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患者照顾者对中风的认知及寻求医疗行为:苏丹喀土穆易卜拉欣·马利克和索巴教学医院的横断面研究(2022年)

Awareness of stroke and health-seeking behaviours among caregivers of patients: a cross-sectional study at Ibrahim Malik and Soba Teaching Hospitals, Khartoum, Sudan (2022).

作者信息

Mohammed Alaa Galal, Dahab Ahmed Rabie, Ahmed Lina, Mohammed Duaa Galal, Khairi Marwa Abdelkarim Hassan, Elsiddig Dania A, Eltayeb Amna A, Abdalla Eltayeb

机构信息

Faculty of Medicine, University of Khartoum, Khartoum, Sudan.

University of Medical Science and Technology, Khartoum, Sudan.

出版信息

BMC Public Health. 2025 Jun 4;25(1):2069. doi: 10.1186/s12889-025-23262-6.

Abstract

BACKGROUND

Caregivers are pivotal in managing stroke patients, particularly in recognizing warning signs and facilitating timely medical intervention. However, caregiver awareness of stroke and related health-seeking behaviours remains understudied in Sudan. This study assessed the levels of stroke awareness among caregivers and explored the sociodemographic and systemic factors influencing their knowledge and behaviours.

METHODS

A cross-sectional study was conducted among caregivers of stroke patients at Ibrahim Malik and Soba Teaching Hospitals in Khartoum, Sudan. Data were collected using structured questionnaires and analyzed to identify associations between sociodemographic characteristics and stroke awareness.

RESULTS

Among the 200 caregivers surveyed, 57.5% demonstrated low awareness, 42.0% had moderate awareness, and only 0.5% exhibited high awareness. Chi-square test revealed that Education, employment, and urban residence were significantly associated with higher awareness levels (p-value < 0.001). Hypertension was the most recognized risk factor (55.5%), while headache was the most commonly identified warning sign (41.5%). Barriers to timely health-seeking behaviours included financial constraints (67.5%) and transportation difficulties (53.0%).

CONCLUSION

Stroke awareness among caregivers in Khartoum is inadequate, with significant sociodemographic disparities and systemic barriers contributing to low knowledge levels and delayed care. Targeted educational programs and healthcare access improvements are urgently needed to reduce the stroke burden in Sudan.

摘要

背景

照顾者在中风患者的管理中起着关键作用,特别是在识别警示信号和促进及时的医疗干预方面。然而,在苏丹,照顾者对中风及相关就医行为的认知情况仍未得到充分研究。本研究评估了照顾者对中风的认知水平,并探讨了影响他们知识水平和行为的社会人口统计学及系统性因素。

方法

在苏丹喀土穆的易卜拉欣·马利克医院和索巴教学医院对中风患者的照顾者进行了一项横断面研究。使用结构化问卷收集数据,并进行分析以确定社会人口统计学特征与中风认知之间的关联。

结果

在接受调查的200名照顾者中,57.5%的人认知水平较低,42.0%的人认知水平中等,只有0.5%的人认知水平较高。卡方检验显示,教育程度、就业情况和城市居住与较高的认知水平显著相关(p值<0.001)。高血压是最被认可的风险因素(55.5%),而头痛是最常被识别的警示信号(41.5%)。及时就医行为的障碍包括经济限制(67.5%)和交通困难(53.0%)。

结论

喀土穆照顾者对中风的认知不足,社会人口统计学方面的显著差异和系统性障碍导致知识水平较低和护理延迟。迫切需要有针对性的教育项目和改善医疗服务可及性,以减轻苏丹的中风负担。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8be4/12135256/faa28b48d516/12889_2025_23262_Fig1_HTML.jpg

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