温州市某社区居民脑卒中知信行现状调查

Investigation on the KAP status of stroke residents in a community of Wenzhou

目的 了解温州市某社区居民脑卒中知信行现状，明确需要干预人群的特点及干预重点，以便有针对性地开展健康教育与健康促进，做好脑卒中防治工作。方法 对温州市某社区658 名 18～90 岁的常住居民，进行调查分析，调查内容包括一般资料，脑卒中防治相关知识、信念、行为，脑卒中预警信息的识别，以及脑卒中的就医行为。结果 社区居民脑卒中防治知识知晓率最高为 88.68%、最低为33.54%，正确态度持有率最高为79.75%、最低为32.67%，正确行为持有率最高为56.17%、最低为10.89%，不同特征人群脑卒中防治相关知识、态度、行为状况差异有统计学意义（P ＜ 0.01）。脑卒中警示症状的识别中居前3 位的为一侧面部或肢体麻木或无力（59.57%）、意识障碍（59.42%）、理解障碍（59.12%）。脑卒中急救送医行为中居前3 位的为立即自行送医院（19.60%）、继续观察（18.54%）、拨打 120（18.24%）。结论 温州市社区居民的脑卒中知信行偏低，应有针对性地开展健康教育，提高社区居民脑卒中相关知识，促进居民对脑卒中的正确态度与行为的改变，以预防或延缓脑卒中的发生。

Objective To understand the status of knowledge, attitude and practice （KAP） about stroke among the residents in a community of Wenzhou, and to clarify the characteristics of the intervention population and the key points for intervention, so as to carry out health education and health promotion, and improve the prevention and treatment of stroke. Methods An investigation was conducted in a total of 658 residents in a community of Wenzhou, aged from 18 to 90. The content of the investigating included the general information, the KAP about stroke, the identification of stroke warning information and the behavior of seeking medical advice. Results The highest and lowest rate of the knowledge about stroke prevention and treatment was 88.68% and 33.54% ; the highest and lowest rate of the correct attitude was 79.75% and 32.67% ; and the highest and lowest rate of the correct behavior was 56.17% and 10.89%. The differences of KAP in populations with different characteristics were statistically significant （P 〈 0.01）. The top three stroke warning symptoms were one side of the face or limb numbness or weakness （59.57%）, consciousness disturbance （59.42%） and comprehension disturbance （59.12%）. The thop three emergency seeking hospital service behaviors of stroke were immediate delivery to hospital （19.60%）, continued observation （18.54%） and calling ambulance （18.24%）. Conclusions The status quo of community residents＇ KAP of stroke in Wenzhou is at a low level. It is suggested to carry out targeted health education to improve the residents＇ knowledge of stroke and promote the change of attitude and behavior, so as to prevent or delay the incidence of stroke.