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지역사회 당뇨병 유병자와 비유병자의 심근경색증 및 뇌졸중 조기증상과 대처방안 인지도 비교: 성향점수매칭분석

Awareness of Early Symptoms and Emergency Responses to Myocardial Infarction and Stroke in People with Diabetes Mellitus Compared to Non-diabetic Population in the Community: A Propensity Score-Matched Analysis

보건행정학회지 2020년 30권 3호 p.386 ~ 398
김미나, 이영훈, 김남호,
소속 상세정보
김미나 ( Kim Mi-Na ) - Chonnam National University Graduate School Department of Nursing
이영훈 ( Lee Young-Hoon ) - Wonkwang University School of Medicine Department of Preventive Medicine
김남호 ( Kim Nam-Ho ) - Wonkwang University School of Medicine Department of Internal Medicine

Abstract


Background: We determined the differences in awareness of myocardial infarction and stroke according to the presence or absence of diabetes mellitus in the community.

Methods: The 2018 Community Health Survey identified 20,812 people with diabetes mellitus aged 40?79 years. Using 1:1 matching by propensity score, 20,812 people without diabetes mellitus but with similar sociodemographic characteristics were selected as a comparison. Outcome variables were awareness of early symptoms of myocardial infarction and stroke and awareness of coping strategies in case of occurrence.

Results: There was no significant difference between nondiabetic and diabetic people in terms of recognizing all early symptoms of myocardial infarction (nondiabetic, 42.7%; diabetic, 43.0%; p=0.43) and stroke (nondiabetic, 49.4%; diabetic, 49.4%; p=0.91). In addition, no significant difference was found between nondiabetic and diabetic people in the proportion of knowing correct emergency response to myocardial infarction (nondiabetic, 84.6%; diabetic, 84.4%; p=0.56) and stroke (nondiabetic, 81.3%; diabetic, 81.4%; p=0.77).

Conclusion: Since people with diabetes are at greater risk of cardiovascular disease than the general public, it is important to lower the risk of disability and death by improving their awareness of early symptoms and correct emergency response to myocardial infarction and stroke.

키워드

Diabetes mellitus; Myocardial infarction; Stroke; Awareness; Symptoms

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