Knowledge of Stroke Symptoms and Treatment among Community Residents in Western Urban China
Knowledge of Stroke Symptoms and Treatment among Community Residents in Western Urban China
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中国西部城市社区居民脑卒中症状及治疗认知情况
DOI：
10.1016/j.jstrokecerebrovasdis.2013.10.019
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发表时间：
2014-05-01
影响因子：
2.5
通讯作者：
Wang, Jian
中科院分区：
文献类型：
--
作者：
Yang, Juan;Zheng, Min;Wang, Jian
背景：院前延误仍然是目前急性脑卒中患者接受治疗的主要障碍。提高公众对中风警告信号的认识可能有助于启动紧急医疗服务，减少院前延误。本研究旨在调查重庆市渝中区居民对脑卒中预警信号的认知情况，确定其在突发脑卒中预警信号时会拨打急救电话（120）的比例，并分析脑卒中预警信号的认知与拨打急救电话的反应之间的关系。方法：2011年在重庆市渝中区采用多阶段抽样的方法进行面对面访谈调查。我们评估了居民对中风警告信号的识别，以及如果突然遇到意外的中风警告信号，拨打急救电话120的比例。研究了中风警告信号的知识与120激活之间的关系。结果：共有1101名参与者完成了问卷调查。只有15.6%的受访者知道所有5种中风警告信号; 17.6%的受访者报告说，他们会为所有5种中风警告信号拨打120。对中风警告信号的识别与呼叫120的反应相关（比值比，1.92-3.34）。即使在那些知道所有5个中风警告信号的人中，也只有35.5%（95%置信区间，28.3-42.6）会为所有5个信号拨打120。结论：重庆市受检区居民对脑卒中预警信号的认知程度较低，对脑卒中相关症状的适当应急反应意识较低。
Background: Prehospital delay is still now the main barrier in receiving acute stroke therapy. Increase public awareness of stroke warning signs may help to activate emergency medical services and reduce prehospital delay. Our objectives were to survey the recognition of stroke warning signs among residents of Yuzhong District in Chongqing, China, and determine the proportion of these residents who would make an emergency call (120, in China) if suddenly faced with unexpected stroke warning signs and analyze the relationship between recognition of stroke warning signs and the response of calling for emergency assistance. Methods: In 2011, a population-based face-to-face interview survey using a multistage sampling method was conducted in Yuzhong District, Chongqing. We assessed residents' recognition of stroke warning signs and the proportion of those who would call the emergency number, 120, if suddenly encountering unexpected stroke warning signs. The association between the knowledge of stroke warning signs and activation of 120 was examined. Results: A total of 1101 participants completed the questionnaire. Only 15.6% of respondents knew all 5 stroke warning signs; 17.6% reported that they would call 120 for all 5 stroke warning signs. Recognition of stroke warning signs was associated with the response of calling 120 (odds ratios, 1.92-3.34). Even among those who knew all 5 warning signs of stroke, only 35.5% (95% confidence interval, 28.3-42.6) would call 120 for all 5 signs. Conclusions: Residents of the examined district in Chongqing exhibited low recognition of stroke warning signs and low awareness of appropriate emergency responses to stroke-related symptoms.