الفهرس 
IntroductionOnly 14 pages are availabe for public view
 |  | from | 119 |  |  |
| | | from | 119 | | |
Abstract
Stroke is an important cause of death and disability worldwide.
Previous studies have found that the public lack of knowledge of stroke warning signs and risk factors. Awareness of stroke warning signs might permit a faster recognition of stroke. Decrease in time from stroke onset to hospital arrival might increase the number of patients eligible to thrombolysis.
Knowledge of stroke risk factors might improve primary prevention through lifestyle modification and more efficient control of cardiovascular risk factors.
The objectives of the present study were to assess the knowledge of risk factors and warning signs of stroke in residents of Shebin Al-Kom district, Menoufia Governorate.
The study was conducted in the context of time frame of 18 months (starting on the1st of January 2016, till the end of June 2017).
This study was conducted on 400 participants who attended Shebin Al‑Kom family health center (urban population) and Bakhaty family health center (rural population) and their age from 18 to 80 years old during the period from the1st of October 2016 to the end of December 2016.
They were interviewed face-to-face using a predesigned questionnaire that divided into sections:
(1) Identification data [age, gender, education, occupation marital status and residence] and assessment of socioeconomic standard was determined according to the scoring system of (Fahmy et al., 2015) scoring system.
(2) Presence of stroke risk factors, previous history of a stroke and family history of cerebrovascular disease.
(3) Knowledge of stroke risk factors.
(4) Knowledge of signs and symptoms of stroke.
(5) Source of knowledge about stroke.
Knowledge was considered satisfactory if percentage of right answers were equal (60-100%) and unsatisfactory if the percent were less than 60%.
from this study it was found that:
(1) The mean age of the studied participants was (38.2 ± 12.5) years old; most of them (77.25%) were aged from 18-50 years old and were married. About half of the studied subjects were females, from rural areas and had secondary education (54.3%, 53.8%, 48% respectively). About two thirds of them were working (63.2%) and had middle socioeconomic level (69.75%).
(2) About two thirds of the participants 245(61.25%) had one or two risk factors of developing stroke.
(3) The most identifiable risk factors of stroke were uncontrolled hypertension and stress that were identified by (67.75%, 60.75% respectively) of the participants while the least identifiable risk factor was oral contraceptive pills (6.75%).
(4) The most identifiable symptom of stroke was sudden severe headache (57.75%) while the least identifiable stroke sign was difficulty understanding (29.75%).
(5) Most of the participants 333 (83%) had unsatisfactory knowledge about stroke.
(6) Only one fifth 80 (20%) of the studied population had satisfactory knowledge about risk factors of stroke and 70 (17.5%) had satisfactory knowledge about stroke symptoms.
(7) Among 400 participants, (39%) acquired their knowledge about stroke risk factors and symptoms from media, (17%) from friends and neighbors, (12%) from family, (7%) from health workers and (25%) from other sources.
(8) The highly statistical significant factor affecting level of knowledge about stroke was family history of stoke (P-value < 0.001), there was statistical significant relation between stroke level of knowledge and previous stroke attack of the participant (P-value 0.02).