中国临床康复
中國臨床康複
중국림상강복
CHINESE JOURNAL OF CLINICAL REHABILITATION
2006年
32期
157-159
,共3页
王俊峰%于翠香%黄亚莉%张中银%谭琦%陈豪
王俊峰%于翠香%黃亞莉%張中銀%譚琦%陳豪
왕준봉%우취향%황아리%장중은%담기%진호
脑卒中%防治%调查表%健康教育
腦卒中%防治%調查錶%健康教育
뇌졸중%방치%조사표%건강교육
背景:针对高血压、糖尿病、高脂血症等发病原因或危险因素及治疗知识在公众中进行健康教育,提高公众脑卒中防治知识水平,是降低脑卒中发病率最有效的途径及最经济的方法.目的:调查东莞地区公众对脑卒中防治知识的认知状况.设计:整群抽样与单纯随机抽样.单位:中山大学附属第五医院神经内科,中山大学附属东华医院神经内科.对象:于2001-03/06采取整群抽样与单纯随机抽样相结合的方法,对2001-03已居住于广东省东莞市城区及郊区的机关团体、企事业、各种经营形式工厂、东莞理工学院、各高级中学和郊区自然行政村,年龄满17周岁的常住居民及外来居民,随机抽取2 500名进行调查.方法:参照相关文献设计修改调查表,包括人口学资料、脑卒中的一般知识、预防知识、识别知识、处理知识及获取脑卒中防治知识途径.脑卒中防治知识每项计1～4.5分,总分为60分,获取脑卒中防治知识途径不计分.每次调查1个被选单位,每次发放调查表300～600份,有500份问卷随机向来东华医院健康体检的人员发放.主要观察指标:调查表回答正确率,每类脑卒中防治知识总分,分层亚组的每类知识总分,获取防治脑卒中知识途径.结果:回收完整有效调查表2 320份.①全表问题回答正确率平均为49.8%,以识别知识和处理知识较低;总分＜60%者占48.2%.②每类脑卒中防治知识水平男性均高于女性(P＜0.05),中老年组高于青年组(P＜0.05),各类公务员、自由职业者、工人、农民、学生依次递减(P＜0.05),学生与自由职业者相比差异显著(P＜0.01);高、中、低文化程度也依次递减(P＜0.05);有脑卒中史者高于未患者(P＜0.05).③以性别、年龄、职业及文化程度分层各亚组获取脑卒中防治知识的途径依次是阅读报刊杂志、收看广播电视、阅读科普手册、亲人朋友影响、医务人员宣教.结论:调查期间东莞地区公众脑卒中防治知识水平较低,尤其是识别知识和处理知识;应采取适当的措施进一步开展脑卒中防治知识教育.
揹景:針對高血壓、糖尿病、高脂血癥等髮病原因或危險因素及治療知識在公衆中進行健康教育,提高公衆腦卒中防治知識水平,是降低腦卒中髮病率最有效的途徑及最經濟的方法.目的:調查東莞地區公衆對腦卒中防治知識的認知狀況.設計:整群抽樣與單純隨機抽樣.單位:中山大學附屬第五醫院神經內科,中山大學附屬東華醫院神經內科.對象:于2001-03/06採取整群抽樣與單純隨機抽樣相結閤的方法,對2001-03已居住于廣東省東莞市城區及郊區的機關糰體、企事業、各種經營形式工廠、東莞理工學院、各高級中學和郊區自然行政村,年齡滿17週歲的常住居民及外來居民,隨機抽取2 500名進行調查.方法:參照相關文獻設計脩改調查錶,包括人口學資料、腦卒中的一般知識、預防知識、識彆知識、處理知識及穫取腦卒中防治知識途徑.腦卒中防治知識每項計1～4.5分,總分為60分,穫取腦卒中防治知識途徑不計分.每次調查1箇被選單位,每次髮放調查錶300～600份,有500份問捲隨機嚮來東華醫院健康體檢的人員髮放.主要觀察指標:調查錶迴答正確率,每類腦卒中防治知識總分,分層亞組的每類知識總分,穫取防治腦卒中知識途徑.結果:迴收完整有效調查錶2 320份.①全錶問題迴答正確率平均為49.8%,以識彆知識和處理知識較低;總分＜60%者佔48.2%.②每類腦卒中防治知識水平男性均高于女性(P＜0.05),中老年組高于青年組(P＜0.05),各類公務員、自由職業者、工人、農民、學生依次遞減(P＜0.05),學生與自由職業者相比差異顯著(P＜0.01);高、中、低文化程度也依次遞減(P＜0.05);有腦卒中史者高于未患者(P＜0.05).③以性彆、年齡、職業及文化程度分層各亞組穫取腦卒中防治知識的途徑依次是閱讀報刊雜誌、收看廣播電視、閱讀科普手冊、親人朋友影響、醫務人員宣教.結論:調查期間東莞地區公衆腦卒中防治知識水平較低,尤其是識彆知識和處理知識;應採取適噹的措施進一步開展腦卒中防治知識教育.
배경:침대고혈압、당뇨병、고지혈증등발병원인혹위험인소급치료지식재공음중진행건강교육,제고공음뇌졸중방치지식수평,시강저뇌졸중발병솔최유효적도경급최경제적방법.목적:조사동완지구공음대뇌졸중방치지식적인지상황.설계:정군추양여단순수궤추양.단위:중산대학부속제오의원신경내과,중산대학부속동화의원신경내과.대상:우2001-03/06채취정군추양여단순수궤추양상결합적방법,대2001-03이거주우광동성동완시성구급교구적궤관단체、기사업、각충경영형식공엄、동완리공학원、각고급중학화교구자연행정촌,년령만17주세적상주거민급외래거민,수궤추취2 500명진행조사.방법:삼조상관문헌설계수개조사표,포괄인구학자료、뇌졸중적일반지식、예방지식、식별지식、처리지식급획취뇌졸중방치지식도경.뇌졸중방치지식매항계1～4.5분,총분위60분,획취뇌졸중방치지식도경불계분.매차조사1개피선단위,매차발방조사표300～600빈,유500빈문권수궤향래동화의원건강체검적인원발방.주요관찰지표:조사표회답정학솔,매류뇌졸중방치지식총분,분층아조적매류지식총분,획취방치뇌졸중지식도경.결과:회수완정유효조사표2 320빈.①전표문제회답정학솔평균위49.8%,이식별지식화처리지식교저;총분＜60%자점48.2%.②매류뇌졸중방치지식수평남성균고우녀성(P＜0.05),중노년조고우청년조(P＜0.05),각류공무원、자유직업자、공인、농민、학생의차체감(P＜0.05),학생여자유직업자상비차이현저(P＜0.01);고、중、저문화정도야의차체감(P＜0.05);유뇌졸중사자고우미환자(P＜0.05).③이성별、년령、직업급문화정도분층각아조획취뇌졸중방치지식적도경의차시열독보간잡지、수간엄파전시、열독과보수책、친인붕우영향、의무인원선교.결론:조사기간동완지구공음뇌졸중방치지식수평교저,우기시식별지식화처리지식;응채취괄당적조시진일보개전뇌졸중방치지식교육.
BACKGROUND: It is the most effective and economical method to reduce the incidence of stroke by conducting the health education concerning the etiological factors or risk factors and therapeutic knowledge of hypertension, diabetes mellitus and hyperlipidemia among the public and improving their knowledge level about the prevention and treatment of stroke.OBJECTIVE: To investigate the cognition of the knowledge concerning the prevention and treatment of stroke among the public in Dongguan area.DESIGN: A cluster sampling and simple randomized sampling survey.SETTINGS: Department of Neurology, the Fifth Affiliated Hospital of Sun Yat-sen University and the Department of Neurology, Affiliated Tungwah Hospital of Sun Yat-sen University.PARTICIPANTS: Between March and June in 2001, totally 2 500 cases were randomly selected by means of cluster sampling combined with simple randomized sampling from the residents and migrant populations no younger than 17 years old in the government organization, enterprises, factories of various forms, Dongguan University of Technology and senior middle schools of urban and rural Dongguan city and the administrative villages of the rural areas of Dongguan city in Guangdong province before March 2003.METHODS: The inventory was modified according to relevant literatures,including demographic data, general knowledge of stroke, and knowledge about the prevention, identification and treatment of stroke, and the pathway to obtain knowledge about the prevention and treatment of stroke.Each item for the knowledge about the prevention and treatment of stroke was marked as 1-4.5 points, and the total score was 60. There was no mark for the pathway to obtain knowledge about the prevention and treatment of stroke. One unit was investigated each time, and 300-600 questionnaires were sent out, 500 questionnaires were randomly handed out to the healthy physical examinees in the Tungwah Hospital.MAIN OUTCOME MEASURES: The correct rate of answers to the questionnaire, the total score of each kind of knowledge about the prevention and treatment of stroke, the total score of each kind of knowledge in the subgroups, and the pathways to obtain knowledge about the prevention and treatment of stroke were mainly observed.RESULTS: Totally 2 320 complete and effective questionnaires were collected back. ① The average correct rate of answers to all the questions was 49.80%, and those of knowledges about identification and treatment were lower, the total score was ＜ 60% in 48.20% of the subjects. ② The level for each knowledge about the prevention and treatment of stroke was lower in males than in females (P ＜ 0.05), but higher in the middle-age and old groups than in the young group (P＜0.05), and it was decreased from various civil servants, free agents, workers, farmers and students in order (P＜0.05), and there was significant difference between students and free agents (P＜0.01); it was also decreased in order from higher educational level to middle and lower ones in order (P＜0.05); it was also higher in the subjects with stroke history than in those without (P ＜ 0.05). ③) After the subjects were subdivided according to gender, age, profession and educational level, the pathways to obtain knowledge about the prevention and treatment of stroke in order were reading newspapers and magazines,watching TV, reading handbooks about science popularization, influence from relatives and friends, promotion and education of medical staff, and the last one was the least in all the groups.CONCLUSION: The level for the knowledge about the prevention and treatment of stroke was lower among the public in Dongguan area during the investigation, especially the knowledges about identification and treatment, so proper measures should be adopted to further develop education on the knowledge about the prevention and treatment of stroke.
