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首页> 外文期刊>Journal of stroke and cerebrovascular diseases: The official journal of National Stroke Association >Self-perceived and Actual Risk of Further Stroke in Patients with Recurrent Stroke or Recurrent Transient Ischemic Attack in Thailand
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Self-perceived and Actual Risk of Further Stroke in Patients with Recurrent Stroke or Recurrent Transient Ischemic Attack in Thailand

机译：在泰国复发中风或复发瞬态缺血症患者中进一步卒中的自我感知和实际风险

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Background: The correct perception in patients of their future risk of recurrent stroke may lead to changes in behavior and to successful secondary prevention of stroke. The primary aim was to compare patients perceived risk with the actual risk of further stroke. Methods: This cross-sectional study was carried out in 2 tertiary hospitals in northeast Thailand. Self-perceived risk of further stroke was assessed by validated questionnaire and categorized as low, medium, or high. Actual risk was calculated using Stroke Prognosis Instrument II which classified patients into 3 risk groups: low, medium, and high. The level of agreement between perceived and actual risk was analyzed using the kappa statistic. Results: One hundred forty patients with recurrent stroke or recurrent transient ischemic attack were enrolled (age 65.6 +/- 11.3 years, mean +/- standard deviation). Most patients wrongly estimated their risk of further stroke: 43.6% of patients underestimated and nearly one fifth (17.1%) overestimated their risk; the kappa coefficient was .08. Patients with hypertension and diabetes were more likely to underestimate their risk of recurrent stroke. The only characteristic found to be significantly associated with perceived high risk was the level of independence in activities of daily living: patients with Barthel index less than or equal to 60 were more likely to perceive themselves as having high risk for recurrent stroke. Conclusions: Most patients underestimated their risk for further stroke. Implementation of a comprehensive care program to communicate to patients their future risk of stroke and to modify their risk factors is warranted in Thailand.
机译：背景：在经常性中风的未来风险的患者中正确的感知可能导致行为的变化和成功的继发性中风。主要目的是将患者与进一步中风的实际风险进行比较。方法：这种横断面研究在泰国东北部2个高等医院进行。通过验证的问卷评估了进一步中风的自我感知风险，并将其分类为低，中等或高。使用中风预后仪器II计算实际风险，其中将患者分为3种风险群：低，中等和高。使用Kappa统计分析了感知和实际风险之间的协议水平。结果：一百四十名复发性卒中患者或复发性短暂性缺血症患者（65.6 +/- 11.3岁，平均+/-标准偏差）。大多数患者错误地估计了他们进一步卒中的风险：43.6％的患者低估，近五分之一（17.1％）过度估计其风险; Kappa系数是.08。高血压和糖尿病的患者更容易低估其复发性中风的风险。发现与感知的高风险有关的唯一特征是日常生活活动的独立水平：大于或等于60的条形指数的患者更有可能认为自己具有复发性卒中的风险很高。结论：大多数患者低估了进一步中风的风险。实施全面的护理计划，以与患者沟通到未来中风的风险，并在泰国有必要进行危险因素。

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