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지역사회 교육홍보사업이 지역주민의 뇌졸중 경고증상 및 골든타임 인지도에 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

  • 이영훈 (원광대학교 의과대학 예방의학교실 및 원광대학교병원 권역심뇌혈관질환센터) ;
  • 김영택 (질병관리본부 감염병관리과) ;
  • 오경재 (원광대학교 의과대학 예방의학교실 및 원광대학교병원 권역심뇌혈관질환센터) ;
  • 김남호 (원광대학교 의과대학 순환기내과학교실) ;
  • 조광호 (원광대학교 의과대학 신경과학교실) ;
  • 박현영 (원광대학교 의과대학 신경과학교실) ;
  • 이학승 (원광대학교 의과대학 신경과학교실) ;
  • 하연수 (원광대학교 의과대학 신경과학교실) ;
  • 정진성 (원광대학교 의과대학 신경과학교실) ;
  • 박진규 (원광대학교병원 권역심뇌혈관질환센터) ;
  • 이건세 (건국대학교 의과대학 예방의학교실) ;
  • 김희숙 (질병관리본부 만성질환관리과)
  • Lee, Young Hoon (Department of Preventive Medicine, Wonkwang University School of Medicine & Regional Cardiocerebrovascular Center, Wonkwang University Hospital) ;
  • Kim, Young Taek (Division of Infectious Disease Control, Korea Centers for Disease Control and Prevention) ;
  • Oh, Gyung Jae (Department of Preventive Medicine, Wonkwang University School of Medicine & Regional Cardiocerebrovascular Center, Wonkwang University Hospital) ;
  • Kim, Nam Ho (Division of Cardiology, Department of Internal Medicine, Wonkwang University School of Medicine) ;
  • Cho, Kwang Ho (Department of Neurology, Wonkwang University School of Medicine) ;
  • Park, Hyun Young (Department of Neurology, Wonkwang University School of Medicine) ;
  • Lee, Hak Seung (Department of Neurology, Wonkwang University School of Medicine) ;
  • Ha, Yeon Soo (Department of Neurology, Wonkwang University School of Medicine) ;
  • Cheong, Jin-Sung (Department of Neurology, Wonkwang University School of Medicine) ;
  • Park, Jin Ku (Regional Cardiocerebrovascular Center, Wonkwang University Hospital) ;
  • Lee, Kun Sei (Department of Preventive Medicine, School of Medicine, Konkuk University) ;
  • Kim, Hee Sook (Division of Chronic Disease Control, Korea Centers for Disease Control and Prevention)
  • 투고 : 2015.02.04
  • 심사 : 2015.03.15
  • 발행 : 2015.03.31

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 (${\leq}3h$), 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.

키워드

참고문헌

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