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Knowledge of Risk Factors and Warning Signs of Stroke Among Patients with Heart Disease at Tikur Anbessa Specialized Hospital

Authors Workina A, Kebede S, Fekadu C, Wubetie Snr A

Received 11 November 2020

Accepted for publication 25 January 2021

Published 16 February 2021 Volume 2021:13 Pages 57—66


Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 2

Editor who approved publication: Dr Hans-Christoph Pape

Abdata Workina,1 Sofia Kebede,2 Chala Fekadu,3 Andualem Wubetie Snr2

1School of Nursing, Jimma University, Jimma, Oromia, Ethiopia; 2Department of Emergency Medicine, Addis Ababa University, Addis Ababa, Ethiopia; 3Department of Internal Medicine, Addis Ababa University, Addis Ababa, Ethiopia

Correspondence: Abdata Workina
School of Nursing, Jimma University, P.O. Box-378, Jimma, Oromia Region, Ethiopia
Tel +251923643857

Background: Stroke is a leading cause of mortality and disability worldwide and the economic costs of treatment and post-stroke care are extensive. The inability to identify stroke warning signs accurately is an important cause of delay in seeking medical attention, leading to potential ineligibility for acute intervention and which leads to secondary complications.
Purpose: To identify cardiac patients’ knowledge of stroke risk factors and warning signs.
Patients and Methods: The institutional based cross-sectional study design was employed. Participants were selected using systematic random sampling. Close-ended questionnaires were pre-tested and validated for consistency before data collection. Then after data collection, data were checked and entered into Epi-data 4.6. Finally, the cleaned data were exported to SPSS version 25 for analysis. Statistical analysis using binary logistic regression was done and Predictors with a p-value of < 0.05 were considered statistically significant.
Results: A total of 227 patients were included in the study, of which 140 (61.7%) of them identified physical inactivity, followed by hypertension126 (55.5%) as stroke risk factor while 15.4% of them did not know any risk factor of stroke. Amongst the study participants, 45.81% of them had adequate knowledge of stroke risk factors. Regarding stroke warning signs the most identified sign was sudden unilateral weakness 142 (62.6%) while 46 (20.26%) of them did not know at least one warning sign of a stroke. Based on multivariable logistic regression analysis, higher education level AOR 3.05 (95% CI 1.62– 5.74) and Urban residence area AOR 2.07 (95% CI 1.05– 4.1) were significantly associated with knowledge of stroke risk factors with p-value< 0.05.
Conclusion: Study participants had inadequate knowledge of stroke risk factors and warning signs. Educational status and information about stroke are significantly associated with adequate knowledge of stroke risk factors, raising stroke awareness is the mainstay to reduce stroke burden.

Keywords: knowledge, risk factors, stroke, a warning sign

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