在评估高血压患者对中风的知识、态度和行为。
本研究采用横断面设计，纳入了289名高血压患者。采用连续抽样技术选择参与者。通过访谈员管理的问卷收集数据，并使用SPSS软件（版本26）进行分析。本研究设定的显著性水平为0.05。
70.6%的参与者将中风识别为脑部血流中断。大多数受访者（94.5%）将高血压和糖尿病识别为中风的危险因素。突然视力丧失或复视是中风最突出的指标（75.8%）。在中风并发症方面，慢性头痛（89.3%）被广泛认可。只有41.9%的患者测量血压，37%的患者定期服药。知识水平仅在性别上存在显著差异。然而，在基于年龄、教育程度和收入的态度平均得分以及基于性别、教育程度、就业状况和收入的行为平均得分方面观察到显著差异。患者的知识与态度之间存在弱正相关，但知识与行为、态度与行为之间无显著相关性。
该研究表明，受访者对中风有较好的了解，但难以将其转化为积极的态度和行为。这些发现表明需要有针对性的干预措施来改善对中风预防的态度和行为。
