中风1-2-0在社区老年人群中的知晓率及影响因素分析  

Analysis of awareness rate and influencing factors of Stroke 1-2-0 among the elderly in the community

作　　者：杨慧娟 姚思晨 李忠诚 刘小川 刘洋[2] Yang Huijuan;Yao Sichen;Li Zhongcheng;Liu Xiaochuan;Liu Yang(Health Service Center of Wujing Community,Minhang District,Shanghai,201100,P.R.China;Department of Neurology,Minhang Hospital Affiliated to Fudan University,Shanghai,201100,P.R.China)

机构地区：[1]上海市闵行区吴泾社区卫生中心,上海201100 [2]上海市闵行区复旦大学附属闵行医院神经内科,上海201100

出　　处：《老年医学与保健》2021年第6期1309-1313,共5页Geriatrics & Health Care

基　　金：上海市闵行区科教委项目(2020MHZ037)。

摘　　要：目的研究卒中早期识别工具中风1-2-0在社区常住老年人中的知晓率及影响因素。方法于2020年10月1日—2020年11月31日期间,通过随机抽样抽取闵行吴泾地区的2个小区,由家庭医生团队采用面对面的方式,调查小区内常住的老年人的卒中知识,包括卒中早期识别工具FAST(面、臂、言语、时间)和中风1-2-0的知晓率。结果共有466例老年人响应此次卒中问卷调查,平均年龄为(73.5±6.9)岁,男性占比46.14%.中风1-2-0在社区老年人中的知晓率偏低,仅仅只有28例老年人(6.01%)听说过中风1-2-0。高龄和低受教育程度是知晓中风1-2-0的影响因素。在中风1-2-0中的3个症状的知晓率中,口角歪斜的知晓率最低,仅48.86%;微信平台(OR 4.628,95%CI 2.094~10.231,P<0.001)和其他途径包括邻里交流、与社区家庭医生交流和看报纸等(OR 2.503,95%CI 1.139~5.499,P=0.022)与知晓中风1-2-0独立相关。结论本研究提示中风1-2-0在社区老年人中的知晓率偏低,未来需要加强这部分人群的宣教。结合本研究结果,宣教中风1-2-0可采用微信推送辅以家庭医生的定期宣教。Objective To study the awareness rate and influencing factors of Stroke 1-2-0,a tool for early identification of stroke,among the elderly residents in the community.Methods From October 1,2020 to November 31,2020,two communities in Wujing area of Minhang district were randomly selected.The family doctor team used a face-to-face method to investigate the stroke knowledge of the elderly residents in the two communities,including the awareness rate of early stroke identification tool FAST(face,arm,speech,time)and Stroke 1-2-0.Results A total of 466 elderly residents participated in this stroke questionnaire survey,with an average age of(73.5±6.9)years old,and males accounted for 46.14%.The awareness rate of Stroke 1-2-0 among these subjects was low,and only 28 ones(6.01%)had heard of Stroke 1-2-0.Old age and low education level were the influencing factors of knowing Stroke 1-2-0.Among the 3 symptoms included in Stroke 1-2-0,the awareness rate of skewed mouth was the lowest,only 48.86%.Wechat platform(OR 4.628,95%CI 2.094~10.231,P<0.001)and other channels(OR 2.503,95%CI 1.139~5.499,P=0.022),including neighborhood communication,communication with community family doctors and reading newspapers were independently related to knowing Stroke 1-2-0.Conclusion The awareness rate of Stroke 1-2-0 among the elderly in the community is low,so it is necessary to strengthen the publicity and education of the elderly in the future.Combined with the results of this study,Wechat push can be used,supplemented by regular publicity and education of family doctors.

关 键 词：老年 脑梗死 中风1-2-0 卒中教育 家庭医师 

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]