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논문KCI 등재

지역사회 교육홍보사업이 지역주민의 뇌졸중 경고증상 및 골든타임인지도에 미치는 효과

Effects of community-based education and advocacy intervention on public awareness about the warning signs of stroke and the golden window of time

오경재|김남호|박진규|조광호|이건세|김희숙|박현영|이학승|이영훈|김영택|하연수|정진성
한국보건교육건강증진학회 (Korean Society for Health Education and Promotion)|2015.03|보건교육건강증진학회지 (KOREAN JOURNAL OF HEALTH EDUCATION AND PROMOTION)|제32권 제1호|pp. 1-10|DOI http://dx.doi.org/10.14367/kjhep.2015.32.1.1

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참고문헌

키워드

KnowledgeStrokeHealth educationPopulationSymptom
주제분류예방의학/직업환경의학

초록

Objectives: This study evaluated the effects and relevant factors of community-based education and advocacy intervention on stroke awareness among the general population. Methods: The study enrolled 505 community-dwelling adults aged 19 years or older who completed a survey before and after a community-based intervention held between May 2014 and December 2014. Trained staff collected data about knowledge of five stroke warning signs, emergency response, golden window of time (≤3 h), and demographics. Results: After the intervention, public awareness of all five stroke warning signs increased significantly from 26.5% to 33.9% (p=0.011). Public awareness of the golden window of time also increased significantly from 70.1% in April 2014 to 75.8% in December 2014 (p=0.040). In a multivariate logistic regression analysis, older age, higher education level, and exposure to stroke-related public service announcements or educational materials were significant predictors of knowledge of all five warning signs for stroke. Conclusions: Comprehensive community-based intervention is effective for improving public awareness of the warning signs of stroke and the golden window of time.

Abstract

Objectives: This study evaluated the effects and relevant factors of community-based education and advocacy intervention on stroke awareness among the general population. Methods: The study enrolled 505 community-dwelling adults aged 19 years or older who completed a survey before and after a community-based intervention held between May 2014 and December 2014. Trained staff collected data about knowledge of five stroke warning signs, emergency response, golden window of time (≤3 h), and demographics. Results: After the intervention, public awareness of all five stroke warning signs increased significantly from 26.5% to 33.9% (p=0.011). Public awareness of the golden window of time also increased significantly from 70.1% in April 2014 to 75.8% in December 2014 (p=0.040). In a multivariate logistic regression analysis, older age, higher education level, and exposure to stroke-related public service announcements or educational materials were significant predictors of knowledge of all five warning signs for stroke. Conclusions: Comprehensive community-based intervention is effective for improving public awareness of the warning signs of stroke and the golden window of time.

참고문헌 (35)

  1. Bray, J. E., "Australian public's awareness of stroke warning signs improves after national multimedia campaigns", Stroke, 44(12), pp.3540~3543 (2013)
  2. Brice, J. H., "Stroke : from recognition by the public to management by emergency medical services", Prehospital Emergency Care, 6(1), pp.99~106 (2002)
  3. Derex, L., "Factors influencing early admission in a French stroke unit", Stroke, 33(1), pp.153~159 (2002)
  4. Evenson, K. R., "Prehospital and in-hospital delays in acute stroke care", Neuroepidemiology, 20(2), pp.65~76 (2001)
  5. Falavigna, A., "Awareness of stroke risk factors and warning signs in southern Brazil", Arquivos de Neuro-psiquiatria, 67(4), pp.1076~1081 (2009)
  6. Fogle, C. C., "Impact of media on community awareness of stroke warning signs : a comparison study", Journal of Stroke and Cerebrovascular Diseases, 19(5), pp.370~375 (2010)
  7. Fussman, C., "Lack of association between stroke symptom knowledge and intent to call 911 : a population-based survey", Stroke, 41(7), pp.1501~1507 (2010)
  8. Góngora-Rivera, F., "Knowledge of ischemic stroke among a Mexico City population", Journal of Stroke and Cerebrovascular Diseases, 18(3), pp.208~213 (2009)
  9. Gumbinger, C., "Time to treatment with recombinant tissue plasminogen activator and outcome of strokein clinical practice: retrospective analysis of hospital quality assurance data with comparison with results from randomised clinical trials", British Medical Journal, 348, pp.g3429~ (2014)
  10. Hartigan, I., "The Irish national stroke awareness campaign: a stroke of success?", Applied Nursing Research, 27(4), pp.e13~e19 (2014)
  11. Hickey, A., "Stroke awareness in the general population : knowledge of stroke risk factors and warning signs in older adults", BioMed Central Geriatrics, 9, pp.35~ (2009)
  12. Hodgson, C., "Can mass media influence emergency department visits for stroke?", Stroke, 38(7), pp.2115~2122 (2007)
  13. Kim, J., "Establishment of government-initiated comprehensive stroke centers for acute ischemic stroke management in South Korea", Stroke, 45(8), pp.2391~2396 (2014)
  14. Kim, Y. S., "Stroke awareness decreases prehospital delay after acute ischemic stroke in Korea", BioMed Central Neurology, 11, pp.2~ (2011)
  15. 김욱주, "뇌졸중홍보캠페인에 사용된 대표적인 다섯 가지 대표적 뇌졸중 증상의 타당도조사", 대한신경과학회지, 31(1), pp.15~20 (2013), 대한신경과학회
  16. Kimura, K., "Early stroke treatment with IV t-PA associated with early recanalization", Journal of the Neurological Sciences, 295(1-2), pp.53~57 (2010)
  17. Lecouturier, J., "Systematic review of mass media interventions designed to improve public recognition of stroke symptoms, emergency response and early treatment", BioMed Central Public Health, 10, pp.784~ (2010)
  18. 이영훈, "뇌졸중경고증상과 위험인자 인식도: 2010년 광주 지역주민 설문결과", 대한신경과학회지, 30(1), pp.26~32 (2012), 대한신경과학회
  19. Lundelin, K., "Knowledge of stroke warning symptoms and intended action in response to stroke in Spain : a nationwide population-based study", Cerebrovascular Diseases, 34(2), pp.161~168 (2012)
  20. Marx, J. J., "Gender-specific differences in stroke knowledge, stroke risk perception and the effects of an educational multimedia campaign", Journal of Neurology, 257(3), pp.367~374 (2010)
  21. Mikulík, R., "Calling 911 in response to stroke : no change following a four-year educational campaign", Cerebrovascular Diseases, 32(4), pp.342~348 (2011)
  22. Miyamatsu, N., "Effects of public education by television on knowledge of early stroke symptoms among a Japanese population aged 40 to 74 years : a controlled study", Stroke, 43(2), pp.545~549 (2012)
  23. Mochari-Greenberger, H., "National women's knowledge of stroke warning signs, overall and by race", ethnic group, 2014, pp.45(4), 1180~1182
  24. Müller-Nordhorn J., "Population-based intervention to reduce prehospital delays in patients with cerebrovascular events", Archives of Internal Medicine, 169(16), pp.1484~1490 (2009)
  25. Oser, C. S., "Cooperative strategies to develop effective stroke and heart attack awareness messages in rural american Indian communities, 2009-2010", Preventing Chronic Disease, 10, pp.E80~ (2013)
  26. Pandian, J. D., "Knowledge of stroke among stroke patients and their relatives in Northwest India", Neurology India, 54(2), pp.152~156 (2006)
  27. Park, M. H., "No difference in stroke knowledge between Korean adherents to traditional and western medicine-the AGE study : an epidemiological study", BioMed Central Public Health, 6, pp.153~ (2006)
  28. Rasura, M., "Promotion and Implementation of Stroke Care in Italy Project Working. Effectiveness of public stroke educational interventions : a review", European Journal of Neurology, 21(1), pp.11~20 (2014)
  29. Schneider, A. T., "Trends in community knowledge of the warning signs and risk factors for stroke", Journal of the American Medical Association, 289(3), pp.343~346 (2003)
  30. Silver, F. L., "Advertising strategies to increase public knowledge of the warning signs of stroke", Stroke, 34(8), pp.1965~1968 (2003)
  31. Sug Yoon. S., "Knowledge of stroke risk factors, warning symptoms, and treatment among an Australian urban population", Stroke, 32(8), pp.1926~1930 (2001)
  32. Wahab, K. W., "Awareness of warning signs among suburban Nigerians at high risk for stroke is poor : a cross-sectional study", BioMed Central Neurology, 8, pp.18~ (2008)
  33. Williams, L. S., "Stroke patients' knowledge of stroke. Influence on time to presentation", Stroke, 28(5), pp.912~915 (1997)
  34. Worthmann, H., "Educational campaign on stroke in an urban population in Northern Germany : influence on public stroke awareness and knowledge", International Journal of Stroke, 8(5), pp.286~292 (2013)
  35. Zangerle, A., "Recanalization after thrombolysis in stroke patients : predictors and prognostic implications", Neurology, 68(1), pp.39~44 (2007)

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