论文部分内容阅读
目的了解上海市黄埔区社区人群对脑卒中的知识、态度和行为的现状,探索需要干预的人群特点,为开展社区脑卒中健康教育和健康促进提供科学依据。方法 2008年12月至2009年2月对上海市黄埔区社区居民2040人进行问卷调查,了解社区人群脑卒中的知识、态度、行为(KAP)现状,采用单因素和多重线性回归分析探索脑卒中KAP的影响因素;采用相关分析探讨干预人群知识、信念、行为之间的相互关系。结果影响脑卒中知识得分的因素是文化程度(P<0.01)、年龄(P<0.001)以及是否患有相关疾病(P<0.001);影响态度得分的因素是知识得分、文化程度以及是否患有相关疾病(P<0.001);影响行为得分的因素是知识得分、态度得分、文化程度、年龄以及是否患有相关疾病(P<0.001)。相关分析提示,知识和行为得分高度正相关(Pearson相关系数=0.81,P<0.001)。态度与知识得分、态度与行为得分呈中度正相关(Pearson相关系数均为0.40,P<0.001)。结论文化程度低、年龄55岁以下、不患有脑卒中相关疾病、脑卒中相关知识得分低的人群是脑卒中一级预防需要重点干预的对象。脑卒中知识知晓情况对预防的态度和行为有重要影响。开展社区脑卒中健康教育和健康促进十分必要。
Objective To understand the status quo of knowledge, attitude and behavior of stroke community in Huangpu district of Shanghai and explore the characteristics of the population needing intervention in order to provide a scientific basis for community health education and stroke promotion. Methods From December 2008 to February 2009, 2040 community residents in Huangpu District of Shanghai were surveyed to find out the knowledge, attitudes and behavior (KAP) status of stroke in community population. The single factor and multiple linear regression analysis were used to explore the relationship between stroke KAP influencing factors; using correlation analysis to explore the intervention of knowledge, beliefs, behavior between the interrelationship. Results The factors influencing the knowledge score of stroke were educational level (P <0.01), age (P <0.001) and related diseases (P <0.001). The factors influencing attitude scores were knowledge score, educational level and whether they had Related diseases (P <0.001). The factors influencing behavioral scores were knowledge score, attitude score, education level, age and related diseases (P <0.001). Correlation analysis showed that knowledge and behavior scores were highly correlated (Pearson correlation coefficient = 0.81, P <0.001). There was a moderate positive correlation between attitude and knowledge score, attitude and behavior score (Pearson correlation coefficient was 0.40, P <0.001). Conclusions People with low educational level, under 55 years of age, without stroke-related illnesses and with low knowledge-related stroke scores are the key interventions for primary prevention of stroke. Knowledge of stroke knowledge has a significant impact on prevention attitudes and behaviors. It is necessary to carry out community stroke health education and health promotion.