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目的:了解东莞外来务工人员对脑卒中知识的认知水平。方法:2012年7月至2013年6月按照多阶段随机抽样原则,在东莞市不同企业抽取年龄18-60岁的外来务工人员发放问卷5000份,调查内容包括被调查者的一般情况、脑卒中的预防、识别、诊疗、知识来源途径,各项内容采用描述性分析及x~2检验。结果:回收有效问卷4657份(93.14%)。脑卒中危险因素中高血压的知晓率排第一,其次为糖尿病、高脂血症,其他危险因素知晓率低;脑卒中临床症状知晓率以“突发肢体麻木或无力”排第一,其次为“不醒人事”、言语不清;就诊方式有2567人选择立即“120”急救,只有343人知道脑卒中需到神经内科就诊;最常见的信息来源途径为亲朋介绍,其次是卫生宣传;在人群分层分析上,家庭成员中有卒中患者、高教育程度者及青年务工人员的脑卒中预防、识别和诊疗知识认知水平明显高于低教育程度者、中年务工人员(P<0.05)。结论:东莞外来务工人员脑卒中知识认知水平比低,尤其是低教育程度者和中年务工人员,需加强通过电视、网络、报纸等多媒体途径宣传脑卒中知识,可降低该人群脑卒中的发病率、死亡率和致残率。
Objective: To understand the level of knowledge about stroke among migrant workers in Dongguan. Methods: From July 2012 to June 2013, according to the principle of multistage random sampling, 5,000 questionnaires were collected from migrant workers aged 18-60 in different enterprises in Dongguan City. The survey included the general conditions of the respondents, stroke The prevention, identification, diagnosis and treatment, sources of knowledge, the descriptive analysis of the content and x ~ 2 test. Results: 4657 valid questionnaires (93.14%) were recovered. Among the risk factors of stroke, the awareness rate of hypertension was the highest, followed by diabetes and hyperlipidemia, and the awareness rate of other risk factors was low. The awareness rate of clinical symptoms of stroke ranked first with “numbness or weakness of sudden limbs” Followed by “unconscious ”, ill-defined; 25,667 people were treated immediately choose “120 ” first aid, only 343 people know stroke to neurology; the most common source of information for friends and relatives, Followed by health promotion; stratified analysis of the population, family members of stroke patients, high education and youth workers in stroke prevention, identification and diagnosis of knowledge was significantly higher than the level of education, middle-aged workers Personnel (P <0.05). Conclusion: The knowledge level of stroke among migrant workers in Dongguan is low, especially those with low educational level and middle-aged workers. It is necessary to strengthen the knowledge of stroke by means of multimedia such as television, internet and newspapers to reduce stroke Incidence, mortality and morbidity.