Knowledge, Attitudes, and Practices of Family Members of Cerebral Infarction Patients in Heilongjiang Regarding Recurrence and Secondary Prevention.

IF 3.2 3区 医学 Q2 CLINICAL NEUROLOGY
Fei Wang, Jing Shang, Jiarong Wu, Dan Yu, Zhenqi Wang, Xiaolin Lv, Senlin Mao, Ye Chen, Xiaokun Wang
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引用次数: 0

Abstract

Introduction: In China, ischemic stroke has a high recurrence rate, with recurrent events often resulting in greater disability and mortality than initial strokes. This study aimed to evaluate the current knowledge, attitudes, and practices (KAP) of family members of patients with cerebral infarction regarding stroke recurrence and secondary prevention.

Methods: A cross-sectional study was conducted from March 2024 to July 2024 in hospitals across Heilongjiang Province. Structured questionnaires were used to collect demographic data and assess KAP scores among family members of patients with cerebral infarction.

Results: A total of 561 valid questionnaires were collected. The median scores (25th, 75th percentiles) for knowledge, attitude, and practice were 8 (7, 10) out of 11, 37 (35, 39) out of 45, and 32 (30, 35) out of 40, respectively. Multivariate logistic regression analysis showed that practice scores were independently associated with the following factors: attitude score (OR = 1.218, 95% CI: [1.134, 1.309], P < 0.001), being a farmer (OR = 0.145, 95% CI: [0.033, 0.648], P = 0.011), being retired (OR = 0.097, 95% CI: [0.018, 0.521], P = 0.007), being unemployed (OR = 0.123, 95% CI: [0.027, 0.559], P = 0.007), patient diagnosed with hypertension for less than 1 year (OR = 2.526, 95% CI: [1.157, 5.514], P = 0.020), frequent smoking (OR = 0.436, 95% CI: [0.269, 0.709], P = 0.001), patient occasionally forgetting medication (OR = 0.434, 95% CI: [0.216, 0.874], P = 0.019), patient frequently forgetting or stopping medication (OR = 0.255, 95% CI: [0.108, 0.602], P = 0.002), patient diagnosed with cerebral infarction 2-3 times (OR = 0.497, 95% CI: [0.315, 0.786], P = 0.003), holding a college diploma (OR = 6.634, 95% CI: [1.128, 39.010], P = 0.036), holding a bachelor's degree (OR = 6.434, 95% CI: [1.113, 37.182], P = 0.038), and not living with the patient (OR = 0.326, 95% CI: [0.180, 0.593], P < 0.001).

Conclusion: Family members of patients with cerebral infarction demonstrated moderate knowledge, positive attitudes, and proactive practices regarding stroke recurrence and secondary prevention.

黑龙江省脑梗死患者家属关于复发及二级预防的知识、态度与实践
简介:在中国,缺血性卒中的复发率很高,复发事件往往导致比初次卒中更大的残疾和死亡率。本研究旨在评估脑梗死患者家属对卒中复发和二级预防的知识、态度和实践(KAP)现状。方法:于2024年3月至2024年7月在黑龙江省各医院进行横断面研究。采用结构化问卷收集脑梗死患者家庭成员的人口统计数据和KAP评分。结果:共回收有效问卷561份。知识、态度、实践的中位数(25、75百分位)分别为8分(7、10分)、37分(35、39分)、32分(30、35分)(40分)。多因素logistic回归分析显示,实践得分与以下因素独立相关:态度得分(OR = 1.218, 95% CI: [1.134, 1.309], P < 0.001)、是否为农民(OR = 0.145, 95% CI: [0.033, 0.648], P = 0.011)、是否退休(OR = 0.097, 95% CI: [0.018, 0.521], P = 0.007)、是否失业(OR = 0.123, 95% CI: [0.027, 0.559], P = 0.007)、诊断为高血压未满1年(OR = 2.526, 95% CI:经常吸烟(OR = 0.436, 95% CI: [0.269, 0.709], P = 0.001),偶尔遗忘或停药(OR = 0.434, 95% CI: [0.216, 0.874], P = 0.019),经常遗忘或停药(OR = 0.255, 95% CI: [0.108, 0.602], P = 0.002), 2-3次脑梗死(OR = 0.497, 95% CI: [0.315, 0.786], P = 0.003),大专学历(OR = 6.634, 95% CI::[1.128, 39.010], P = 0.036),持有学士学位(OR = 6.434, 95% CI: [1.113, 37.182], P = 0.038),未与患者同住(OR = 0.326, 95% CI: [0.180, 0.593], P < 0.001)。结论:脑梗死患者家属对脑卒中复发及二级预防的认知程度中等,态度积极,积极主动。
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来源期刊
Neuroepidemiology
Neuroepidemiology 医学-公共卫生、环境卫生与职业卫生
CiteScore
9.90
自引率
1.80%
发文量
49
审稿时长
6-12 weeks
期刊介绍: ''Neuroepidemiology'' is the only internationally recognised peer-reviewed periodical devoted to descriptive, analytical and experimental studies in the epidemiology of neurologic disease. The scope of the journal expands the boundaries of traditional clinical neurology by providing new insights regarding the etiology, determinants, distribution, management and prevention of diseases of the nervous system.
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