Speciality in Internal Medicine

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Browsing Speciality in Internal Medicine by Author "DENEBO JEBESO"

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    KNOWLEDGE TOWARDS STROKE AND DETERMINANT FACTORS AMONG PATIENTS WITH HYPERTENSION AND DIABETIES ATTENDING CHRONIC FOLLOW UP CLINIC AT ASELLA REFERRAL AND TEACHING HOSPITAL (ARTH)
    (2025-05-01) DENEBO JEBESO
    Abstract Background: Stroke is a leading cause of death and disability worldwide, with an increasing burden in sub-Saharan Africa. Hypertension and diabetes mellitus are the primary modifiable risk factors for stroke. Adequate knowledge of these risk factors, warning signs, and appropriate responses is essential for prevention and early treatment; however, data on high-risk patients in southeastern Ethiopia is scarce. Objective: To assess knowledge of stroke and its determinants among patients with hypertension and/or diabetes attending the chronic follow-up clinic at Asella Referral and Teaching Hospital. Methods: A cross-sectional study was conducted from May 2025 to January 2026 at Asella Referral and Teaching Hospital. A total of 407 adult patients with hypertension and/or diabetes were selected using convenience sampling. Data were collected through a structured interviewer-administered questionnaire and analyzed using SPSS version 27. Bivariate and multivariable logistic regression analyses identified factors associated with stroke knowledge, with a p-value <0.05 considered statistically significant. Results: Among the study participants, 76.9% (95% CI: 73.0–81.3) had good overall knowledge of stroke, while 23.1% had poor knowledge. Good knowledge of stroke risk factors was observed in 88.9% (95% CI: 85.7–91.9) of participants, and 88.5% demonstrated good knowledge of stroke signs and symptoms. Regarding planned response to stroke, 62.4% reported that they would seek medical care immediately. Factors significantly associated with good stroke knowledge included urban residence (AOR = 2.25; 95% CI: 1.19–4.25), higher educational status, higher monthly income, and good knowledge of stroke risk factors (AOR = 5.85; 95% CI: 2.81–12.17). Conclusion: While most patients with hypertension and/or diabetes exhibited good knowledge of stroke, significant gaps exist among rural residents and those with lower educational attainment. Enhancing targeted health education during follow-up visits is crucial for improving stroke prevention and timely healthcare seeking. Keywords: Stroke, Hypertension, Diabetes Mellitus, Knowledge, Ethiopia