Family Physicians' Awareness and Knowledge Levels of Stroke Risk Factors and Transient Ischemic Attack

Yıl 2023, Cilt: 1 Sayı: 3, 131 - 142, 31.12.2023

Mustafa Bayraktar , Mehmet Akif Nas , Mehmet Nuri Koçak

Öz

Objective: Family physicians should know the risk factors of stroke, screen and raise awareness of patients. In this context, it is necessary to investigate the level of knowledge and awareness of family physicians and family medicine assistants.
Methods: A survey including questions about demographic characteristics of the participants, non-modifiable and modifiable risk factors for stroke and transient ischemic attack (TIA) was prepared using the online Google survey method. The knowledge levels of the participants were investigated and statistically compared according to demographic characteristics.
Results: The mean survey score of the participants was 25.55 ± 4.34 out of 32 points. Among the questionnaire questions, hypertension, diabetes mellitus, atrial fibrillation, previous history of stroke, smoking and hypercoagulability were correctly recognized as stroke risk factors by all participants (%100). The least known risk factors were glaucoma (19.4%), hyperthyroidism (25.8%) and chronic obstructive pulmonary disease (COPD) (41.9%). The majority of the participants also had a high level of knowledge about TIA. For most participants, the difference in knowledge levels did not differ by demographics regarding stroke risk factors and TIA (p>0.05).
Conclusion: The knowledge levels of family physicians about stroke risk factors and TIA were found to be satisfactory. Knowledge of stroke risk factors and screening of patients should be among the important duties of family physicians as a preventive medicine practice.
Keywords: Family physician, primary prevention, risk factors, stroke, transient ischemic attack

Anahtar Kelimeler

Stroke, risk factors, family physicians, transient ischemic attack, primary prevention

Etik Beyan

Local ethics committee approval was obtained from the university ethics committee with the decision number 30.06.2022/06-75 prior to the study.

Destekleyen Kurum

None.

Kaynakça

• Alfarawi, FMS., et al. (2022). Awareness and Knowledge of Five Most Common Neurological Diseases among Family Medicine Physicians in PHC, Riyadh, Saudi Arabia. J Family Med Prim Care Open Acc. 2022. 6, 201. DOI: 10.29011/2688-7460.1000201
• Błaż, M., et al. (2023). Family history of stroke - a useful clue for the primary care physician and stroke neurologist: a narrative review. Postep Psychiatr Neurol. 2023;32(1):31-39. DOI: 10.5114/ppn.2023.126482
• Caprio, F.Z., and Sorond, F.A. (2019). Cerebrovascular Disease: Primary and Secondary Stroke Prevention. Med Clin North Am. 2019;103(2):295-308. DOI: 10.1016/j.mcna.2018.10.001
• Chang, T., et al. (2020). Knowledge of stroke, its warning symptoms, risk factors and treatment among the general public and general practitioners in a South Asian population. Journal of Stroke and Cerebrovascular Diseases. 2020. 29(5), 104760. DOI: 10.1016/j.jstrokecerebrovasdis.2020.104760
• Harsanyi, S., et al. (2020). Acute stroke awareness of family physicians: translation of policy to practice. Health Res Policy Sys 2020;18,128. DOI: 10.1186/s12961-020-00642-5
• Ministry of Health. (2021). T.C. Sağlık Bakanlığı Halk Sağlığı Genel Müdürlüğü. Hastalık Yönetim Platformu (HYP). [Internet]. Available at: https://hsgm.saglik.gov.tr/tr/hastalik-yonetim-platformu.html Last access date: 24.12.2023.
• Ministry of Health. (2023). T.C. Sağlık Bakanlığı. Sağlık İstatistikleri Yıllığı 2021. Ankara 2023. [Internet]. Available at: https://sbsgm.saglik.gov.tr/Eklenti/45316/0/siy2021-turkcepdf.pdf Last access date: 24.12.2023.
• O’Donnell, M.J., et al. (2010). Risk factors for ischaemic and intracerebral haemorrhagic stroke in 22 countries (the INTERSTROKE study): a case-control study. Lancet. 2010;376:112–123. DOI: 10.1016/S0140-6736(10)60834-3
• Owolabi, M.O., et al. (2022). Primary stroke prevention worldwide: translating evidence into action [published correction appears in Lancet Public Health. 2022 Jan;7(1):e14]. Lancet Public Health. 2022;7(1):e74-e85. DOI: 10.1016/S2468-2667(21)00230-9
• Purroy, F., et al. (2011). Survey of the knowledge and management of transient ischemic attacks among primary care physicians and nurses. Neurologia. 2011;26(4):200-207. DOI: 10.1016/j.nrl.2010.04.011
• Shehjar, F., et al. (2023). Stroke: Molecular mechanisms and therapies: Update on recent developments. Neurochem Int. 2023;162:105458. DOI: 10.1016/j.neuint.2022.105458
• Streit, S., et al. (2015). Awareness of stroke risk after TIA in Swiss general practitioners and hospital physicians. PLoS One. 2015. 10(8), e0135885. DOI: 10.1371/journal.pone.0135885
• Yang, J., et al. (2019). Knowledge of Community General Practitioners and Nurses on Pre-Hospital Stroke Prevention and Treatment in Chongqing, China. PLoS One. 2019. Correction. 14(3): e0213969. DOI: 10.1371/journal.pone.0213969