社区居民脑卒中防治知识和态度及行为水平及其干预效果评价  

Investigation of community residents’ knowledge,attitude and behavior about stroke prevention and evaluation of intervention effect

作　　者：申婧[1] 庄要红 王鹏 刘春红[1] 张惠丽[1] 姚恩生[1] SHEN Jing;ZHUANG Yao-hong;WANG Peng;LIU Chun-hong;ZHANG Hui-li;YAO En-sheng(First Affiliated Hospital of School of Medicine of Shihezi University,Shihezi 832008,China;First Community Health Service Center of Shihezi,Shihezi 832000,China)

机构地区：[1]石河子大学医学院第一附属医院神经内科,新疆石河子832008 [2]石河子大学医学院第一附属医院筛查门诊,新疆石河子832008 [3]石河子市第一社区卫生服务中心,新疆石河子832000

出　　处：《社区医学杂志》2022年第11期601-606,共6页Journal Of Community Medicine

摘　　要：目的了解石河子市社区居民对脑卒中防治知识、态度、行为现状水平,分析知信行的相关影响因素,有针对性地开展健康教育干预,并评估干预效果。方法2018-04-10-2018-05-31采取分层抽样的方法,抽取石河子市8个社区,每个社区随机抽取180位居民作为调查对象,以电子问卷的形式进行脑卒中防治知识、态度、行为水平基线调查,共收到有效问卷1299份。随后对抽取的8个社区居民经过6个月的健康教育干预后,对第一阶段抽取的调查对象进行二次调查,共收到有效问卷1217份,得出干预后情况。结果石河子市社区居民脑卒中防治的知识、态度得分分别为(13.03±8.24)和(10.51±5.00)分。女性、年龄36~45岁和46~55岁组、文化程度越高、社区开展过脑卒中宣传、参加过社区培训、有脑卒中家族史、得过脑卒中的居民得分高于相应的其他组,均P<0.05。整体问卷合格率为23.4%。Logistic回归分析结果显示,性别(OR=0.525,95%CI为0.384~0.719,χ^(2)=16.186,P<0.001)、年龄(OR=1.267,95%CI为1.100~1.460,χ^(2)=10.741,P<0.001)、文化程度(OR=0.592,95%CI为0.515~0.681,χ^(2)=54.301,P<0.001)、社区开展宣传情况(OR=2.826,95%CI为2.005~3.982,χ^(2)=35.202,P<0.001)、参加社区培训情况(OR=2.703,95%CI为1.817~4.019,χ^(2)=24.100,P<0.001)、脑卒中家族史(OR=2.366,95%CI为1.545~3.625,χ^(2)=15.662,P<0.001)、脑卒中个人史(OR=3.540,95%CI为2.039~6.145,χ^(2)=20.183,P<0.001)为问卷合格的影响因素。经过6个月的健康教育干预后,社区居民脑卒中防治的知识、态度得分分别为(16.26±8.34)和(12.37±3.94)分,均比干预前提高,对相应条目的知晓率也有不同程度的提高。结论加强社区教育可以提高社区居民脑卒中防治的知识、态度、行为水平,为脑卒中防治打好基础。Objective To understand the current level of knowledge,attitude and behavior of community residents in Shihezi on stroke prevention and treatment,analyze the relevant influencing factors of knowledge,belief and behavior,carry out targeted health education interventions,and evaluate the effects of interventions.Methods From April 10,2018 to May 31,2018,a stratified sampling method was adopted to select residents from 8 communities in Shihezi to conduct a baseline survey of knowledge,attitude,and behavior about stroke prevention in the form of electronic questionnaires.A total of 1299 valid questionnaires were received.After half a year of health education intervention for the residents of the selected 8 communities,a second survey was conducted on the survey subjects selected in the first stage,and a total of 1217 valid questionnaires were received,and the post-intervention situation was obtained.Results The knowledge,attitude scores of community residents in Shihezi on stroke prevention and treatment were 13.03±8.24 points,10.51±5.00 points respectively.Female,36-45 years old and 46-55 years old groups,those with the higher education level,residents in community with stroke prevention literacy event carried out,those participated in community training,family history of stroke,and the residents who have had stroke got higher score than the corresponding control group(P<0.05).The overall questionnaire pass rate was 23.4%,and the factors affecting the questionnaire pass included gender(OR=0.525,95%CI:0.384-0.719,χ^(2)=16.186,P<0.001),age(OR=1.267,95%CI:1.100-1.460,χ^(2)=10.741,P<0.001),education level(OR=0.592,95%CI:0.515-0.681,χ^(2)=54.301,P<0.001),community publicity(OR=2.826,95%CI:2.005-3.982,χ^(2)=35.202,P<0.001),participation in community training(OR=2.703,95%CI:1.817-4.019,χ^(2)=24.100,P<0.001),family history of stroke(OR=2.366,95%CI:1.545-3.625,χ^(2)=15.662,P<0.001),and personal history of stroke(OR=3.540,95%CI:2.039-6.145,χ^(2)=20.183,P<0.001).After half a year of health education intervention,the c

关 键 词：脑卒中 知识 态度 行为 社区 健康教育 

分 类 号：R743.3[医药卫生—神经病学与精神病学] R193[医药卫生—临床医学]