Warning Symptoms, Risk Factors, and Functional Recovery in Stroke Patients.
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Creator 1. Patoomthip Adunwatanasiri
2. Wanna Tanavivitporn
3. Chintana Chatkulkawin
Title Warning Symptoms, Risk Factors, and Functional Recovery in Stroke Patients.
Publisher Text and Journal Publication
Publication Year 2560
Journal Title Vajira Medical Journal
Journal Vol. 61
Journal No. 1
Page no. 57-67
Keyword Warning symptoms, risk factors, functional recovery, stroke
ISSN 0125-1252
Abstract Objective: To describe the relationship between stroke warning symptoms, risk factors and functional recovery in stroke patients. Methods: In this cross-sectional study. The subjects, purposively sampled, were patients who were diagnosed with stroke and follow-up treatment at the outpatient departments of a tertiary hospital in Bangkok. Data were collected using 1) personal demographic questionnaire, 2) perception of stroke warning symptoms and risk factors questionnaires, and 3) functional recovery form. The data were analyzed using descriptive statistics and Spearman's rank correlation. Results: 139 patients were recruited. 44.6% were aware of stroke warning symptoms but only 11.5% identifed all stroke warning symptoms correctly. Trouble speaking, unilateral paralysis and sudden weakness were the most commonly recognized stroke symptoms. 53.9% were aware of stroke risk factors but only 23% identifed all risk factors of stroke correctly. Hypertension was the most commonly recognized risk factor. Functional recovery as assessed by Barthel ADL index was high (mean=15.31; SD=5.21) but was low (mean=6.15, SD=3.01) as assessed by instrumental activities of daily living (IADL). Age, clinical characteristics and sources of information were signifcantly associated with the perception of stroke warning symptoms. Education, time to arrival at hospital and sources of information were signifcantly associated with the perception of stroke risk factors. Neither perception of stroke warning symptoms nor risk factors were associated with functional recovery. Conclusion: Most patients were not able to recognize important warning signs/symptoms and risk factors of stroke. Multi-faceted education programs to encourage patients access to acute care after stroke should be emphasized.
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