脑卒中患者对脑卒中相关知识的认知及其健康教育的需求情况  

A survey on the awareness of and needs for health education services of the stroke patients

作　　者：谢珺[1] 汪学红[2] 章娟[3] 李文祯[4] 徐欢[4] 杨华杰[1] 汪志宏[1] 卢祖洵[4] 

机构地区：[1]华中科技大学同济医学院附属梨园医院,武汉430077 [2]武汉体育学院健康科学学院 [3]山西医科大学公共卫生学院 [4]华中科技大学同济医学院公共卫生学院

出　　处：《中华物理医学与康复杂志》2014年第2期136-139,共4页Chinese Journal of Physical Medicine and Rehabilitation

基　　金：国家自然基金面上项目（81172753）;湖北省卫生厅重点科研项目（JX5A08）

摘　　要：目的调查住院脑卒中患者的脑卒中相关知识的认知及其知识来源与需求情况，为更有效、有针对性地对脑卒中患者进行健康教育提供指导和依据。方法采用自行设计的内容效度系数为0．89，信度系数为0．84的问卷对多家三级医院住院期间的脑卒中患者进行面对面的问卷调查。结果本次调查共收集有效病例数778例，调查结果显示，患者对脑卒中一般特征、脑卒中相关危险因素以及常见症状的认知状况均较差，普遍缺乏脑卒中防病知识。患者对脑卒中的相关知识主要来源于身边的亲人朋友（51．31％），极少来源于医生（7．59％）和健康教育活动（7．85％）；最希望通过医生指导（68．68％）和专家讲座（42．86％）的形式获得脑卒中相关知识。结论脑卒中患者对脑卒中知识的认识水平普遍偏低，应加强和广泛开展以医务人员为主导的健康教育工作。Objective To explore the level of awareness of and needs for health education services of the stroke patients. Methods A survey of 778 stroke patients hospitalized in departments of neurology in several tertia- ry hospitals was conducted using self-designed questionnaires. All the questionnaires were validated by reliability and validity tests before the survey. Results It was found that the patients had poor awareness of the risk factors, and common symptoms at onset of stroke, leading to poor command of knowledge of stroke prevention. It was also found that the main source of the knowledge about stroke was from the patients＇ relatives and friends （51.31%）, only 7.59% and 7.85% of the patients indicated that their knowledge were from doctors＇ instruction and and formal health education activities, respectively. The percentages of patients who wanted to learn stroke-related knowledge by doctor＇s instruction or expert lectures were 68.68% or 42.86% , respectively. Conclusions The awareness level of stroke patients of the stroke-related knowledge was generally low; health education in this regard should be well planned and strengthened.

关 键 词：脑卒中 认知 知识来源 需求 

分 类 号：R743.3[医药卫生—神经病学与精神病学]