CAJ | 학술논문

目的：了解东莞外来务工人员对缺血性脑卒中防治知识的认知水平及其知识来源途径。方法2012年7月至2013年12月按照多阶段随机抽样原则，在东莞市不同企业抽取外来务工人员发放问卷10000份，调查内容包括被调查者的一般情况、缺血性脑卒中的危险因素、预警信号、诊疗常识和知识来源途径，各项内容采用描述性分析及多因素 Logistic 回归分析。结果回收有效问卷8975份，有效应答率为89.75%。缺血性脑卒中危险因素中高血压知晓率最高（61.51%），糖尿病、高脂血症不足50%，其他危险因素知晓率更低；预警信号中“突发肢体麻木或无力”的知晓率最高（53.24%），其他为6.81%～48.96%；在就诊方式上52.03%的人选择立即呼“120”急救；最常见的卒中信息来源为亲属介绍，其次为电视；在人群分层分析上，教育程度与脑卒中知识成正相关关系（rs=0.076，P＜0.001），而年龄则成负相关关系（rs=-0.163，P＜0.001）。结论东莞外来务工人员缺血性脑卒中防治知识认知水平较低，且低教育程度者、中年务工人员相对更低，应该通过多种途径加强宣教，提高该人群的卒中防治知识水平，从而降低该人群的卒中发病率。
목적：료해동완외래무공인원대결혈성뇌졸중방치지식적인지수평급기지식래원도경。방법2012년7월지2013년12월안조다계단수궤추양원칙，재동완시불동기업추취외래무공인원발방문권10000빈，조사내용포괄피조사자적일반정황、결혈성뇌졸중적위험인소、예경신호、진료상식화지식래원도경，각항내용채용묘술성분석급다인소 Logistic 회귀분석。결과회수유효문권8975빈，유효응답솔위89.75%。결혈성뇌졸중위험인소중고혈압지효솔최고（61.51%），당뇨병、고지혈증불족50%，기타위험인소지효솔경저；예경신호중“돌발지체마목혹무력”적지효솔최고（53.24%），기타위6.81%～48.96%；재취진방식상52.03%적인선택립즉호“120”급구；최상견적졸중신식래원위친속개소，기차위전시；재인군분층분석상，교육정도여뇌졸중지식성정상관관계（rs=0.076，P＜0.001），이년령칙성부상관관계（rs=-0.163，P＜0.001）。결론동완외래무공인원결혈성뇌졸중방치지식인지수평교저，차저교육정도자、중년무공인원상대경저，응해통과다충도경가강선교，제고해인군적졸중방치지식수평，종이강저해인군적졸중발병솔。
Objective To understand the cognitive level of the prevention knowledge of ischemic stroke and its knowledge sources among migrant workers in Dongguan. Methods Using a multistage sampling method was conducted in different companies in Dongguan Extraction of migrant workers 10 000 questionnaires from July 2012 to December 2013, the content of the investigation includes general information of respondents, ischemic stroke risk factors, warning signal, diagnosis and treatment of common sense and knowledge sources, all contents used descriptive analysis and multivariate Logistic regression analysis. Results A total of 8 975 participants completed the questionnaire, the effective response rate was 89.75%. The investigation showed that hypertension was identified as a risk factor by nearly 61.51%of migrant workers, diabetes, dyslipidemia were identified by less than 50%,and other risk factors were identified lowly; "sudden numbness or weakness" were the most common symptoms identified (53.24%), and the awareness of other symptoms of stroke ranged from 6.81%to 48.96%;52.03%of workers would call “120” emergency medical system once stroke began; the most common source of information for their relatives, followed by TV. Stratified analysis on the crowd, the stroke knowledge score and education level were positively correlated (rs=0.076, P<0.001), and age was negative correlation (rs=-0.163, P<0.001). Conclusions The prevention and treatment knowledge of ischemic stroke cognitive level among migrant workers in Dongguan is low, especially lowly educated people and old workers. We should strengthen the propaganda and education through various channels to improve the level of knowledge of stroke Prevention and treatment of migrant workers in Dongguan, thereby reducing the incidence of stroke in this crowd.