脑卒中住院患者116例脑卒中发病常识知晓情况调查  

Investigation of 116 stroke inpatient's knowledge about the onset of disease

作　　者：马琦[1] 王彤歌[2] 

机构地区：[1]广东省人民医院康复医学科,广东省广州市510080 [2]暨南大学附属第一医院神经内科,广东省广州市510630

出　　处：《中国临床康复》2005年第21期12-13,共2页Chinese Journal of Clinical Rehabilitation

摘　　要：目的:通过问卷调查分析脑卒中住院患者对脑卒中常识的知晓状况,并分析其影响因素。方法:对116例2002-12/2003-12暨南大学附属第一医院神经内科收治的缺血性脑卒中住院患者进行脑卒中常识状况调查。采取闭合式问卷调查,患者对脑卒中危险因素的认识及对脑卒中症状的识别采取半定量评估,即答对一项得1分,答错1项得-1分,不知道者(中性回答)记为0分,各10个问题,最高分10分,最低分-10分。并通过多因素二项分类的Logistic回归,分析影响因素。结果:收回74份合格问卷。脑卒中患者一般医疗常识相对较差,只有19%(14/74)的患者接受每年一次的健康查体;58%(43/74)的患者了解电话120为医疗急救电话;24%(18/74)的患者认为脑卒中治疗的最佳时间为6h内。患者对脑卒中危险因素识别的中位分值为4分,平均(3.76±3.11)分,对脑卒中症状识别的中位分值为2分,平均(2.30±2.66)分,而年龄及教育程度为主要影响因素(OR=0.943,2.327,P=0.040,0.002)。结论:脑卒中住院患者缺乏对脑卒中预防知识了解,缺乏对脑卒中发生的早期认识,需要进一步提高其知识知晓率。AIM:To analyze the stroke inpatient's knowledge about stroke and the relevant influencing factors through survey of questionnaire.METHODS:A survey of closed questionnaire was performed to investigate the knowledge about stroke among 116 ischemic stroke inpatients in the Department of Neurology,First Affiliated Hospital of Jinan University from December 2002 to December 2003.The knowledge about risk factors and symptoms of stroke was evaluated with semiquantitative method that one correct answer would gain 1 score,one wrong answer would gain -1 score, no answer would gain 0 score,10 questions for each patient; the highest score was 10 and the lowest score was -10.The multiple factors logistic regression was adopted to analyze the risk factors.RESULTS:A total of 74 questionnaires were collected.Only 19%(14/74) of stroke patients attended the annual health examination, which was relatively low;58%(43/74) knew the phone number of medical emergency is 120;24%(18/74) considered the best time to treat stroke was within 6 hours.The median score to know the dangerous factors about stroke was 4, the mean score was 3.76±3.11, and that to identify the symptom of the stroke was 2,the mean score was 2.30±2.66.The regression analysis indicated that age and education were the main affected factors(OR=0.943,2.327, P=0.040,0.002).CONCLUSION:The inpatients with stroke are lack of the knowledge to prevent stroke in the early period.Therefore,it is necessary to strengthen the stroke education.

关 键 词：脑血管意外 横断面研究 病人教育 

分 类 号：R743[医药卫生—神经病学与精神病学]