Title: 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
Authors: Venkatesh U, Srivastava D
DOI: https://dx.doi.org/10.18535/jmscr/v4i12.116
Abstract
Introduction - It is not possible to reduce the stroke burden, without the awareness in public and concerned attitude and practice towards the same. It is vital to analyse public awareness about present knowledge, attitude and practices (KAP) to prevent mortality-morbidity of stroke particularly in high risk cases.
Objective - To study the knowledge, attitude and practice in relation to stroke among hypertensive and non-hypertensive patients attending a tertiary care centre OPD.
Methodology – Cross-sectional study was conducted at Medicine OPD of BRD Medical College in the month of November 2016. Consecutive Sampling was used to enrol the patients in two groups (Hypertensive and Non-hypertensive patients). Sample size was calculated using G power 3.1.9.2. Individual score were calculated for Knowledge, Attitude and Practice section and analysed using T- test.
Results - The mean difference in Knowledge score of HTN group was 1.99 ± 0.86 and 1.91 ± 0.96 in Non HTN group patients (p=0.54). The Attitude score of HTN group was 19.22 ± 2.34 and 18.79 ± 2.11 in Non HTN group (p=0.15). Whereas the Practice score in HTN group was 6.5 ± 2.1 and 6.96 ± 2.2 in Non HTN group patients (p=0.13).
Conclusion - Insignificant difference in Knowledge, Attitude and Practice scores of HTN and Non-HTN group. We found 66.7% of patients attending tertiary care centre are good in knowledge, knowledge, 73.8% are having positive attitude, 62.9 % having good practice in relation to stroke.
Keywords – Stroke, Awareness, Knowledge, Attitude, Practice, Hypertension.
References
1. Suwanwela NC, Poungvarin N. Stroke burden and stroke care system in Asia. Neurology India. 2016 Feb 1;64(7):46.
2. Kaul S. Stroke in India: are we different from the world. Pak J Neurol Sci. 2007 Jul;2(3):158-64.
3. Feigin VL, Lawes CM, Bennett DA, Barker-Collo SL, Parag V. Worldwide stroke incidence and early case fatality reported in 56 population-based studies: a systematic review. The Lancet Neurology. 2009 Apr 30;8(4):355-69.
4. Dalal PM, Bhattacharjee M. Stroke epidemic in India: hypertension-stroke control programme is urgently needed. JAPI. 2007 Oct 5;55:689-91.
5. Das SK, Banerjee TK. Stroke Indian Scenario. Circulation. 2008 Dec 16;118(25):2719-24.
6. Neau JP, Ingrand P, Godeneche G. Awareness within the French population concerning stroke signs, symptoms, and risk factors. Clinical neurology and neurosurgery. 2009 Oct 31;111(8):659-64.
7. 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 Aug 1;32(8):1926-30.
8. Schneider AT, Pancioli AM, Khoury JC, Rademacher E, Tuchfarber A, Miller R, Woo D, Kissela B, Broderick JP. Trends in community knowledge of the warning signs and risk factors for stroke. Jama. 2003 Jan 15;289(3):343-6.
9. Pancioli AM, Broderick J, Kothari R, Brott T, Tuchfarber A, Miller R, Khoury J, Jauch E. Public perception of stroke warning signs and knowledge of potential risk factors. Jama. 1998 Apr 22;279(16):1288-92.
10. Weltermann BM, Homann J, Rogalewski A, Brach S, Voss S, Ringelstein EB. Stroke knowledge among stroke support group members. Stroke. 2000 Jun 1;31(6):1230-3.
11. Kim JS, Yoon SS. Perspectives of Stroke in Persons Living in Seoul, South Korea A Survey of 1000 Subjects. Stroke. 1997 Jun 1;28(6):1165-9.
12. Cheung RF, Li LW, Mak W, Tsang K, Lauder I, Chan K, Fong GY. Knowledge of stroke in Hong Kong Chinese. Cerebrovascular Diseases. 1999 Feb 17;9(2):119-23.
13. Sloma A, Backlund LG, Strender LE, Skånér Y. Knowledge of stroke risk factors among primary care patients with previous stroke or TIA: A questionnaire study. BMC Fam Pract 2010;11:47.
14. Campos-Sousa RN, Soares VY, Almeida KJ, Carvalho LI, Jacobina KS, Netto A, Escórcio A, Macêdo ED, Veloso LA. Knowledge of stroke among a Brazilian urban population. Arquivos de neuro-psiquiatria. 2007 Sep;65(3A):587-91.
15. BorhaniHaghighi A, Karimi AA, Amiri A, Ghaffarpasand F. Knowledge and attitude towards stroke risk factors, warning symptoms and treatment in an Iranian population. Medical Principles and Practice. 2010 Sep 28;19(6):468-72.
16. Al Shafaee MA, Ganguly SS, Al Asmi AR. Perception of stroke and knowledge of potential risk factors among Omani patients at increased risk for stroke. BMC neurology. 2006 Oct 20;6(1):1.
17. Aly Z, Abbas K, Kazim SF, Taj F, Aziz F, Irfan A, Sheikh R, Shakir M, Javed SM, Fatmi Z. Awareness of stroke risk factors, signs and treatment in a Pakistani population. Journal of the Pakistan Medical Association. 2009;59(7):495-9.
18. Pandian JD, Jaison A, Deepak SS, Kalra G, Shamsher S, Lincoln DJ, Abraham G. Public awareness of warning symptoms, risk factors, and treatment of stroke in northwest India. Stroke. 2005 Mar 1;36(3):644-8.
19. 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. Journal of clinical neuroscience. 2007 Jan 31;14(1):12-6.
20. Pandian JD, Jaison A, Deepak SS, Kalra G, Shamsher S, Lincoln DJ, et al. Public awareness of warning symptoms, risk factors, and treatment of stroke in northwest India. Stroke 2005;36:644-8
21. 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 ClinNeurosci 2007;14:12-6