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The Academic Journal of Neurology and Neurosurgery deals with Neurology and Neurosurgery accepts articles on these topics. Academic Journal of Neurology and Neurosurgery publishes original research articles, review articles, case reports, editorial commentaries, letters to the editor, educational articles, and conference/meeting announcements.

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Original Article
Evaluation of the knowledge and attitudes on stroke among family medicine residents in Ankara province
Aims: Stroke is a major cause of morbidity and mortality worldwide and in Turkiye. A significant proportion of patients in family medicine practice are individuals at risk for stroke. This study aimed to assess the knowledge and attitudes regarding stroke among family medicine residents working in medical faculties and training and research hospitals in XXX.
Methods: This descriptive cross-sectional study included 241 family medicine residents working in XXX. Sociodemographic characteristics, knowledge, attitudes, and training status related to stroke were collected using a structured questionnaire. Data were analyzed using IBM SPSS version 26.0.
Results: Of the participants, 140 (58.1%) were female and 101 (41.9%) were male. The mean knowledge score was 79.63 ± 7.89, and the mean attitude score was 86.78 ± 5.94. Only 31 participants (12.9%) had completed a neurology rotation. Forty-seven participants (19.5%) had previously received training on stroke; 34 (14.1%) considered themselves sufficient in stroke management, while 131 (54.4%) considered themselves partially sufficient. Seventy-one participants (29.5%) reported adequate knowledge of stroke risk factors. Knowledge scores were significantly higher among those who had completed a neurology rotation (p= 0.027). Participants who had received stroke-related training felt more competent in the subject (p<0.001). No significant correlation was found between age, years in practice, or duration of residency and knowledge or attitude scores.
Conclusion: Although family medicine residents demonstrated generally adequate knowledge about stroke, there were gaps in training and practical experience. The rates of participation in neurology rotations and stroke-related educational programs were low. Completing a neurology rotation was associated with higher knowledge scores. Incorporating neurology rotations into residency training may positively enhance residents’ knowledge and attitudes toward stroke, which is crucial for public health.


1. World Health Organization. The top 10 causes of death [Internet]. Geneva: WHO; 2021 Available from: https://www.who.int/news-room/fact-sheets/detail/the-top-10-causes-of-death (cited 2025 Jul 31).
2. Murphy SL, Kochanek KD, Xu J, Heron M. National vital statistics reports. Natl Vital Stat Reports. 2015;63(9):1-117. Available from: https://pubmed.ncbi.nlm.nih.gov/26759855/ (cited 2025 Jul 31).
3. Türkiye İstatistik Kurumu (TÜİK). Ölüm ve ölüm nedeni istatistikleri, 2023. Ankara: TÜİK; 2023. Available from: https://data.tuik.gov.tr (cited 2025 Jul 31).
4. Goldstein LB, Bushnell CD, Adams RJ, et al. Guidelines for the primary prevention of stroke: a guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke. 2011;42(2):517-584. doi:10.1161/STR.0b013e3181fcb238
5. Benjamin EJ, Muntner P, Alonso A, et al. Heart disease and stroke statistics-2019 update: a report from the American Heart Association. Circulation. 2019;139(10):e56-e528. doi:10.1161/CIR.0000000000000659
6. Powers BJ, Danus S, Grubber JM, Olsen MK, Oddone EZ, Bosworth HB. The effectiveness of personalized coronary heart disease and stroke risk communication. Am Heart J. 2011;161(4):673-680. doi:10.1016/j.ahj. 2010.12.021
7. Mendis S, Davis S, Norrving B. Organizational update: The World Health Organization Global Status Report on noncommunicable diseases 2014; One more landmark step in the combat against stroke and vascular disease. Stroke. 2015;46(5):e121-122. doi:10.1161/STROKEAHA. 115.008097
8. Powers WJ, Rabinstein AA, Ackerson T, et al. 2018 Guidelines for the early management of patients with acute ischemic stroke. Stroke. 2019; 49(3):e46-e110. doi:10.1161/STROKEAHA.119.026917
9. Pandian JD, Gall SL, Kate MP, et al. Prevention of stroke: a global perspective. Lancet 2018;392(10154):1269-1278. doi:10.1016/S0140-6736 (18)31269-8
10. Yoon SS, Heller RF, Levi C, Wiggers J, Finnegan T. Knowledge of stroke risk factors, warning symptoms, and treatment among an Australian urban population. Stroke. 2001;32(8):1926-1930. doi:10.1161/01.str.32.8.1926
11. Renjith V, Soman B, Shanmughasundaram S, et al. Stroke awareness among community health workers from rural health blocks of Thiruvananthapuram, India. J Neurosci Rural Pract. 2023;14(4):735-740. doi:10.25259/JNRP_222_2023
12. Farias DA Guarda SN, Santos JPS, et al. Realistic simulation is associated with healthcare professionals' increased self-perception of confidence in providing acute stroke care: a before-after controlled study. Arq Neuropsiquiatr. 2021;79(1):2-7. doi:10.1590/0004-282X-anp- 2019-0369
13. Ding GB, Sang Q, Han H-J, Wang X-M, Wu Y-F. Assessment of stroke knowledge and awareness among primary healthcare providers: a cross-sectional survey from the Kezhou quality improvement in acute stroke care project. Front Public Heal. 2023;11:1136170. doi:10.3389/fpubh.2023.1136170
14. Apaydın Kaya Ç, Kaya D. İnmenin önlenmesi ve tedavisinde aile hekimlerinin rolü. J Turk Family Physician. 2010;1(3):20-32.
15. Traynelis L. Emergency department nurses’ knowledge of evidence-based ischemic stroke care. Emergency. 2012;10(1):44.
16. Albart SA, Yusof Khan AHK, Abdul Rashid A, et al. Knowledge of acute stroke management and the predictors among Malaysian healthcare professionals. PeerJ. 2022;10:e13310. doi:10.7717/peerj.13310
17. Meschia JF, Bushnell C, Boden-Albala B, et al. Guidelines for the primary prevention of stroke: a statement for healthcare professionals from the American Heart Association/American Stroke Association.Stroke. 2014;45(12):3754-3832. doi:10.1161/STR.0000000000000046
18. Faiz KW, Sundseth A, Thommessen B, Rønning OM. Patient knowledge on stroke risk factors, symptoms and treatment options. Vasc Health Risk Manag. 2018:14:37-40. doi:10.2147/VHRM.S152173
19. Zarandona J, Cillero IH, Arrue M. Nursing students’ misunderstandings when learning about stroke care: a phenomenographic study. Nurse Educ Today. 2019;73:54-59. doi:10.1016/j.nedt.2018.11.013
20. Ramírez-Moreno JM, Alonso-González R, Peral-Pacheco D, Millán-Núñez MV, Aguirre-Sánchez JJ. Knowledge of stroke a study from a sex perspective. BMC Res Notes. 2015;8(1):1-8. doi:10.1186/s13104-015-1582-1
21. Perez-Lazaro C, Santos-Lasaosa S, Velazquez-Benito A, Bellosta-Diago E, Tejero-Juste C, Iniguez-Martinez C. Conocimiento de la enfermedad vascular cerebral en la poblacion de Zaragoza [Knowledge of cerebrovascular disease in the population of Zaragoza]. Rev Neurol. 2017;64(1):17-26.
22. National Center for Complementary and Integrative Health (NCCIH). Antioxidant supplements: what you need to know. 2024. Available from: https://www.nccih.nih.gov/health/antioxidant-supplements-what- you-need-to-know (cited 2025 Jul 31).
23. Zhang Y, Li Y, Liu C, et al. Vitamin E intake and risk of stroke: a meta-analysis. Br J Nutr. 2018;120(10):1181-1188. doi:10.1017/S 0007114518002647
24. Rababah JA, Al-Hammouri MM, Alnsour E. Effectiveness of an educational program on improving healthcare providers’ knowledge of acute stroke: a randomized block design study. World J Emerg Med. 2021;12(2):93-98. doi:10.5847/wjem.j.1920-8642.2021.02.002
25. Gorchs-Molist M, Solà-Muñoz S, Enjo-Perez I, et al. An online training intervention on prehospital stroke codes in catalonia to improve the knowledge, pre-notification compliance and time performance of emergency medical services professionals. Int J Environ Res Public Health. 2020;17(17):6183. doi:10.3390/ijerph17176183
26. Benjamin EJ, Muntner P, Alonso A, et al. Heart disease and stroke statistics-2019 update: a report from the American Heart Association. Circulation. 2019;139(10):e56-e528. Erratum in: Circulation. 2020; 141(2):e33. doi:10.1161/CIR.0000000000000659
27. Barzkar F, Baradaran HR, Koohpayehzadeh J. Knowledge, attitudes and practice of physicians toward evidence-based medicine: a systematic review. J Evid Based Med. 2018;11(4):246-251. doi:10.1111/jebm.12325
Volume 2, Issue 3, 2025
Page : 44-49
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