Browse > Article
http://dx.doi.org/10.4070/kcj.2011.41.5.259

Knowledge of Stroke and Heart Attack Symptoms and Risk Factors Among Rural Elderly People: A Questionnaire Survey  

Kim, Eun-Mi (Department of Nursing, Chunnam Techno College)
Hwang, Seon-Young (Department of Nursing, Chosun University)
Kim, Ae-Lee (College of Nursing, Sungshin Women's University)
Publication Information
Korean Circulation Journal / v.41, no.5, 2011 , pp. 259-264 More about this Journal
Abstract
Background and Objectives: To determine the level of knowledge of stroke and heart attack (HA) symptoms and risk factors of cardiovascular disease (CVD) in rural elderly people who are at risk for CVD. Subjects and Methods: A total of 444 adults over the age of 60 living in a rural province of Korea with at least one CVD risk factor participated in this survey. Results: A total of 72.5% of the participants had hypertension and 28.4% had diabetes, whereas approximately 40% exhibited over two CVD risk factors. The mean knowledge scores for HA symptoms (4.3/9) were lower than scores for stroke symptoms (5.8/9), and the mean knowledge score for risk factors was 7.3/11. Stepwise multiple regression analyses showed that old age, low level of education, and low income level were the determining factors for low knowledge levels of stroke and HA symptoms as well as CVD risk factors. A low perceived risk of stroke or HAs also predicted a low knowledge of CVD risk factors. Conclusion: Community-wide public campaigns are needed, which are designed to help elderly people in rural areas with low education levels and socioeconomic status at risk for CVD to improve the awareness of stroke and HA.
Keywords
Cardiovascular diseases; Aged; Signs and symptoms; Risk factors; Knowledge;
Citations & Related Records
Times Cited By KSCI : 3  (Citation Analysis)
Times Cited By SCOPUS : 0
연도 인용수 순위
1 Korea Statistical Information Service. Cause of death statistics, 2005 to 2008. Daejeon: Korea Statistical Office. Available from: http://kosis.kr/wnsearch/totalSearch.jsp. Accessed on June 20;2009.
2 Rah JH. Stroke epidemiology 2007 update. Korean J Stroke 2008;10: 1-4.
3 Korea National Health Insurance Corporation. National health insurance statistical year book 2008. Seoul: Korea National Health Insurance Corporation. Available from: http://www.nhic.or.kr/portal/site/main/menuitem. Accessed on June 20;2009.
4 Sim DS, Kim JH, Jeong MH. Differences in clinical outcomes between patients with ST-elevation versus non-ST-elevation acute myocardial infarction in Korea. Korean Circ J 2009;39:297-303.   DOI   ScienceOn
5 Yu KH, Bae HJ, Kwon SU, et al. Analysis of 10,811 cases with acute ischemic stroke from Korean Stroke Registry: Hospital-based Multicenter Prospective Registration Study. J Korean Neurol Assoc 2006; 24:535-43.
6 Assali AR, Moustapha A, Sdringola S, et al. The dilemma of success: percutaneous coronary interventions in patients > or =75 years of age-successful but associated with higher vascular complications and cardiac mortality. Catheter Cardiovasc Interv 2003;59:195-9.   DOI   ScienceOn
7 Schuler J, Meier B, Behrens S, Thimme W. Present treatment of acute myocardial infarction in patients over 75 years: data from the Berlin Myocardial Infarction Registry. Clin Res Cardio 2006;95:360-7.   DOI   ScienceOn
8 Ku IH. Income Disparity and Poverty in Korea: The Aggravation of Income Distribution and the Task of Social Security Policy. Seoul: Seoul National University;2006.
9 Moser DK, Kimble LP, Alberts MJ, et al. Reducing delay in seeking treatment by patients with acute coronary syndrome and stroke: a scientific statement from the American Heart Association Council on cardiovascular nursing and stroke council. Circulation 2006;114:168-82.   DOI   ScienceOn
10 Rosamond W, Flegal K, Furie K, et al. Heart disease and stroke statistics-2008 update: a report of American Heart Association Statistics Committee and Stroke Statistics Subcommittee. Circulation 2008;117: e25-146.   DOI   ScienceOn
11 Han NY, Ko EA, Hwang SY. Knowledge of stroke symptoms and risk factors among older adults. J Korean Acad Adult Nurs 2009;21: 314-23.
12 Kim JS, Yoon SS. Perspective of stroke in persons living in Seoul: a survey of 1000 subjects. Stoke 1997;28:1165-9.
13 Blades LL, Oser CS, Dietrich DW, et al. Rural community knowledge of stroke warning signs and risk factors. Prev Chronic Dis 2005;2: A14.
14 Hwang SY, Zerwic JJ. Knowledge of stroke symptoms and risk factors among Korean immigrants in the United States. Res Nurs Health 2006;29:337-44.   DOI   ScienceOn
15 Hwang SY, Ryan CJ, Zerwic JJ. Korean immigrants' knowledge of heart attack symptoms and risk factors. J Immigr Minor Health 2008; 10:67-72.
16 Kim JJ, Huh HK, Lee JK. A study on knowledge about myocardial infarction in Korean population. Korean J Adult Health Nurs 1999; 11:288-97.
17 Canto JG, Shlipak MG, Rogers WJ, et al. Prevalence, clinical characteristics, and mortality among patients with myocardial infarction presenting without chest pain. JAMA 2000;283:3223-9.   DOI   ScienceOn
18 Brieger D, Eagle KA, Goodman SG, et al. Acute coronary syndromes without chest pain, an underdiagnosed and undertreated high-risk group: insights from the Global Registry of Acute Coronary Events. Chest 2004;126:461-9.   DOI   ScienceOn
19 Seok JH, Kwun JY, Lee JL, et al. The characteristics of clinical presentation and in-hospital outcome of acute myocardial infarction patients older than 65 years of age. Korean Circ J 1997;27:386-93.
20 Lutfiyya MN, Lipsky MS, Bales RW, Cha I, McGrath C. Disparities in knowledge of heart attack and stroke symptoms among adult men: an analysis of behavioral risk factor surveillance survey data. J Natl Med Assoc 2008;100:1116-24.
21 Nicol MB, Thrift AG. Knowledge of risk factors and warning signs of stroke. Vasc Health Risk Manag 2005;1:137-47.   DOI   ScienceOn
22 Greenlund KJ, Keenan NL, Giles WH, et al. Public recognition of ma-jor signs and symptoms of heart attack: seventeen states and the US Virgin Islands, 2001. Am Heart J 2004;147:1010-6.   DOI   ScienceOn
23 Harwell TS, Blades LL, Oser CS, et al. Perceived risk for developing stroke among older adults. Prev Med 2005;41:791-4.   DOI   ScienceOn
24 Bell M, Lommel T, Fischer JG, Lee JS, Reddy S, Johnson MA. Improved recognition of heart attack and stroke symptoms after a community-based intervention for older adults, Georgia, 2006-2007. Prev Chronic Dis 2009;6:A41.