Effect of Health Education on Level of Awareness and Knowledge of Nigerian In-School adolescents on Stroke and Its Risk Factors

Effect of Health Education on Level of Awareness and Knowledge of Nigerian In-School adolescents on Stroke and Its Risk Factors
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DOI:
10.1016/j.jstrokecerebrovasdis.2020.104757
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发表时间:
2020-05-01
影响因子:
2.5
通讯作者:
Fehintola, Funmito O.
Fehintola, Funmito O.
中科院分区:
医学4区
文献类型:
--
作者:
Komolafe, Morenikeji A.;Olorunmoteni, Oluwatosin E.;Fehintola, Funmito O.

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背景资料:青少年中风教育已被确立为一种有效的方法,建立对中风,其警告信号和危险因素的认识。它有助于青少年及其父母的预期行为改变。因此,我们的目的是确定在校青少年对脑卒中及其危险因素的基线知识,以及脑卒中教育对其脑卒中认知的影响。方法:本研究采用准实验研究设计,并在尼日利亚Osun州Ile-Ife的中学进行。这些学校被分为干预组和对照组。我们评估了基线知识的学生对中风,其危险因素,警告信号,以及如何预防它使用预测试的结构化问卷在干预组和对照组。在干预组中,在每所选定的学校进行了30分钟的中风健康讲座,包括口头陈述和分发传单。干预2周后对各校进行脑卒中相关知识、危险因素及预防措施的评估,对照组在干预2周后进行脑卒中相关知识的再评估及睡眠、癫痫等神经病学方面的健康讲座。结果:共调查了1259名青少年,其中干预组661人,对照组598人。干预组受访者的平均年龄为13.56 ± 2.87岁,对照组为13.38 ± 2.06岁。干预组在脑卒中知识及危险因素方面的平均得分高于对照组。结论:脑卒中教育是建立和维持在校青少年脑卒中意识的有效途径。
Background: Stroke education in adolescents has been established as an effective method of creating awareness about stroke, its warning signs and risk factors. It contributes to desired behavioural change in the adolescents as well as their parents. Thus, we aimed to determine the baseline knowledge of school attending adolescents about stroke and its risk factors as well as the effect of stroke education on their stroke awareness. Methods: This study employed a quasi-experimental study design and was conducted in secondary schools in Ile-Ife, Osun State, Nigeria. The schools were divided into intervention and control groups. We assessed the baseline knowledge of the students on stroke, its risk factors, warning signs, and ways of preventing it using a pre-tested structured questionnaire in both intervention and control groups. In the intervention group, health talks on stroke consisting of oral presentation and distribution of fliers were presented for 30 minutes in each selected school. Each school was visited 2 weeks after the health education intervention to assess their knowledge on stroke, its risk factors, and ways of preventing it. The control group was also visited after 2 weeks for a reassessment of their stroke knowledge and the conduct of heath talk on other aspects of neurology such as sleep, epilepsy, etc. Results: A total of 1259 adolescents were studied with 661 in the intervention group and 598 in the control group. The mean age of the respondents was 13.56 +/- 2.87 the intervention group and 13.38 +/- 2.06 in the control group. There were higher mean scores on knowledge of stroke and its risk factors among the intervention group than seen in the control group after the stroke education. Conclusions: Stroke education is an effective way of creating and maintaining stroke awareness among school-attending adolescents.