Abstract
Background: Public knowledge, activities and practices about stroke are fundamental tools for prevention.
Purpose: To describe the level of knowledge of stroke, risk factors, attitudes and practices among caregivers and family members.
Materials and methods: Cross-sectional study in a high complexity institution, in 73 relatives and caregivers of patients with acute stroke, who were admitted between November 2015 and January 2017, to whom a Knowledge Attitudes and Practices (KAP) survey type instrument was applied via telephone.
Results: The mean age of the population was 70.8 ± 13.6 years and 69.9% (n=51) were caregivers. Only 4 (age, HTN, coagulopathies and history of thrombosis) of the 17 risk factors were identified. 97.3% (n=71) recognised facial deviation as a symptom of the disease and 91.4% (n=66) recognised the brain as the main organ affected. The main way to prevent stroke is to control blood pressure with 54.8% (n=40) and 42.5% (n=31) stated that in case of witnessing a stroke they call a hospital as a first measure.
Discussion: The findings are consistent with the literature, but more knowledge of thrombolytic therapy and risk factors is needed, as well as more education of family members and caregivers. Conclusions: Family members and caregivers have a low recognition of risk factors, but widely recognise the classic signs and symptoms, however, they are unaware of thrombolytic therapy, and do not attend educational meetings, nor are they interested in receiving information on stroke.
References
Lozano R, Naghavi M, Foreman K, Lim S, Shibuya K, Aboyans V, et al. Global and regional mortality from 235 causes of death for 20 age groups in 1990 and 2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet. 2012;380(9859):2095-128. https://doi.org/10.1016/s0140-6736(12)61728-0
Feigin VL, Mensah GA, Norrving B, Murray CJL, Roth GA, GBD 2013 Stroke Panel Experts Group. Atlas of the global burden of stroke (1990-2013): the GBD 2013 Study. Neuroepidemiology. 2015;45(3):230-6. https://doi.org/10.1159/000441106
Paleg G, Livingstone R. Systematic review and clinical recommendations for dosage of supported home-based standing programs for adults with stroke, spinal cord injury and other neurological conditions. BMC Musculoskeletal Disord. 2015;16:358. https://doi.org/10.1186/s12891-015-0813-x
Saposnik G, Del Brutto OH, Iberoamerican Society of Cerebrovascular Diseases. Stroke in South America: a systematic review of incidence, prevalence, and stroke subtypes. Stroke. 2003;34(9):2103-7. https://doi.org/10.1161/01.str.0000088063.74250.db
Silva AF, Zarruk JG, Quintero C, Arenas W, Rueda-Clausen CF, Silva SY, et al. Enfermedad cerebrovascular en Colombia. Rev Colomb Cardiol. 2006;13(2):85-9.
Ferro JM, Pinho e Melo T, Oliveira V, Crespo M, Canhão P, Nogueira Pinto A. An analysis of the admission delay of acute strokes. Cerebrovasc Dis. 1994;4(2):72-5. https://doi.org/10.1159/000108455
Shobha N, Buchan AM, Hill MD, Investigators on behalf of the CA for SES (CASES). Thrombolysis at 3-4.5 Hours after Acute Ischemic Stroke Onset - Evidence from the Canadian Alteplase for Stroke Effectiveness Study (CASES) Registry. Cerebrovasc Dis. 2011;31(3):223-8. https://doi.org/10.1159/000321893
Croquelois A, Bogousslavsky J. Risk awareness and knowledge of patients with stroke: results of a questionnaire survey 3 months after stroke. J Neurol Neurosurg Psychiatry. 2006;77(6):726-8. https://doi.org/10.1136/jnnp.2005.078618
O’Mahony PG, Rodgers H, Thomson RG, Dobson R, James OF. Satisfaction with information and advice received by stroke patients. Clin Rehab. 1997;11(1):68-72. https://doi.org/10.1177/026921559701100110
Weltermann BM, Homann J, Rogalewski A, Brach S, Voss S, Ringelstein EB. Stroke knowledge among stroke support group members. Stroke. 2000;31(6):1230-3. https://doi.org/10.1161/01.str.31.6.1230
Mant J, Carter J, Wade DT, Winner S. Family support for stroke: a randomised controlled trial. Lancet. 2000;356(9232):808-13. https://doi.org/10.1016/s0140-6736(00)02655-6
Choi JS, Seo YM, Kwon IS. Effects of education on knowledge and practice of caregivers of the stroke patient. Taehan Kanho Hakhoe Chi. 2006;36(7):1175-82. https://doi.org/10.4040/jkan.2006.36.7.1175
Smith J, Forster A, Young J, On behalf of the Cochrane Group for information provision after stroke. Cochrane review: information provision for stroke patients and their caregivers. Clin Rehabil. 2009;23(3):195-206. https://doi.org/10.1177/0269215508092820
Das K, Mondal GP, Dutta AK, Mukherjee B, Mukherjee BB. Awareness of warning symptoms and risk factors of stroke in the general population and in survivors stroke. J Clin Neurosci. 2007;14(1):12-6. https://doi.org/10.1016/j.jocn.2005.12.049
DANE. Estratificación socioeconómica para servicios públicos domiciliarios [internet]. Bogotá, Colombia. [citado 2024 ago 17] https://www.dane.gov.co/index.php/servicios-al-ciudadano/servicios-informacion/estratificacion-socioeconomica
Volpe M, Dedhiya SD. Physicians, patients, and public knowledge and perception regarding hypertension and stroke: a review of survey studies. Curr Med Res Opin. 2006;22(7):1319-30. https://doi.org/10.1185/030079906x112570
Hafsteinsdóttir TBB, Vergunst M, Lindeman E, Schuurmans M. Educational needs of patients with a stroke and their caregivers: a systematic review of the literature. Patient Educ Couns. 2011;85(1):14-25. https://doi.org/10.1016/j.pec.2010.07.046
Yoon SS, Heller RF, Levi C, Wiggers J, Fitzgerald PE. Knowledge of stroke risk factors, warning symptoms, and treatment among an Australian urban population. Stroke. 2001;32(8):1926-30. https://doi.org/10.1161/01.str.32.8.1926
Vestergaard K, Andersen G, Nielsen MI, Jensen TS. Headache in stroke. Stroke. 1993;24(11):1621-4. https://doi.org/10.1161/01.str.24.11.1621
Seifert CL, Schönbach EM, Zimmer C, Förschler A, Tölle TR, Feurer R, et al. Association of clinical headache features with stroke location: an MRI voxel-based symptom lesion mapping study. Cephalalgia. 2018;38(2):283-91. https://doi.org/10.1177/0333102416686342
Seifert CL, Schönbach EM, Magon S, Gross E, Zimmer C, Förschler A, et al. Headache in acute ischaemic stroke: a lesion mapping study. Brain. 2016;139(Pt 1):217-26. https://doi.org/10.1093/brain/awv333
Syed ST, Gerber BS, Sharp LK. Traveling towards disease: transportation barriers to health care access. J Community Heal. 2013;38(5):976-93. https://doi.org/10.1007/s10900-013-9681-1
Medeiros de Bustos E, Vuillier F, Chavot D, Moulin T. Telemedicine in stroke: organizing a network - rationale and baseline principles. Cerebrovasc Dis. 2009;27(supl. 4):1-8. https://doi.org/10.1159/000213052
Wechsler LR. Advantages and limitations of teleneurology. JAMA Neurol. 2015;72(3):349-54. https://doi.org/10.1001/jamaneurol.2014.3844
Weinstein RS, Lopez AM, Joseph BA, Erps KA, Holcomb M, Barker GP, et al. Telemedicine, telehealth, and mobile health applications that work: opportunities and barriers. Am J Med. 2014;127(3):183-7. https://doi.org/10.1016/j.amjmed.2013.09.032
Moreno AP, Camargo L, Gaitán G, Castillo EE, Pabón SA, Shelach S, et al. Effectiveness of a digital application to improve stroke knowledge for kids. Neurologia. 2023;38(4):278-83. https://doi.org/10.1016/j.nrleng.2021.10.006
Wilson RD. Mortality and cost of pneumonia after stroke for different risk groups. J Stroke Cerebrovasc Dis. 2012;21(1):61-7. https://doi.org/10.1016/j.jstrokecerebrovasdis.2010.05.002
Clark MS, Rubenach S, Winsor A. A randomized controlled trial of an education and counselling intervention for families after stroke. Clin Rehabil. 2003;17(7):703-12. https://doi.org/10.1191/0269215503cr681oa
Kendall E, Catalano T, Kuipers P, Posner N, Buys N, Charker J. Recovery following stroke: the role of self-management education. Soc Sci Med. 2007;64(3):735-46. https://doi.org/10.1016/j.socscimed.2006.09.012

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