Knowledge of Stroke Symptoms and Risk Factors among Older Adults

노인의 뇌졸중 증상과 위험요인에 대한 지식정도

  • 한남이 (조선대학교병원 응급실) ;
  • 고은아 (조선대학교 의과대학 간호학과) ;
  • 황선영 (조선대학교 의과대학 간호학과)
  • Received : 2009.03.17
  • Accepted : 2009.06.12
  • Published : 2009.06.30

Abstract

Purpose: This descriptive study was conducted to identify the level of knowledge of stroke symptoms and risk factors among older adults. Methods: A total of 200 older adults over 65 years of age were conveniently recruited from out patient departments of two hospitals and a health care center from October to November 2008. The level of knowledge was assessed using both open-ended questions and a structured questionnaire based on semi-structured interviews. Data were analyzed by t-tests and ANOVA using the SPSS program. Results: 52.5% of the sample had hypertension and 30% had diabetes. The mean knowledge scores for symptoms and risk factors were $8.4{\pm}3.1$ (out of 15) and $9.5{\pm}3.9$ (out of 16), respectively. The older adults who had lower education, lower family income, and who lived in rural areas were more likely to have less knowledge of stroke symptom and risk factors (p < .05). There was no significant knowledge difference between the older adults who had at least one risk factor and those who had no risk factor for stroke. Conclusions: Educational intervention should be focused on informing older adults who are at risk for stroke about the early symptoms and management of risk factors, especially those who have low education and low social status.

Keywords

References

  1. Ahn, S. Y., Kwon, Y. E., & Hong, J. J. (2005). A study on the burden, health status and well-being in spouse caregivers of patients with stroke, Journal of Korean Academy of Adult Nursing, 17(2), 287-297.
  2. American Heart Association Statistics Committee and Stroke Statistics Subcommittee (2007). Heart disease and stroke statistics-2008 Update. Circulation, 115(5), 69-171. https://doi.org/10.1161/CIRCULATIONAHA.106.179918
  3. Bae, H. J., Yoo, K. M., Yoon, B. W., Kim, J., Kim, J. Y., Kim, E. G., Kim, B. C., & Roh, J. K. (2002). Stroke awareness in Korea: The results of survey in the second stroke prevention campaign. Journal of Korean Neurological Association, 20(2), 1-8.
  4. Cho, Y. J., Bark, B. J., Yoon, B. W., Chung, J. M., Cho, J. H., & Rho, J. K. (1996). Factors related to hospital arrival time of acute stroke patients who visited a university hospital in Seoul. Journal of Korean Neurological Association, 14(3), 696-703.
  5. Davalos, A., Castillo, F., & Martinez-vila, E. (1995). Delay in neurological attention and stroke outcome. Stroke, 26(12), 2233-2237.
  6. Ennen, K. (2004). Knowledge of stroke warning symptoms and risk factors: Variations by rural and urban categories. Unpublished doctoral. dissertation. University of Illinois at Chicago, Chicago, IL.
  7. Goldstein, L. B., Adams, R., Becker, K., Furberg, C. D., Gorelick, P. B., & del Zoppo, G. J. (2001). Primary prevention of ischemic stroke: A statement for healthcare professionals from the stroke council of the American Heart Association. Stroke, 32(1), 280-299.
  8. Heo, J. H., Cheon, H. Y., Nam, J. M., Kim, D. C., Kim, K. W., & Lee, B. I. (2000). Presentation time to hospital and recognition of stroke in patients with ischemic stroke. Journal of Korean Neurolology Association, 18(2), 125-131.
  9. Hong, S. T., & Park, H. S.(1999). The study on hospital arrival time and the aspect of using alternative medicine of acute stroke patients. Journal of Korean Academy of Adult Nursing, 11(3), 389-400.
  10. Hwang, S. Y., & Zerwic, J. J. (2006). Knowledge of stroke symptoms and risk factors among Korean immigrants in the United States. Research Nursing & Health, 29(4), 337-344. https://doi.org/10.1002/nur.20144
  11. Hwang, S. J. (2000). Aspects of stroke in the last 20 years of research. Unpublished master's thesis, Kyunghee University, Seoul.
  12. Joung, J. H., & Choi, J. Y. (2006). Guidelines for the early management of patients with acute ischemic stroke, Journal of the Korean Geriatrics Society, 10(4), 221-242.
  13. Kang, S. M., & Yeun, E. J. (2005). An effect of the secondary stroke prevention education program on self-care of acute ischemic stroke patients. Journal of Korean Academy of Adult Nursing, 17(4), 646-655.
  14. Kim, J. S., & Yoon, S. S. (1997). Perspective of stroke in persons living in Seoul; A survey of 1000 subjects. Stoke, 28(6), 1165-1169.
  15. Korea National Statistical Office (2008). Cause of death statistics in 2007. Republic of Korea: National Statistical Office.
  16. Kwon, Y. D., Yoon, S. S., & Chang, H. (2007). Impact of an early hospital arrival on treatment outcomes in acute ischemic stroke patients. Journal of Preventive Medicine and Public Health, 40(2), 130-136. https://doi.org/10.3961/jpmph.2007.40.2.130
  17. Lee, B. C., Jeong, S. C., Hwang, S. H., Kim, H. C., Bae, J. C., Ma, H. I., Yu, K. H., & Lee, I. H. (1999). Analysis of 1.129 consecutive patients with acute stroke: The Hallym Stoke Registry. Korean Journal of Stroke, 1(1), 21-27.
  18. Lee, S. H., Lee, Y. W., Kim, H. S., & Lim, J. Y. (2007). Factors influencing the hospital presentation time of stroke patients. Journal of Korean Academy of Adult Nursing, 19(2), 167-177.
  19. Park, B. S., Lee, J. M., Koh, S. B., Kim, B. J., Park, M. K., Park, K. W., Sin, C., & Lee, D. H. (2002). Ansan citizen's knowledge of stroke. Journal of Korean Neurological Association, 20(4), 339-345.
  20. Rah, J. H. (2008). Stroke epidemiology 2007 Update. Korean Journal of Stroke, 10(1), 1-4.
  21. Rosenberg, C. H., & Popelka, G. M. (2000). Post-stoke rehabilitation: A review of the guidelines for patient management. Geriatrics, 55(9), 75-81.
  22. Samsa, G. P., Cohen, S. J., Goldstein, L. B., Bonito, A. J., Duncan, P. W., Enarson, C., DeFriese, G. H., Horner, R. D., & Matchar, P. B. (1997). Knowledge of risk among patients at increased risk of stroke. Stroke, 28(5), 916-921.
  23. Song, Y. S., & Lee, S. Y. (2002). Factors delaying hospital arrival time after stroke. The Korean Society of Oriental Medical Pathology, 16(5), 1075-1078.
  24. Yu, K. H., Bae, H. J., Kwon, S. U., Kang, D. W., Hong, K. S., & Lee, Y. S., Rah, J. H., Koo, J. S., Kim, J. S., Kim, J. H., Lee, J. H., Cho, S. J., Hwang, S. H., Jung, S., Han, M. K., Cho, K. H., Kim, B. C., Shin, D. J., Chang, D. I., Park, H. J., Kim, E. G., Ahn, M. Y., Lee, D. H., Park, K. W., Kim, Y. H., Lee, K. Y., Jeo, J. H., Kim, S. H., Lee, G. H., Chung, C. S., Cha, J. K., Lee, J. H., Uhm, K. Y., Lee, B. C., & Roh, J. K. (2006). Analysis of 10,811 cases with acute ischemic stroke from Korean Stroke Registry: Hospital-based Multicenter Prospective Registration Study. Journal of Korean Neurological Association, 24(6), 535-543.