Investigation on the status of secondary prevention of ischemic stroke patients and the related factors in community of Shanghai

Abstract

Objective To Investigate the status of secondary prevention of ischemic stroke patients and the related factors in community of Shanghai. Methods Using the combination of household survey and telephone survey, 256 ischemic stroke patients from 3 communities in Shanghai were investigated with self-made questionnaire. Results A total of 256 ischemic stroke patients in community were selected. 204 valid questionnaire were collected, with the response rate of 91.0%. The interval time between first onset stroke and investigation were （13.45 ＋ 6.92） months on average, and there were 28 patients of recurrence, accounting for 13.73% of all valid cases. There was statistically significant difference in the utilization status of statins between different communities （~2 =7. 226, P 〈 0.05 ）, and there were 13 patients taking statins in Community 1, 26 patients in Community 2 and 26 patients in Community 3, respectively. Significant differences also were found in the scores of medication compliance and daily behavior in patients who came from different communities, different education background, and have different household income （F = 7. 768, 3. 418, 4. 769, respectively; P 〈 0.01 ）. The result of multiple linear regression showed that gender, average monthly income, communities, living conditions, knowledge and attitude could explain 40.90% of the variance of the scores of medication compliance and daily behavior, and the contribution of communities, living alone, knowledge, attitude and cognition to the scores of medication compliance and daily behavior were still statistically significant （t = 2.957, 2. 702, 4. 534, 4. 354, respectively; P 〈 0.01 ）. Conclusions There is still a distance between guidelines and status of secondary prevention of ischemic stroke patients in community, and it need further minimize the gap between clinical practice and guidelines. Key words: Stroke; Secondary prevention; Community health service ; Survey