Knowledge of stroke and the window period for thrombolytic therapy in ischemic stroke among South Indians: A hospital-based survey with educational intervention.

IF 0.8 Q4 CLINICAL NEUROLOGY
Journal of Neurosciences in Rural Practice Pub Date : 2024-01-01 Epub Date: 2024-01-12 DOI:10.25259/JNRP_312_2023
Reem Jaffar Ali, Sandhya Manorenj, Ruqya Zafar
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Abstract

Objectives: The objective of this study was to determine the awareness of stroke in regards to the risk factors, warning symptoms, and knowledge of the therapeutic window period among varied strata of non-medical people attending a tertiary care center.

Materials and methods: The interventional study involved the collection of data regarding awareness of stroke using a structured questionnaire with a total score of 16. Pre-intervention assessment was followed by intervention in the form of education regarding awareness of stroke administered one-on-one for personalized and effective comprehension by subjects. Then, subjects were asked to recall the information that was delivered to them and were scored accordingly.

Results: Among the 500 subjects included, 51% were female. About 76.8% of participants were young (age <50 years), and 83.4% were literate. Only 25.4% of participants were aware of the brain as the site of stroke. About 32.2% of candidates were aware of a few risk factors for stroke. Among them, the majority of participants were aware of hypertension (24%) as a risk factor. The most known warning symptom was "Numbness" or weakness of arm. The majority of the subjects (97.8%) were unaware of a therapeutic window period for stroke being 4.5 h or below. The mean pre-intervention score was 2.52 ± 1.65 while the mean post-intervention score was 15.10 ± 1.79 (P < 0.0001).

Conclusion: The study showed that even among literate participants, only a meager number of subjects were aware of the golden window period of intravenous thrombolysis. Educational intervention by means of an in-person and one-on-one explanation achieved significant levels of understanding of stroke. The study could be used to formulate large-scale educational programs that focus on spreading awareness of symptoms and risk factors while also instilling the importance of timely medical intervention for efficient thrombolytic therapy.

南印度人对中风的认识以及缺血性中风溶栓治疗的窗口期:基于医院的调查与教育干预。
研究目的本研究旨在确定在一家三级医疗中心就诊的各阶层非医务人员对中风的认识,包括风险因素、预警症状以及对治疗窗口期的了解:这项干预性研究使用结构化问卷收集有关中风认知的数据,问卷总分为 16 分。在进行干预前评估后,以一对一教育的形式对受试者进行有关中风认知的干预,以便受试者个性化地有效理解。然后,要求受试者回忆所获得的信息并进行相应评分:在 500 名受试者中,51% 为女性。约 76.8%的参与者为年轻人(年龄 P < 0.0001):研究表明,即使在识字的参与者中,也只有极少数人知道静脉溶栓的黄金窗口期。通过面对面和一对一的讲解进行教育干预,可显著提高受试者对中风的认识水平。这项研究可用于制定大规模的教育计划,重点是普及症状和危险因素的意识,同时灌输及时医疗干预对有效溶栓治疗的重要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
2.10
自引率
0.00%
发文量
129
审稿时长
22 weeks
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