A survey of stroke awareness and influential factors among acute ischemic stroke patients in Gansu Province
Objective To explore the awareness of stroke warning signs, risk factors and thrombolytic therapy of acute ischemic stroke, and to determine the influential factors associated with the level of stroke knowledge.Methods Cross sectional surveys about the awareness of acute ischemic stroke were conducted with a structured questionnaire during March and Sept.2015.The relationship between the knowledge of stroke and pre-hospital delay, degree of neurological deficit, initial symptoms, response to stroke onset, status when stroke happened, previous medical history and demographic information were analyzed.Factors associated with stroke awareness were investigated with the help of univariate and multivariate regression analysis.Results A total of 138 acute ischemic stroke patients were interviewed, including 89 males and 49 females.The patients` mean age was 63.53±11.41 years.Weakness (60.1%) was the most commonly identified stroke sign, and hypertension (64.5%) was the most commonly identified stroke risk factors.Of all respondents, 5.8% knew thrombolytic therapy and 1.4% knew thrombolytic time window.Univariate regression analysis demonstrated that educational level was associated with knowing three or more stroke risk factors (P=0.036), three or more stroke warning signs (P=0.042), thrombolytic therapy (P=0.045) and time window of thrombolytic therapy (P=0.017).Multivariate regression analysis indicated that recognizing initial symptom as stroke was the independent predictor of knowing three or more stroke risk factors (OR=0.252, P=0.012) and thrombolytic therapy (OR=2 249.238, P=0.032), taking informal antihypertensive drugs (OR=1.344, P=0.024), and using emergency medical services (EMS) as transporting pathway (OR=0.662, P=0.05) were independent factors of knowing three or more stroke signs.Conclusion The awareness of stroke warning signs, risk factors and thrombolytic therapy were obviously inadequate among acute ischemic stroke patients.Higher educational level was predictor of more stroke awareness.
NETL
NSTL
万方数据
维普
