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基于人群特征差异性的中风120认知情况研究
引用本文:戴璟1,王鑫1,龚钰雯1,杨云娟2. 基于人群特征差异性的中风120认知情况研究[J]. 现代预防医学, 2019, 0(22): 4128-4132
作者姓名:戴璟1  王鑫1  龚钰雯1  杨云娟2
作者单位:1.昆明理工大学管理与经济学院,云南 昆明 650093;2.云南省疾病预防控制中心,云南 昆明 650022
摘    要:
目的 研究不同人群的中风120认知情况,分析其影响因素,以有效提高脑卒中早期识别,减少院前延迟。方法 采用方便抽样法获得476例成年社区居民数据,运用单因素分析和多层次logistic模型研究不同人群特征对中风120认知的影响。结果 中风120的认知率不足60%,不同地区、年龄、性别、职业、受教育程度、月收入、有无高血压病史和脑卒中病史的中风120认知情况差异有统计学意义(P<0.05),地区医疗资源水平中的千人卫生技术人员数(Z = 2.96,P = 0.003)和社区卫生服务中心数(Z = 3.12,P = 0.002)是中风120认知情况的影响因素。结论 中风120认知情况整体欠佳,可通过多样化的宣传和健康教育、不同人群差异化宣传、不同地区因地制宜的方式提高卒中早期症状识别,同时增加医疗资源水平较低地区的医疗资源投入,提高群众的健康意识。

关 键 词:中风120  早期识别  多层次logistic模型  健康教育

Research on cognitive status of stroke 1-2-0 based on differences of population characteristics
DAI Jing,WANG Xin,GONG Yun-wen,YANG Yun-juan. Research on cognitive status of stroke 1-2-0 based on differences of population characteristics[J]. Modern Preventive Medicine, 2019, 0(22): 4128-4132
Authors:DAI Jing  WANG Xin  GONG Yun-wen  YANG Yun-juan
Affiliation:*Faculty of Management and Economics, Kunming University of Science and Technology, Kunming Yunnan 650093, China
Abstract:
Objective The aim of this study was to research the cognitive status of stroke 1-2-0 in different populations and analyze its influencing factors, and thus to effectively improve early recognition of stroke. Methods Convenience sampling method was used to obtain the data of 476 adult community residents, and univariate analysis and multilevel ordered logistic model were used to study the effect of different population characteristics on cognitive status of stroke 1-2-0. Results The recognition rate of stroke 1-2-0 was less than 60%. The factors with statistically significant differences in stroke 1-2-0 cognitive distribution were region, age, gender, occupation, education, monthly income, history of hypertension and history of stroke. The number of 1000 health technicians (Z=2.96, P=0.003) and the number of community health service centers (Z=3.12, P=0.002) in the level of regional medical resources were the influencing factors of stroke 1-2-0 cognition. Conclusion The cognitive status of stroke 1-2-0 was not good enough. It can be improved through diversified publicity and health education, differentiated publicity among different groups, and local conditions in different regions. Meanwhile, the medical resource input in areas with low level of medical resources should be increased and the health awareness of the public should be improved.
Keywords:Stroke 1-2-0  Early recognition  Multilevel ordered logistic model  Health education
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