有卒中危险因素的住院患者对卒中症状的认知及急救意识的调查研究

Survey on knowledge of stroke warning signs and awareness of making emergency calling among hospitalized patients with high risk for stoke

摘要:

目的：调查有卒中危险因素的住院患者对卒中警示症状的认知情况及卒中急救意识。方法：采用自制调查问卷，以面对面的方式，对500名于2012年1月至2012年8月在重庆医科大学附属第二医院神经内科住院的有卒中危险因素的患者进行调查。调查内容包括要求患者报告常见的卒中症状，面对卒中突发症状时选择拨打“120”的比例，并对相关影响因素进行分析。结果：共467名患者完成问卷。其中，72.2%能报告≥1个正确的卒中警示症状，10.7%能报告≥3个正确的卒中警示症状。面对各种卒中突发症状时选择拨打“120”的比例为46.3%~57.8%，仅28.7%面对5个卒中突发症状均选择拨打“120”。均选择拨打“120”与家庭收入（χ2=13.803，P=0.003）、自身危险因素（χ2=22.200，P=0.000）及对卒中警示症状认知水平（χ2=9.060，P=0.028）有关。但即使能报告≥3个卒中警示症状者，也仅44.0%均选择拨打120（95%CI=23.3%~64.7%）。结论：神经内科住院的有卒中危险因素的患者对卒中警示症状的认知水平较低，急救意识差。

Abstract:

Objective：To survey the knowledge of stroke warning signs and the awareness of emergency calling among hospitalized pa－tients with high risk for stroke. Methods：From January to August 2012，using self-designed questionnaire，the trained neurologists con－ducted the face to face investigation among 500 hospitalized patients with high risk for stroke in the department of neurology in the Second Affiliated Hospital Chongqing Medical University. The patients were asked to report the common stroke warning signs and reaction in response to sudden stroke symptoms. The related factors were analyzed. Results：A total of 467 patients completed the questionnaire. 72.2% patients can correctly report ≥1 stroke warning sign，and only 10.7% patients can correctly report ≥3 stroke warning signs. The ratio of calling ‘120’ for a variety of stroke warning signs was 46.3%-57.8% and only 28.7% patients reported that they would call ‘120’ for all 5 stroke warning signs. The ra－tio of calling ‘120’ for all 5 stroke warning signs was associated with household income（ χ2=13.803，P=0.003），patients’ risk factors of stroke（ χ2=22.200，P=0.000），and knowledge of stroke warning signs（ χ2=9.060，P=0.028）. But even among those with knowledge of ≥3 stroke warning signs，only 44.0%（95%CI=23.3%-64.7%） would call ‘120’ for all 5 stroke warning signs. Conclusions：Patients with high risk for stroke in the department of neurology have low knowledge level of stroke warning signs and poor awareness of call－ing ‘120’ for stroke.