关键词: 卒中, 脑缺血, 复发, 农村人口, 感知, 影响因素分析

Abstract: Background　Although the self-perceived recurrence risk of diseases has received much attention abroad，there is lack of studies about self-perceived recurrence risk of stroke in China.Objective　To explore the consistency between self-perceived and objective recurrence risk of stroke in rural patients with ischemic stroke and put forward countermeasures.Methods　This study was carried out from May to August 2020.Participants were 295 rural neurology inpatients with ischemic stroke selected from People's Hospital of Hua County，Anyang.A survey using a self-developed questionnaire was conducted to collect related information，mainly including demographic characteristics，fear of recurrence，disability degree，objective and self-perceived recurrence risk of stroke.Results　Of the participants，the number of patients who were evaluated with low，medium and high recurrence risk of stroke by Essen Stroke Risk Score（ESRS）was 144（48.8%），151（51.2%），and 0，respectively.And the number of patients who subjectively evaluated themselves with self-perceived low，medium and high recurrence risk of stroke was 152（51.5%），47（15.9%），and 45（15.3%），respectively；other 51 cases（17.3%）could not evaluate their risk clearly.Compared to the evaluation by the ESRS，69 cases（23.4%）underestimated their risk，115（39.0%）accurately assessed their risk，60（20.3%）overestimated their risk，51（17.3%）could not perceive their risk distinctly.The self-perceived recurrence risk of stroke and consistency analysis result were significantly different from those evaluated by the ESRS（P<0.05）.Spearman rank correlation analysis demonstrated that the assessment result of the ESRS was negatively correlated with the consistency analysis result（rs=-0.498，P<0.001）.Multivariate Logistic regression analysis results showed that，gender，BMI，occupation，number of combined disease and fear of recurrence were influencing factors of underestimating the recurrence risk of stroke in the consistency analysis in rural patients with ischemic stroke，while BMI，occupation，main caregiver and fear of recurrence were influencing factors of accurately assessing the recurrence risk of stroke（P<0.05）.Conclusion　The consistency between self-perceived and objective recurrence risk of stroke was relatively low in rural patients with ischemic stroke.And there were significant differences of the self-perceived recurrence risk of stroke and consistency analysis result in patients with different objective recurrence risk of stroke.Gender，BMI，occupation，number of combined disease，monthly household income per capita and fear of recurrence were associated with underestimating the recurrence risk of stroke in the consistency analysis in rural patients with ischemic stroke，while BMI，occupation，main caregiver，monthly household income per capita and fear of recurrence were associated with accurately estimating.

Key words: Stroke, Brain ischemia, Recurrence, Rural population, Perception, Root cause analysis