Stroke Related Knowledge, Prevention Practices and Associated Factors Among Hypertensive Patients at University of Gondar Comprehensive Specialized Hospital, Northwest Ethiopia, 2021

Abstract

IntroductionStroke is a global health problem, causing significant morbidities and mortalities in both developing and developed countries. Patients living with chronic diseases like hypertension are at a high risk of stroke. Approximately 80% of strokes could be prevented with necessary preventive practices. There is scarce evidence in the preventive practices in Ethiopia, particularly in the study area. Therefore, this study aimed to assess knowledge and prevention practices related to stroke among hypertensive patients at the University of Gondar comprehensive specialized hospital, northwest Ethiopia.MethodsAn institution-based cross-sectional study was conducted among 393 hypertensive patients at the University of Gondar Comprehensive Specialized Hospital from May 1st to June 30th, 2021. The study participants were selected by a systematic random sampling technique. A semi-structured and interviewer-administered questionnaire was used to collect data. The data was entered into EPI Info version 7.2.1 and analyzed with SPSS version 23.0. Binary logistic regression analyses were undertaken to identify associated factors. The level of significance was determined using the adjusted odds ratio (AOR) with its 95% CI at a p-value of 0.05.ResultsParticipants in this study had adequate knowledge of stroke and good prevention practices in 40.7% (95% CI: 35.9, 45.5) and 51.7% (95 CI: 46.8, 56.5) of cases, respectively. Attending secondary education and above 4.6 (95% CI: 2.08, 10.17), knowing someone who has had a stroke 13.17 (95% CI: 7.3, 23.77), and physical activity 4.05 (95% CI: 2.23, 7.36) were all significantly associated with adequate stroke knowledge. Furthermore, educational status (attending primary education 2.61 (95% CI: 1.44, 4.73) and secondary education and above 3.75 (95% CI: 1.99, 7.05), being an urban dweller 9.65 (95% CI: 5.04, 18.44), duration of hypertension 1.9 (95% CI: 1.15, 3.14), knowing someone with a stroke 2.27 (95% CI: 1.30, 3.93), and physical activity 1.76 (95% CI: 1.03, 3.01) were associated with good stroke prevention practices.ConclusionThe proportion of participants with good-related knowledge and prevention practice is relatively good.

Knowledge, Attitudes, and Practices Towards Stroke Prevention and Associated Factors Among Hypertensive Patients Attending North Shewa Public Hospitals, 2023

“…The ndings of this study revealed that 42.9% of the participants had good knowledge of stroke prevention methods, within the 95% CI (38.4-48.0%), which is in line with the ndings of previous studies conducted in Ethiopia two studies in Gondar, 38.6 (18), 40.7% (13)and other counties, such as India (45.71%) (20). However, these ndings are greater than those of previous studies conducted in Ethiopia at Debre Tabor (24.9%) (21), South Gondar Zone (15%) and Uttar Pradesh, India (11.43%) (15).…”

“…This study revealed that the odds of physically active participants having good knowledge of stroke prevention were 4 times greater than those of participants who were physically inactive. These ndings are supported by the ndings of studies conducted in Ethiopia at Gondar Comprehensive Specialized Hospital (13) and in Sokoto, Nigeria (22). A possible explanation could be that health-conscious people are more likely to engage in bene cial health behaviours such as regular exercise because they tend to have a better understanding of their health, pay attention to individual health problems, and then take healthy measures to ensure their personal health.…”

“…The sample size was determined using the single population proportion formula for the Epi Info STAT CALC cohort. version 7.2.4 based on the assumptions of a 95% con dence level (CL), proportion of good knowledge, 40.7%, and 5% marginal error from the study conducted among hypertensive patients at the University of Gondar Comprehensive Specialized Hospital since 2021 (13). Among those with Favourable attitudes, 50% (since no previous study) had good practices, 51.7% had favourable attitudes (13), and 5% had marginal errors and 10%, non-response since the sample size calculated for practice was larger; the study sample size was taken to be 423 (Table 1).…”

“…A structured, closed-ended questionnaire developed from different kinds of literature (13)(14)(15) was used.…”

Stroke related knowledge, prevention practices and associated factors among stroke patients in Taizhou, China

“…This finding was aligned with the earlier research concentrating on participants with high blood pressure, which reported that their knowledge level of warning signs and risk factors related to stroke was inadequate ( Bhat et al, 2021 , Houessou et al, 2021 , Melak et al, 2021 ). However, the proportion was lower than the previous research conducted among hypertension patients in Ethiopia (40.7%) ( Woldetsadik et al, 2022 ). One possible explanation for these findings is that most participants may have lacked information as a result of insufficient knowledge of stroke warning signs and risk factors.…”