徐州市社区缺血性脑卒中患者二级预防知识行为现状及影响因素研究

目的 了解徐州市社区缺血性脑卒中患者二级预防知识行为现状及二级预防行为的影响因素，为制定和评价健康教育政策、干预措施提供参考依据。方法 采取入户调查的方法，对徐州市社区212例缺血性脑卒中患者进行脑卒中二级预防知识行为问卷调查。结果 社区缺血性脑卒中患者抗栓药服用率为79.2%，他汀类降脂药物服用率为35.6%；防治知识得分为（11.13 ±1.43）分，占知识总分的70.6%，行为得分为（56.17±5.60）分，占行为总分的59.1%；知识和行为得分成正相关（r = 0.666，P＜0.01）；不同年龄、文化程度、家庭人均月收入患者在知识和行为方面得分均有统计学差异（P＜0.05）。年龄、文化程度、家庭人均月收入以及知识均为患者二级预防行为的影响因素（P＜0.05）。结论 社区缺血性脑卒中患者二级预防行为现状与指南之间仍有一定的差距，应结合影响二级预防行为的影响因素，采取有效的措施缩短二级预防实践与指南之间的距离。

Study on the knowledge and action of secondary prevention among ischemic stroke patients and the related factors in community of Xuzhou

Objective The aim of this study was to investigate the current situation of the knowledge and action of secondary prevention among ischemic stroke patients and the related factors in some communities of Xuzhou, and to provide scientific basis for assessing health education strategies and methods. Methods Totally, 212 ischemic stroke patients were investigated by door-to-door in some communities of Xuzhou. Results Antiplatelet therapy proportion was 79.2%. Statin treatment ratio was 35.6%. The standard score of overall stroke prevention knowledge was 11.13 ± 1.43. The proportion of the total knowledge was 70.6%. The standard score of overall stroke prevention behavior was 56.17 ± 5.60. The proportion of the total knowledge was 59.1%. There was a positive correlation between knowledge and behavior (r =0.666， P＜0.01）. Single factor analysis results showed that the scores of knowledge and behavior between different cultural level and economic income were statistically significant (P<0. 05). The influencing factors of the daily healthy behavior of patients were age, degree of culture, monthly income of family members and knowledge. Conclusion There was still a distance between guidance and status of secondary prevention of ischemic stroke patients in community. Ischemic stroke patients with knowledge gaps and the related factors of secondary prevention behavior should be taken into account in the intervention of community. Effective measures should be adopted to minimize the gap between secondary prevention practice and guidelines.