卒中识别方法健康教育的随机对照研究

A Randomized Control Study on Effects of Health Education with the Stroke Recognition Method Education

目的比较社区居民接受突发预警(Suddens)和面、臂、言语、时间(the Face Arm Speech Time,FAST)卒中教育的效果,并在接受教育前、接受教育后及3个月后对卒中警示症状的知晓情况进行调查,了解FAST用于国内卒中健康教育的可行性。方法采用随机对照研究,将来自重庆市渝中区的208例社区居民随机分为2组,分别接受Suddens和FAST卒中教育。结果 Suddens教育组和FAST教育组各104例居民,接受卒中教育后即刻及3个月后,对卒中警示症状的知晓率均明显提高(P均<0.001)。与接受教育后即刻比较,FAST卒中教育组3个月后的卒中警示症状知晓水平均无明显下降,能正确报告全部3个FAST症状的比例为76.9%;而接受Suddens卒中教育组3个月后的卒中警示症状知晓水平均明显下降,能正确报告全部5个Suddens症状的比例仅为42.3%,较接收教育后即刻显著下降(P=0.000)。结论 FAST较Suddens更容易记忆,适用于国内的公众卒中教育。

Objective To evaluate the feasibility of using the Face Arm Speech Time（FAST） as the stroke education strategy in China by comparing the stroke education effects of the ＂Suddens＂ with ＂FAST＂. Two groups, received ＂Suddens＂ and ＂FAST＂ stroke education respectively. The knowledge of stroke warning symptoms was investigated before, immediately, and 3 months after receiving stroke education.Methods A total of 208 community residents from Yuzhong District of Chongqing were randomly divided into two groups： ＂Suddens＂ and ＂FAST＂.Results The knowledge of stroke warning symptoms was signifi cantly improved both immediately and 3 months after stroke education（P〈0.001）. Compared with the immediately after stroke education, the knowledge level of stroke warning symptoms in the ＂FAST＂ group did not decrease signif icantly 3 months after stroke education, and the rate of reporting all 3 ＂FAST＂ symptoms was 76.9%, However, the knowledge level of stroke warning symptoms in the ＂Suddens＂ group decreased signif icantly, and the rate of reporting all 5 ＂Suddens＂ symptoms was only 42.3%（P =0.000）.Conclusion FAST is easier to remember than the Suddens. FAST may be useful for public stroke education in China.