Author(s): Jogindra Vati, Parveen Sandha

Email(s): vati.jogindra@gmail.com

DOI: 10.52711/2454-2660.2022.00087   

Address: Jogindra Vati1, Parveen Sandha2
1Prof. and Principal, SGHS CON, Mohali (Pb), India.
2Associate Professor, SGHS CON, Mohali (Pb), India.
*Corresponding Author

Published In:   Volume - 10,      Issue - 4,     Year - 2022


ABSTRACT:
Background: The stroke burden in India is very high, and its incidence has been rising over the past few decades. Acute stroke is a time-sensitive emergency and requires identifying warning signs and seeking medical attention to prevent mortality and morbidity. Knowing its risk factors, accurately identifying warning signs, and seeking medical attention within a timeline is challenging to avoid secondary complications. Objective: To assess the knowledge of risk factors, warning signs, and immediate response to stroke among patients attending the general outpatient department (OPD) and find out the relationship of knowledge with selected socio-demographic and clinical variables of the patients. Material and Methods: A hospital-based cross-sectional study was conducted on 200 patients attending the general outpatient department (OPD) recruited consecutively after meeting the inclusion and exclusion criteria. Demographic profile, clinical profile, and knowledge questionnaire on risk factors, warning signs, and response to stroke were used to gather the data. Consent was taken from the patient after obtaining the ethical clearance. Results: Nearly half of the patients (43.5%) had very good knowledge, and almost the same number (43%) had good knowledge about stroke risk factors. The participants identified the most common risk factors for stroke: hypertension (77%) and excessive alcohol consumption (73%). Most patients (92.5%) have poor knowledge about warning signs, and only 7% had adequate knowledge. The most common stroke warning sign described by participants was 'confusion and slurred speech' identified by 17%. All patients were aware of seeking medical attention within 72 hours. Still, none of them knew about the golden timeline (3 hours), its importance, and thrombolytic therapy as a selective stroke treatment during the golden timeline. There is no association between participants' knowledge of stroke risk factors and warning signs and socioeconomic, clinical, and source of information variables (p<.05). Conclusion: Most patients have better knowledge about risk factors but lack warning signs and immediate response to stroke irrespective of their socioeconomic, clinical, and source of receiving stroke-related information. Hospitals must galvanize the efforts to disseminate stroke-related information involving nursing staff to organize different educational strategies in OPDs.


Cite this article:
Jogindra Vati, Parveen Sandha. Knowledge regarding risk factors, warning signs, and immediate response to stroke among patients attending general outpatient department in a selected multispeciality hospital. International Journal of Nursing Education and Research. 2022; 10(4):385-1. doi: 10.52711/2454-2660.2022.00087

Cite(Electronic):
Jogindra Vati, Parveen Sandha. Knowledge regarding risk factors, warning signs, and immediate response to stroke among patients attending general outpatient department in a selected multispeciality hospital. International Journal of Nursing Education and Research. 2022; 10(4):385-1. doi: 10.52711/2454-2660.2022.00087   Available on: https://ijneronline.com/AbstractView.aspx?PID=2022-10-4-22


REFERENCES:
1.    Khurana S, Gourie-Devi M, Sharma S, et al. Burden of stroke in India during 1960 to 2018: A systematic review and meta-analysis of community-based surveys. Neurol India 2021 May 31; 69: 547-59. [Online Available from https://neurologyindia.com/article.asp?issn=0028-3886;year=2021;volume=69;issue=3;spage=547;epage=559;aulast=Khurana;type=3 Accessed September 21, 2021.
2.    CDC in India. [Online Available from https://www.cdc.gov/globalhealth/countries/india/pdf/India-Factsheet-p.pdf Accessed Sept 17, 2021.
3.    Stroke. [Online Available from https://vikaspedia.in/health/diseases/brain-related/stroke Accessed Sept 17, 2021.
4.    Stroke. [Online Available from https://www.cdc.gov/stroke/facts.htm      Accessed Sept 9, 2021
5.    Jones SP, Baqai K, Clegg A, et al. Stroke in India: A systematic review of the incidence, prevalence, and case fatality. International Journal of Stroke 2021 Jun 1; 0(0): 1-9. [Online Available fromhttps://www.researchgate.net/publication/352341785_EXPRESS_Stroke_in_India_a_systematic_review_of_the_incidence_prevalence_and_case_fatality Accessed Sept 9, 2021
6.    Kasper D, Fauci A, Hauser S, et al. Harrison's Manual of Medicine. (19th ed).  [Online Available from https://accessmedicine.mhmedical.com/content.aspx?bookid=1820&sectionid=127553981 Accessed Sep 17, 2021.
7.    Kamalakannan S, Gudlavalleti AS, Gudlavalleti VS, et al. Incidence & prevalence of stroke in India: A systematic review. Indian J Med Res 2017; 146:175-85. [Online Available from https://www.ijmr.org.in/article.asp?issn=0971-5916;year=2017;volume=146;issue=2;spage=175;epage=185;aulast=Kamalakannan  Accessed Sept 17, 2021.
8.    Kannan V, Justin C, Sai Prashanth PR, and Alexander N. Clinical prevalence of stroke in a tertiary care hospital in Southern India. Int J Res Med Sci. 2021 Mar;9(3): 838-41. [Online Available from https://dx.doi.org/10.18203/2320-6012.ijrms20210509
9.    Deeaa K.and Abd Ali. Quality of Life of Patients with Ischemic stroke versus hemorrhagic stroke: comparative study. Research J. Pharm. and Tech 2018; 11(11): 4911-5.
10.    O'Donnell MJ, Xavier D, Liu L, et al. Risk factors for ischaemic and intracerebral haemorrhagic stroke in 22 countries (the interstroke study): A case-control study. Lancet. 2010;376:112–3 [Online Available from https://pubmed.ncbi.nlm.nih.gov/20561675/ Accessed Sept 9, 2021
11.    Swathi. SB, Swathi, K, Swapna G. Venkateshwarluet et al. Changes of life style prevent heart stroke, kidney failure, paralysis. Asian J. Pharm. Res. 2015 Jan.-Mar; 5 (1): 48-50.
12.    Shirttail S.Gouri, Bernice M. Effectiveness of Structured Teaching Programme on Knowledge of Students Regarding the selected hazards of smoking and its Prevention in selected schools at K. R. Puram, in Hassan District, Karnataka. Int. J. Adv. Nur. Management. 2017; 5(2):112-8.
13.    Alexander PC. A Study to Evaluate the Effectiveness of Structured Teaching Programme on Knowledge Regarding Hazards of Tobacco among Adolescent boys of Tallarevu Village, Kakinada. Int. J. Adv. Nur. Management. 2017; 5(1): 15-9
14.    Sharma MK. A Study to determine the prevalence of Alcohol consumption among Engineering College Students and to assess their knowledge and attitude regarding Alcohol Consumption and its ill effects in selected Private Engineering Colleges of Rajasthan. Int. J. Adv. Nur. Management. 2016; 4(3): 214-8.
15.    Balakrishnan C. A Comparative study to assess the knowledge and attitude of adolescents (16-18 years) regarding alcoholism and its hazards between selected rural and urban Pre-University College at Bangalore. Asian J. Nur. Edu. & Research 2011 Jan.-March; 1(1): 31-6.
16.    Veeresh SN, Manjunath MS. A Descriptive Study to Assess the Knowledge Regarding The Ill Effects of Smoking among the Adolescent Boys in Pre-University College, Belgaum. Int. J. Nur. Edu. and Research 2014 Oct.- Dec; 2(4): 324-8.
17.    Kaur M. A Quasi Experimental Study on Effectiveness of Structured Teaching Programme on Knowledge Regarding Complementary Modalities of Hypertension among Hypertensive Patients in Selected Rural areas of District Jalandhar, Punjab 2012. Int. J. Adv. Nur. Management. 2016; 4(2): 141-7.
18.    Yi X, Luo H, Zhou J. et al. Prevalence of stroke and stroke-related risk factors: a population-based cross-sectional survey in southwestern China. BMC Neurol, 2020 Jan 7; 20 (5) [Online Available from https://pubmed.ncbi.nlm.nih.gov/31910820/Accessed Sept 9, 2021
19.    Amarnath GS. Hanmukhe. A Co-relation Study to Assess the Knowledge and Attitude about Consuming Fatty Diet and Blood Cholesterol Level Among Adults in Selected Residential Areas, Bangalore. Asian J. Nur. Edu. and Research 2012 Oct-Dec; 2(4): 195-6.
20.    Anupriya Thomas, Anvarasulthana A. R, Athira Ajayan, Libiya Abraham, Liyamol Benny, Priya mol Shaju, Renjini Jose, Maria Thomas, Joseena S.V.M. A Study to assess the Knowledge on Lifestyle modification for Prevention of Hypertension among Adults in a selected Hospital at Kidangoor. Research Journal of Science and Technology. 2021; 13(2):85-8.
21.    Perez-Lazaro C., Santos-Lasaosa S., Velazquez-Benito A, et al. Knowledge of cerebrovascular disease in the population of Zaragoza Rev Neurol 2017 Jan 1;64(1):17-26. (Abstract) [Online Available from https://pubmed.ncbi.nlm.nih.gov/28000908/ Accessed  Sept 10, 2021.
22.    Soto-Cámara R, González-Bernal JJ, González-Santos J, et al. Knowledge on signs and risk factors in stroke patients. J Clin Med, 2020 Aug 7; 9(8): 2557. [OnlineAvailable from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7463706/
23.    Workina A, Kebede S, Fekadu C, et al. [Online Available from https://doaj.org/article/0237ccef79c742319267744158052da5 and https://www.dovepress.com/knowledge-of-risk-factors-and-warning-signs-of-stroke-among-patients-w-peer-reviewed-fulltext-article-OAEM   
24.    Melak AD, Wondimsigegn D., and Kifle ZD. Knowledge, prevention practice and associated factors of stroke among hypertensive and diabetic patients - a systematic review. Risk Management and Healthcare Policy. 2021 Aug 11; 14: 3295–3310. [online Available from https://www.dovepress.com/knowledge-prevention-practice-and-associated-factors-of-stroke-among-h-peer-reviewed-fulltext-article-RMHP Accessed September
25.    Nordanstig A, Palaszewski B, Asplund K., et al. Evaluation of the Swedish National Stroke Campaign: A population-based time-series study. International Journal of Stroke: Official Journal of the International Stroke Society, 2019; 14(9): 862–70. [Online Available from https://journals.sagepub.com/doi/abs/10.1177/1747493019840939 Accessed Sept 8, 2021.
26.    Venkatesh U and Srivastava D. [Online Available from http://jmscr.igmpublication.org/home/index.php/current-issue/1491-knowledge-attitude-and-practice-in-relation-to-stroke-comparative-study-between-hypertensive-and-non-hypertensive-patients-attending-a-tertiary-care-centre-in-gorakhpur-uttar-pradesh-india Accessed September 8, 2021.
27.    Chhabra, M., Gudi, S. K., Rashid, M., Rohit 4, Sharma, P., Sharma, S., & Khan, H. [Online Available from  https://www.thieme-connect.com/products/ejournals/pdf/10.1055/s-0039-1697561.pdf
28.    Sapna, Bhatia R, Sharma G, and Gopichandran L. A comparative study to assess the knowledge on risk factors, warning signs, and immediate treatment of stroke among stroke survivors and patients of cardiovascular disorders who are at risk of stroke Asian Journal of Nursing Education and Research January 2016; 6(3):39 [Online Available from
https://ajner.com/HTMLPaper.aspx?Journal=Asian%20Journal%20of%20Nursing%20Education%20and%20Research;PID=2016-6-3-20 Accessed Sept 30, 2021.
29.    Kurmi S, Mathews E, and Kodali PB. Awareness of Stroke Warning Symptoms, Risk Factors, and Response to Acute Stroke in Biswanath District, Assam, India. J Stroke Med. 2020 Dec 1; 3(2): 88–91. [Online. Available from https://pubmed.ncbi.nlm.nih.gov/34308148/Accessed Oct 9, 2021.
30.    Baldereschi M, Di Carlo A, Vaccaro C, et al. Stroke knowledge in Italy. Neurol Sci 2015 March; 36: 415–21 [Online Available from https://www.dovepress.com/knowledge-prevention-practice-and-associated-factors-of-stroke-among-h-peer-reviewed-fulltext-article-RMHP Accessed Sept 9, 2021.
31.    Sug Yoon S, Heller RF, et al. [Online Available from https://pubmed.ncbi.nlm.nih.gov/11486127/ Accessed  Sept 9, 2021.
32.    Sadeghi-Hokmabadi et al. BMC Emergency Medicine (2019) 19:36 [Online Available from https://bmcemergmed.biomedcentral.com/track/pdf/10.1186/s12873-019-0250-5.pdf  Accessed Sept 9, 2021.
33.    Addisu TA, Netsanet B, Tesfamichael GM. [Online Available from https://www.hindawi.com/journals/nri/2019/8570428/ Accessed Sept 10, 2021
34.    Koushal D, Nirmala S. Knowledge among stroke and high risk patients regarding risk factors, warning signs and immediate treatment of stroke. Int. J. Adv. Nur. Management. 2016; 4(4): 331-3.
35.    Sarma PS, Sadanandan R, Thulaseedharan JV, et al. Prevalence of risk factors of non-communicable diseases in Kerala, India: results of a cross-sectional study. BMJ Open. 2019; 9(11):e027880. [Online Available from https://bmjopen.bmj.com/content/bmjopen/9/11/e027880.full.pdf    Accessed Sept 19, 2021
36.    Vibo R, et al. Stroke awareness in two Estonian cities: better knowledge in subjects with advanced age and higher education. Eur Neurol 2013;69(2):89–94 [Online Available from https://www.karger.com/Article/Abstract/343805 Accessed Sept 20, 2021.
37.    Stack K, Robertson W, and Blackburn C. [Online Available from https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-020-09580-x Accessed Oct 15, 2021.

Recomonded Articles:

Author(s): Ms. Khushboo Brar1*, Mrs. Tarundeep Kaur2, Mrs. P. Vadivukarrasi Ramanadin3

DOI: 10.5958/2454-2660.2016.00031.4         Access: Open Access Read More

Author(s): S. Tamil Selvi

DOI: 10.5958/2454-2660.2018.00014.5         Access: Open Access Read More

Author(s): Anilkumar B. Jarali, Patrick O. Ogoncho

DOI: 10.5958/2454-2660.2016.00066.1         Access: Open Access Read More

Author(s): Vinil Upendrababu, Rajat Singh, Afreen, Deeksha, Govind Kumar, Roohee Fatma

DOI: 10.5958/2454-2660.2018.00093.5         Access: Open Access Read More

Author(s): P.Vadivukkarasi Ramanadin, Sijo ME, Indave Chhaya Laxmanbhai, Mahala Lalita Manjibhai, Mahala Laxmi Lasyabhai, Mahale Ragini Laxman, Mahla Mathuri Rameshbhai

DOI: 10.5958/2454-2660.2017.00060.6         Access: Open Access Read More

International Journal of Nursing Education and Research (IJNER) is an international, peer-reviewed journal devoted to nursing sciences..... Read more >>>

RNI: Not Available                     
DOI: 10.5958/2231–5713 

Popular Articles


Recent Articles




Tags