高血压合并脑梗死患者健康知识的调查研究

Stroke preventing knowledge among patients with hypertensive ischemic stroke

目的了解高血压合并脑梗死患者的健康知识情况,为对其进行健康教育提供参考依据。方法采用脑卒中健康知识问卷对300例高血压合并脑梗死患者进行问卷调查。结果高血压合并脑梗死患者的脑卒中健康知识总标准分为66.67(44.44,77.78),卒中先兆和卒中处理得分较低,分别为50.00(33.33,66.67)及50.00(0,100)分。小学及以下学历、卒中病程短、无脑卒中家族史的患者脑卒中健康知识得分较低(P<0.05)。生活起居维度、卒中先兆及危险因素知晓率最低。结论高血压合并脑梗死患者在卒中先兆和卒中处理部分的健康知识不容乐观,预防复发知识掌握度有待提高;卒中病程短、文化程度低、无脑卒中家族史的老年患者的健康知识尤应引起关注;建议对脑梗死识别、处理、控制危险因素、坚持服药等方面上加强延续护理、争取患者亲属的支持、进行个性化健康教育模式,以提高高血压合并脑梗死患者的健康知识水平。

Objective To investigate the level of stroke preventing knowledge among patients with hypertensive ischemic stroke. Methods A convenience sample of 300 patients with hypertensive ischemic stroke participated in this study. The Stroke Knowledge Questionnaire（SKQ） was used to measure patients＇ stroke preventing knowledge.Results The total median score of the SKQ was 66.67. The knowledge related to detection of stroke signs（50.00）and response to stroke attack scored the lowest（50.00）.The knowledge score was lower in patients with lower educational level,shorter stroke duration and without family history（P0.05）. Conclusion The knowledge related to detection of stroke signs and response to stroke attack needs to be improved in patients with hypertensive ischemic stroke.Findings suggest that stroke education efforts should be targeted on patients with lower education level,shorter stroke duration and without family history.It is suggested to provide continuing nursing to provide individualized education on the detection and response of brain infarction,control of risk factions and medications,and enforce support from family.