Knowledge levels of stroke among hypertensive and diabetic patients in a tertiary hospital

• Published in: Journal of clinical neuroscience 2024-08, Vol.126, p.136-142
• Main Authors: Mujamammi, Ahmed Hussain, Sabi, Essa Mohammed, Alasmari, Saad Bandar, Aldayel, Abdullah Fuad, Alsaif, Abdulaziz Khalid, Annab, Abdulaziz Abdulrahman, Alroba, Faisal Abdulaziz, Aljurayyan, Ibrahim Nasser
• Format: Article
• Language: English
• Subjects: Diabetes; High-risk groups; Hypertension; Knowledge; Prevention; Risk factors; Saudi Arabia; Signs and symptoms; Stroke
• ISSN: 0967-5868; 1532-2653; 1532-2653
• DOI: 10.1016/j.jocn.2024.06.004

Strokes represent a major global health challenge, as they now affect up to 15 million people annually, with increasing mortality rates accompanying growing prevalence. In Saudi Arabia, hypertension (HTN) and diabetes mellitus (DM) have been identified as major contributors to stroke risk, with a combination of HTN and DM significantly magnifying the risk of strokes. While there have been global improvements in stroke prevention, recently knowledge levels vary significantly worldwide, and multiple studies in Saudi Arabia show inconsistent awareness levels. This study seeks to develop insights for the development of tailored prevention programs that align with Saudi Vision 2030 in terms of enhancing quality of life. Thus, the aim of the study is to assess knowledge levels of stroke risk factors, warning signs, symptoms, and prevention methods among high-risk groups (HTN and DM patients) at King Saud University Medical City (KSUMC). This was an analytical cross-sectional study conducted among 422 participants from June 2022 to January 2023, using a validated Arabic questionnaire taken, with permission, from previous studies. All HTN and T2DM patients in the waiting areas of the outpatient clinics at KSUMC, Riyadh were included as part of the random sampling, though patients below 20-years-old and those with other endocrine disorders were then excluded. The majority of participants were male (64.5 %). The analysis showed that 66.1 % of participants had “poor total knowledge” of stroke factors. Half of the participants (50.5 %) had “poor knowledge” about stroke risk factors, though the most commonly identified risk factor was “hypertension”. Additionally, the findings showed that 46.4 % of participants had “poor knowledge” of stroke warning signs and symptoms, with the most commonly identified warning sign being “difficulty in speaking.” Nearly half of participants (46.4 %) had “good knowledge” of stroke prevention methods; however, “regular exercise” was the most commonly identified prevention method. Although the participants displayed decent knowledge of stroke prevention methods, several notable deficits in overall knowledge of stroke factors emerged. In particular, knowledge of stroke risk factors and warning signs and symptoms among participants was inadequate. This implies that healthcare providers should seek to launch campaigns addressing stroke knowledge mainly among high-risk groups, potentially distributing brochures about stroke knowledge in the r