Awareness of Stroke and Health-seeking Practices among Hypertensive Patients in a Tertiary Care Hospital: A Cross-sectional Survey

Dar, Nayab Z; Khan, Shahzad Ali; Ahmad, Arsalan; Maqsood, Shereen

doi:10.7759/cureus.4774

Cited by 15 publications

(26 citation statements)

References 13 publications

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“…In this study we found that the majority of the participants had low-level of stroke awareness. This finding is in accordance with prior studies which showed that most participants were not fully aware of stroke and its risk factors [15,21,22]. Moreover, the level of stroke awareness in the present study was positively associated with the level of knowledge on hypertension.…”

Section: Discussionsupporting

confidence: 93%

“…Raising public stroke awareness would be beneficial for better stroke prevention strategies, particularly for population at risk. Approximately 80% of new stroke incidence could be avoided by improving knowledge related to risk factors of stroke [15]. The knowledge about stroke as a complication of hypertension is also essential for establishing the effective prevention programs.…”

Section: Introductionmentioning

confidence: 99%

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Influencing Factors of Stroke Awareness Among Hypertensive Patients in Community Health Centers in Indonesia

Setyopranoto¹,

As²,

Isworo³

et al. 2021

Preprint

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The global burden of stroke is still high, particularly in developing countries, with hypertension serves as the main risk factor. Knowledge related to stroke is essential to establish better prevention strategies. This study aimed to identify factors associated with stroke awareness among hypertensive patients in Indonesia. This was a cross-sectional study conducted in five Community Health Centers in Indonesia. We used a standardized questionnaire to asses stroke awareness and the influencing factors. The knowledge on hypertension was assessed using Hypertension Knowledge Level Scale (HK-LS). Multivariate logistic regression analysis was performed to measure factors associated with stroke awareness. A total of 457 hypertensive patients were included. Majority of patients (77.46%) had low stroke awareness. Having higher knowledge on hypertension, higher income, and a history of previous stroke were associated with higher level of stroke awareness (odds ratio [OR] 1.878, 95%CI 1.176-2.999, p 0.008; OR 1.887, 95%CI 1.170-3.045, p 0.009; OR 5.276, 95%CI 2.210-12.594, p<0.001, respectively). This study suggests that knowledge on hypertension, income, and history of previous stroke are factors which may influence the level of stroke awareness. This emphasizes the need to provide better campaign and education program to raise stroke awareness in a community setting.

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Section: Discussionsupporting

confidence: 93%

Section: Introductionmentioning

confidence: 99%

Influencing Factors of Stroke Awareness Among Hypertensive Patients in Community Health Centers in Indonesia

Setyopranoto¹,

As²,

Isworo³

et al. 2021

Preprint

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“…In the contrary studies that were rated as yes (reported) in the quality assessment questions considered as low risk of bias. As a result, more than 80% of the studies had clearly settled objectives, 17 , 29–69 specified study populations, 17 , 29–35 , 37 , 39–53 , 55 , 56 , 58 , 60–64 , 66–69 inclusion/exclusion criteria, 17 , 29–35 , 37 , 40 , 42–51 , 53–57 , 59 , 61–69 adjusted confounders, 17 , 29–69 defined dependent variables, 17 , 29 , 30 , 32–44 , 46–51 , 53 , 55–58 , 63–69 and independent variables. 17 , 29–31 , 33 , 34 , 36 , 37 , 39–44 , 46–49 , 51–60 , 63–65 , 69 Whereas ≥50% participation rate, 29–31 , 33–35 , 37 , 39–42 , 44 , 46 , 48 , 50–53 , 55 , 56 , 61–63 , 65 , 68 , 69 justified sample size determination, 29–32 , 34 , 37–40 , 42–44 , 46–52 , 55–57 ,…”

Section: Resultsmentioning

confidence: 99%

“… 34 Two authors reported 82–85% of subjects were knowing whether a stroke is preventable. 33 , 39 Furthermore, four studies investigated and reported regular physical exercise (49–88%), avoiding fat intake (40–89%), and frequent use of vegetables (37–87%). 17 , 34 , 39 , 61 Likewise, three studies reported whether subjects had knowhow of smoking cessation (6–85%) as prevention of stroke.…”

Section: Resultsmentioning

confidence: 99%

Knowledge, Prevention Practice and Associated Factors of Stroke Among Hypertensive and Diabetic Patients – A Systematic Review

Melak¹,

Wondimsigegn²,

Kifle³

2021

RMHP

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Introduction Because of the inadequate level of public awareness of the disease, the incidence of stroke has been sharply rising. Eventually, due to the prehospital delay, many stroke cases could not be eligible for thrombolysis thereby poor rehabilitative outcome has been tremendously increased. Thus, this study aimed to review the level of knowledge, prevention practice, and associated factors of stroke among hypertensive and diabetic patients. Methods A systematic review of primarily published articles (2010–2020) related to knowledge and prevention practices of stroke was performed by searching online electronic databases like PubMed, Google Scholar, Refseek, Science direct, ResearchGate, and manual Google search by using the keywords and MeSH terms. Studies conducted on knowledge and prevention practices amongst hypertensive and/or diabetic patients were included. Results Out of 531 searched studies, 42 articles were identified to be reviewed. The reported overall knowledge of stroke was ranging from 4.4% to 79%. Knowledge to the signs/symptoms of stroke was 23.6% to 87%. However, 15% to 77% of subjects were also reported that they did not know any sign of stroke. The range of risk factor knowledge was 10.5% to 86.6%. The reported level of stroke prevention practice was 2.4% to 72% but physical activity and weight reduction practice were relatively low. Inadequate level of knowledge and prevention practice of stroke was related to elderly, female gender, uneducated, unmarried, rural residents, economically low, comorbidity and unemployed individuals. Conclusion The current finding revealed that the level of knowledge and prevention practice of stroke was inadequate. Hence, the finding highlights health educational programs should be planned as an important avenue to enhance stroke awareness among the high-risk populations.

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“… 14–16 Necessary intervention should be carried out to decrease stroke other communicable disease burdens, otherwise, the total death from it is anticipated to increase further 17% over the next first decade. 12 , 13 …”

Section: Introductionmentioning

confidence: 99%

Knowledge of Risk Factors and Warning Signs of Stroke Among Patients with Heart Disease at Tikur Anbessa Specialized Hospital

Workina

Kebede

Fekadu

et al. 2021

OAEM

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Background Stroke is a leading cause of mortality and disability worldwide and the economic costs of treatment and post-stroke care are extensive. The inability to identify stroke warning signs accurately is an important cause of delay in seeking medical attention, leading to potential ineligibility for acute intervention and which leads to secondary complications. Purpose To identify cardiac patients’ knowledge of stroke risk factors and warning signs. Patients and Methods The institutional based cross-sectional study design was employed. Participants were selected using systematic random sampling. Close-ended questionnaires were pre-tested and validated for consistency before data collection. Then after data collection, data were checked and entered into Epi-data 4.6. Finally, the cleaned data were exported to SPSS version 25 for analysis. Statistical analysis using binary logistic regression was done and Predictors with a p-value of <0.05 were considered statistically significant. Results A total of 227 patients were included in the study, of which 140 (61.7%) of them identified physical inactivity, followed by hypertension126 (55.5%) as stroke risk factor while 15.4% of them did not know any risk factor of stroke. Amongst the study participants, 45.81% of them had adequate knowledge of stroke risk factors. Regarding stroke warning signs the most identified sign was sudden unilateral weakness 142 (62.6%) while 46 (20.26%) of them did not know at least one warning sign of a stroke. Based on multivariable logistic regression analysis, higher education level AOR 3.05 (95% CI 1.62–5.74) and Urban residence area AOR 2.07 (95% CI 1.05–4.1) were significantly associated with knowledge of stroke risk factors with p-value<0.05. Conclusion Study participants had inadequate knowledge of stroke risk factors and warning signs. Educational status and information about stroke are significantly associated with adequate knowledge of stroke risk factors, raising stroke awareness is the mainstay to reduce stroke burden.

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Awareness of Stroke and Health-seeking Practices among Hypertensive Patients in a Tertiary Care Hospital: A Cross-sectional Survey

Cited by 15 publications

References 13 publications

Influencing Factors of Stroke Awareness Among Hypertensive Patients in Community Health Centers in Indonesia

Influencing Factors of Stroke Awareness Among Hypertensive Patients in Community Health Centers in Indonesia

Knowledge, Prevention Practice and Associated Factors of Stroke Among Hypertensive and Diabetic Patients – A Systematic Review

Knowledge of Risk Factors and Warning Signs of Stroke Among Patients with Heart Disease at Tikur Anbessa Specialized Hospital

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