Knowledge, attitude, and practice of stroke among high school students in Nepal.
BACKGROUND
Baseline stroke knowledge in a targeted population is indispensable to promote the effective stroke education. We report the baseline knowledge, attitude, and practice (KAP) of high school students with respect to stroke from Nepal.


METHODS
A self-structured questionnaire survey regarding KAP about stroke was conducted in high school students of 33 schools of Bharatpur, Nepal. Descriptive statistics including Chi-square test was used, and the significant variables were subjected to binary logistic regression.


RESULTS
Among 1360 participants, 71.1% had heard or read about stroke; 30.2% knew someone with stroke. 39.3% identified brain as the organ affected. Sudden onset limb/s weakness/numbness (72%) and hypertension (74%) were common warning symptom and risk factor identified. 88.9% would take stroke patients to a hospital. Almost half participants (55.5%) felt ayurvedic treatment be effective. 44.8% felt stroke as a hindrance to a happy life and 86.3% believed that family care was helpful for early recovery. Students who identified at least one risk factor were 3.924 times (P< 0.001, confidence interval [CI] = 1.867-8.247) or those who identified at least one warning symptom were 2.833 times (P≤ 0.023, CI = 1.156-6.944) more likely to take stroke patients to a hospital.


CONCLUSIONS
KAP of high school Nepalese students regarding stroke was satisfactory, and the students having knowledge about the risk factors and warning symptoms were more likely to take stroke patients to a hospital. However, a few misconceptions persisted.
Department of Neurology, NINAS, Kathmandu, Nepal.
Lekhjung
L
Thapa
Department of Nursing, NPI, Chitwan, Nepal.
Nooma
N
Sharma
Department of Pharmacology, Chitwan Medical College, Chitwan, Nepal.
Ramesh Sharma
RS
Poudel
Jutpani PHC, Chitwan, Nepal.
Tirtha Raj
TR
Bhandari
Rani PHC, Biratnagar, Nepal.
Riwaz
R
Bhagat
Khairrenitar PHC, Nuwakot, Nepal.
Ashis
A
Shrestha
Department of Pharmacology, Shree Medical and Technical College, Chitwan, Nepal.
Shakti
S
Shrestha
Department of Community Medicine, CMS-TH, Chitwan, Nepal.
Dipendra
D
Khatiwada
Department of Neurology, Harvard Medical School, USA.
Louis R
LR
Caplan
Attitude; Nepal; knowledge; practice; stroke; students
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