Efforts of “Itoigawa City Stroke Awareness Campaign in Niigata Prefecture” will be published in the medical magazine Cureus

Niigata Prefecture Welfare Federation of Agricultural Cooperatives Itoigawa General Hospital
Efforts of “Itoigawa City Stroke Awareness Campaign in Niigata Prefecture” will be published in the medical magazine Cureus Succeeded in raising awareness of stroke through online education through elementary and junior high schools even during the corona crisis

A research team from Neurosurgery at Itoigawa General Hospital in Niigata Prefecture, Itoigawa City Health Promotion Division, Child Education Division, Fire Department, and Niigata Prefectural Central Hospital Neurosurgery conducted an e-learning program on stroke through elementary and junior high school students during the COVID-19 crisis. It was the first such event in the world to be held under the name of Itoigawa Stroke Awareness Campaign. While it is difficult to conduct face-to-face classes and extracurricular training due to the corona crisis, we distributed e-learning materials with online videos and quizzes through elementary and junior high schools, and as a result of having children and parents work on it, we found that the early stages of stroke two months after learning Understanding of response increased from 44.1-51.7% to 78.5-93.8%.
This research will be published in the medical journal Cureus on April 10, 2023. (explanation)
[Background] Strokes, such as cerebral hemorrhage and cerebral infarction, are diseases in which the patient is in a race against time. However, due to irrational behavior such as “I thought it would heal if I slept,” and “I refrained from calling an ambulance because I was embarrassed by the eyes around me,” it might have been saved if I had called an ambulance immediately after finding it. The current situation of bedridden patients who are not sure about the disease continues in various parts of Japan.
There is a slogan called FAST, which expresses the desire to come to the hospital immediately if there is a suspicion of a stroke. Three typical symptoms that occur in stroke (F = Face paralysis, A = Arm unilateral paralysis, S = Speech, slurred speech) and time of onset (T = Time) It is a word that combines The slogan is to call an ambulance as soon as possible if any one of the following symptoms suddenly appear: face, arm, or speech. (figure)

[Method] In August 2021, we distributed online teaching materials about FAST through elementary and junior high schools in Itoigawa City, and had children and their guardians work together at home. In October of the same year, we conducted an online survey to confirm that knowledge about FAST had taken root. In addition, we investigated the ratio of the degree of living independence three months after the onset of stroke patients for one year in 2020, before enlightenment, and one year in 2022, after enlightenment.
[Results] After distributing the materials to all families, about 10% of the parents and students were able to work on it. After 2 months of learning, the understanding of the initial response to stroke increased from 44.1-51.7% to 78.5-93.8%. Although we do not know the direct causal relationship with educational activities, the percentage of patients who were able to live independently 3 months after the onset increased from 40% before education to 54% after education. [Future Prospects] By distributing online educational materials, we were able to efficiently raise awareness of stroke even during the COVID-19 pandemic, even if doctors and nurses did not go to schools and provide direct education. This is the world’s first attempt at educational activities using online teaching materials, and it is expected that stroke awareness will be carried out all over the world in the future, in order to reduce irrational medical examination behavior.
(Article information)
Paper title: School-Based Stroke Education Through On-Demand E-learning During Coronavirus Disease 2019 Pandemic: Itoigawa Stroke Awareness Campaign
Author Masahito Katsuki, Junko Kawahara, Hiroyuki Senda, Chinami Yamagishi, Satoshi Mizusawa, Yasuhide Ueki, Shin Kawamura, Kenta Kashiwagi, Akihito Koh, Rie Hashiba, Atsuko Ono, Yuki Watabe, Kazuhiro Ando, ​​Bumpei Kikuchi, Shinya Yamashita, Fuminori Yamagishi Publication magazine Cureus https://www.cureus.com/articles/149026 DOI 10.7759/cureus.37380
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