10年前后复发高血压性脑卒中新入院患者的健康知识变化情况研究

Changes in health knowledge of newly admitted patients with recurrent hypertensive stroke around 10 years

目的:比较10年前后复发高血压性脑卒中新入院患者的健康知识水平,分析患者健康知识的影响因素。方法:采用便利抽样法,于2008年9月—2009年12月和2018年9月—2019年12月,选取广州市3所三甲医院的复发高血压性脑卒中新入院患者为研究对象,采用脑卒中健康知识问卷(SKQ)进行调查。10年前后的2个阶段分别发放问卷120、130份,分别回收有效问卷109、116份,有效回收率为90.83%、89.23%。结果:10年前后患者的文化程度、家庭人均月收入、脑卒中家族史、合并糖尿病及高脂血症、吸烟比较,差异有统计学意义(P<0.05)。10年后患者的SKQ总分及运动、服药、卒中危险因素、卒中先兆、卒中处理维度得分高于10年前,低盐饮食和吸烟维度得分低于10年前,差异有统计学意义(P<0.05)。结论:复发高血压性脑卒中新入院患者的健康知识水平较10年前提高,但应进一步加强低盐饮食和戒烟知识的教育。

Objective To compare the health knowledge of newly admitted patients with recurrent hypertensive stroke around 10 years,and analyze the influencing factors of health knowledge of patients.Methods From September 2008 to December 2009 and from September 2018 to December 2019,convenience sampling was used to select newly admitted patients with recurrent hypertensive stroke from 3 ClassⅢGrade A hospitals in Guangzhou as the research objects,and the Stroke Knowledge Questionnaire(SKQ)was used for investigation.In the two stages around 10 years,120 and 130 questionnaires were distributed,and 109 and 116 valid questionnaires were returned with the valid response rates of 90.83%and 89.23%,respectively.Results The education level,per capita monthly income of the family,family history of stroke,diabetes mellitus and hyperlipidemia,and smoking of the patients before and after 10 years were statistically significant(P<0.05).After 10 years,SKQ total scores,dimension scores in exercise,medication,stroke risk factors,stroke auras,and stroke management of patients were higher than those of 10 years ago,and dimension scores low-salt diet and smoking were lower than 10 years ago,and the differences were statistically significant(P<0.05).Conclusions The level of health knowledge of newly admitted patients with recurrent hypertensive stroke is higher than that of 10 years ago,but education on low-salt diet and smoking cessation knowledge should be further strengthened.