Poor awareness of stroke educational tools among older adults in China.

Poor awareness of stroke educational tools among older adults in China.
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DOI:
10.1002/brb3.2357
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发表时间:
2021-10
期刊:
影响因子:
3.1
通讯作者:
Zhao J
Zhao J
中科院分区:
心理学4区
文献类型:
--
作者:
Ling L;Li Z;Yao S;Liu X;Zhao J

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Stroke 1 - 2 - 0和FAST(面部、手臂、言语、时间)是两种流行的中风教育工具,已用于许多中风宣传活动。然而,很少有研究人员调查社区中老年人对这些工具的认识。这项研究是一项针对社区老年人的横断面调查。两位家庭医生于2020年10月1日至2020年11月31日期间对上海市闵行区的老年人进行了面对面的访谈。调查内容包括基本情况、既往病史和卒中认知知识三部分。我们重点关注FAST和Stroke 1 - 2 - 0的意识,并调查了与这些卒中教育工具意识相关的因素。本研究的样本为466名老年人。平均年龄73.45岁。男性受访者占总样本的46.14%。超过一半的受访老年人的教育背景不到6年。超过90%的受访老年人从未听说过中风1 - 2 - 0或FAST。卒中1 - 2 - 0和FAST的知晓率为7.94%,卒中1 - 2 - 0的知晓率高于FAST(6.01% vs. 0.43%,p <0.05)。没有一个听说过这两种中风教育工具的受访者能够完全解释这两种工具的效用。具有高等教育背景与卒中教育工具意识独立相关,比值比(OR)为10.07,95%置信区间(CI)为3.7-27.4,p <0.001。此外,微信(OR 6.57,95%CI 2.65-16.27,p <0.001)和社区公告板(OR 2.95,95%CI 1.37-6.33,p = 0.005)被认为是获得卒中认知工具知识的重要来源。社区中老年人对中风1 - 2 - 0和FAST的认识有限,这表明我们必须采取行动改善老年人的中风教育。
Stroke 1‐2‐0 and FAST (Face, Arm, Speech, Time) are two popular stroke educational tools that have been used in many stroke promotion campaigns. However, few researchers have investigated awareness of these tools among older adults in communities. This study was a cross‐sectional survey of community‐living older adults. Two family physicians conducted face‐to‐face interviews with older adults living in Minhang district, Shanghai, between October 1, 2020 and November 31, 2020. The survey comprised three parts: basic information, prior medical history, and stroke awareness knowledge. We focused on the awareness of FAST and Stroke 1‐2‐0 and investigated factors associated with awareness of these stroke educational tools. The sample of this study was 466 older adults. Their mean age was 73.45 years. Male respondents accounted for 46.14% of the total sample. More than half of the older adults surveyed had an educational background of less than 6 years. Over 90% of the older adults surveyed had never heard about Stroke 1‐2‐0 or FAST. The awareness rate of Stroke 1‐2‐0 and FAST was 7.94%, with awareness of Stroke 1‐2‐0 being higher than that of FAST (6.01% vs. 0.43%, p < .05). None of the respondents who had heard about the two stroke educational tools could explain the utility of either tool fully. Having a background in higher education was associated with awareness of stroke educational tools independently, with an odds ratio (OR) of 10.07, 95% confidence interval (CI) of 3.7–27.4, p < .001. In addition, Wechat (OR 6.57, 95%CI 2.65–16.27, p < .001) and the community bulletin board (OR 2.95, 95%CI 1.37–6.33, p = .005) were found to be important sources for acquiring knowledge of stroke awareness tools. The limited awareness of Stroke 1‐2‐0 and FAST displayed among older adults in the community indicates that we must take action to improve education on stroke among the elderly.
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