Knowledge, attitude, and practice in relation to stroke: A community-based study from Kolkata, West Bengal, India

Das, Sujata; Hazra, Avijit; Ray, Biman Kanti; Ghosal, Malay Kumar; Chaudhury, Arijit; Banerjee, Tapas Kumar; Das, Shyamal Kumar

doi:10.4103/0972-2327.176857

Cited by 27 publications

(26 citation statements)

References 23 publications

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“…Strangely the knowledge of risk factors was low among the families affected with stroke. 8 The findings in the above discussed studies are similar to that observed among anganwadi workers before training in our study. National programme for prevention and control of Cancer, Diabetes, CVD and Stroke (NPCDCS) aims at integration of NCD interventions in the National Rural Health Mission framework for optimization of scarce resources and provision of seamless services to the end customer /patients as also for ensuring long term sustainability of interventions.…”

Section: Discussionsupporting

confidence: 90%

Evaluation of training program on knowledge of stroke among anganwadi workers in Chintamani taluk of Karnataka state, India

Gadicherla

Lalitha

Aravind

et al. 2016

Int J Community Med Public Health

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Background: Established population based disease registry provides data on incidence, risk factors, determinants and trends of the disease. Population based rural stroke registry was started on a pilot basis with an objective to evaluate the feasibility of establishing population-based stroke registry in Chintamani taluk of Karnataka state, India. Training of health care personnel was undertaken to facilitate reporting of case. The objective of the present communication is to evaluate the training conducted for anganwadi workers by trained investigators in 2012. Methods: Training was conducted using a validated training manual. Among the existing 438 anganwadi workers in the taluk, 405 (92.4%) attended the training. Pre and post-test questionnaire was administered before and after the training session to assess the improvement in the knowledge of stroke. Results: Only 362 (89.38%) with both pre and post-test answered were included for analysis. Overall there was statistical significant improvement in knowledge of anganwadi workers on symptoms, risk factors and prevention of stroke. Regarding Knowledge on symptoms of Stroke, 85 (95.5%) who scored poor, 81 (98.8%) who scored average in pre-test improved to good in post test. It was observed that 94 (100%) and 120 (94.4%) of the workers who scored poor regarding knowledge on prevention and risk factors of stroke respectively improved to good in the post-test. Conclusions: This endeavor substantiates the fact that anganwadi workers can be trained to identify suspects.

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Section: Discussionsupporting

confidence: 90%

Evaluation of training program on knowledge of stroke among anganwadi workers in Chintamani taluk of Karnataka state, India

Gadicherla

Lalitha

Aravind

et al. 2016

Int J Community Med Public Health

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“…This observation was consistent with other studies. 5,6,8,[14][15][16][19][20][21][22] Smoking was the most common risk factor identified in studies from Iran 8 and Australia. 18 Unhealthy dietary practice was most commonly recognised as a risk factor in a study from Iraq.…”

Section: Discussionmentioning

confidence: 99%

“…6 Individuals who fulfilled the selection criteria were included to the study after obtaining a written informed consent. The investigators then administered the questionnaire to the subjects through a face-to-face interview.…”

Section: Methodsmentioning

confidence: 99%

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Awareness on Risk Factors and Warning Signs of Stroke Among Individuals With Hypertension

Pinto¹,

George²

2017

jemds

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BACKGROUNDIncidence of stroke and its associated mortality is rising in India. Awareness of the risk factors and warning signs of stroke ensures early diagnosis and prompt interventions with better outcome. We have tried to identify the awareness of risk factors and warning signs of stroke in individuals with hypertension. Aims-1 To assess the awareness on risk factors of stroke among individuals with hypertension. 2 To assess the knowledge on warning signs of stroke among individuals with hypertension. MATERIALS AND METHODSThis descriptive cross sectional study was conducted at a tertiary care hospital in Southern India. Total of 200 individuals with hypertension were randomly selected and a closed-ended questionnaire was administered in a face-to-face interview. The data collected were tabulated and analysed using SPSS version-23. RESULTSAmong the 200 hypertensive subjects, there were 113 males (56.5%) and 87 females (43.5%). In this study, 85% identified > 4 risk factors and 59.5% recognised > 4 warning signs of stroke. Hypertension was the most frequently recognised risk factor (94%) followed by lack of exercise (82.5%), smoking (81.5%), Diabetes Mellitus (75%) and stress (73%). Facial deviation was identified as a stroke warning sign by 96% of subjects. Subjects with younger age, higher educational level and higher income had a statistical significant (p-value <0.05) awareness on risk factors and warning signs of stroke. CONCLUSIONThe awareness of risk factors and warning signs of stroke was found to be good among subjects with hypertension. Health care providers have an important role in educating the public on various aspects of stroke prevention. KEYWORDS BACKGROUNDStroke is amongst the three leading causes of death and the most frequent cause for disability in adults. 1 The incidence of stroke and associated mortality are higher in India as compared to the Western world. [2][3][4] Early warning signs of stroke such as weakness or numbness of face or limb on one side, difficulty in talking, vision alteration, dizziness and sudden headache are easily recognisable. Individuals with hypertension, diabetes mellitus, ischaemic heart disease, dyslipidaemia or smoking are at high risk for developing stroke. Knowledge on risk factors and warning signs of stroke among such high-risk individuals may help them seek early medical attention with good clinical outcomes. Among risk factors for stroke, hypertension has the highest relative risk of 2-5 to develop stroke.

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“…Ironically, SAF group had lesser knowledge of the risk factors such as diabetes (P < 0.001), smoking (P < 0.014), alcoholism (P < 0.0001), family history (P < 0.0001), and mild stroke symptoms such as headache, (P < 0.001), vomiting (P < 0.001), and fits (P = 0.003) as compared to the NSAF group. [21] Even in regions where thrombolysis is available not all patients are able to benefit from the facility. In a study that was done in tertiary care center with a stroke unit in Bengaluru, 100 consecutive patients who were candidates for thrombolysis but were not thromobolysed for various reasons were evaluated.…”

Section: Present Scenario Of Stroke Carementioning

confidence: 99%

Stroke in India: Bio-socioeconomic determinants

Singla

2016

Journal of Social Health and Diabetes

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Worldwide, stroke is one of the leading causes of mortality. Further, it leads to significant morbidity in the form of residual deficits and disability-adjusted life years. India with its culturally diverse environment and economically developing status presents unique challenges in providing stroke care. Various myths, misconceptions, poor knowledge about stroke, and poor availability of health resources afflict the nation and present barriers in stroke management. A multipronged approach to bring various disciplines together with the help of newer technologies such as smartphones and its applications need to be evolved to fight this catastrophic disease.

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Knowledge, attitude, and practice in relation to stroke: A community-based study from Kolkata, West Bengal, India

Cited by 27 publications

References 23 publications

Evaluation of training program on knowledge of stroke among anganwadi workers in Chintamani taluk of Karnataka state, India

Evaluation of training program on knowledge of stroke among anganwadi workers in Chintamani taluk of Karnataka state, India

Awareness on Risk Factors and Warning Signs of Stroke Among Individuals With Hypertension

Stroke in India: Bio-socioeconomic determinants

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