Knowledge of stroke risk factors and warning signs in Ireland: development and application of the Stroke Awareness Questionnaire (SAQ)

Knowledge of stroke risk factors and warning signs in Ireland: development and application of the Stroke Awareness Questionnaire (SAQ)
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DOI:
10.1111/j.1747-4949.2011.00698.x
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发表时间:
2012-06-01
影响因子:
6.7
通讯作者:
Shelley, Emer
Shelley, Emer
中科院分区:
医学2区
文献类型:
--
作者:
Hickey, Anne;Holly, Deirdre;Shelley, Emer

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背景识别中风警告信号的能力和对已识别的症状延迟就医是造成治疗延误的原因,从而限制了干预的可能性,并对潜在的中风结果产生负面影响。目的了解爱尔兰成年人对卒中危险因素和警示信号的了解情况。方法采用定额抽样方法,于2009年对1000名普通公众(=18岁)进行电话访谈。使用卒中意识问卷(SAQ)收集信息。结果71%的受试者能正确列出中风的两个或两个以上危险因素,通常是一般性的生活方式危险因素。三分之二的人无法识别中风的两个警告信号。虽然31%的人可以识别两个或两个以上的中风警告信号,但识别的警告信号没有一致性。不到50%的人表示,如果中风,他们会叫救护车。总体而言,在知识方面存在很大差距,最贫穷的水平在65岁的人中显而易见。结论调查结果为爱尔兰成年人对中风危险因素和警示标志的知识水平提供了第一个证据。对中风警告信号的认识很差,对呼叫急救服务的必要性和急性中风干预的可能性的认识也很差。这些因素导致中风后延迟就医,从而对中风预后产生影响。
Background Inability to recognize stroke warning signs and delay in seeking medical attention for recognized symptoms contribute to treatment delay, thus limiting the potential for intervention and impacting negatively on potential stroke outcome. Aim To examine knowledge of stroke risk factors and warning signs in the adult population in Ireland. Methods In 2009, 1000 members of the general public were interviewed by telephone using quota-based population sampling of adults (=18 years). Information was gathered using the Stroke Awareness Questionnaire (SAQ). Results 71% of participants could correctly list two or more risk factors for stroke, typically generic lifestyle risk factors. Two-thirds could not identify two warning signs for stroke. While 31% could identify two or more stroke warning signs, there was no consistency in warning signs identified. Less than 50% stated they would call an ambulance if having a stroke. Overall, there were significant gaps in knowledge, with poorest levels evident in those aged =65 years. Conclusions Survey findings provide first evidence on levels of knowledge of stroke risk factors and warning signs in the Irish adult population. Awareness of stroke warning signs was poor, as was awareness of the need to call emergency services and the potential for acute stroke intervention. These factors contribute to delay in seeking medical attention following stroke, with resulting implications for stroke outcome.