关键词: 中风, 中风先兆症, 中风120, 延迟诊断, 质性研究

Abstract: Background　Stroke-120 is the major tool for stroke awareness education in China，but there is short of in-depth research about community residents' perspectives on Stroke-120. Objective　To understand community residents' perspectives on Stroke-120，so as to provide ideas for the publicity，promotion and popularization of Stroke-120. Methods　Purposive sampling was used to select 31 permanent community residents（locally lived over 1 year）who were relatives and friends of the author's research group from July to September 2020，including 15 cases came from Guangdong Province，7 from Hubei Province，6 from Henan Province，1 from Hebei Province，1 from Hunan Province and 1 from Liaoning Province. Semi-structured in-depth interviews guided by an outline and questions related to Stroke-120 was conducted，the interview results were coded by using Nvivo as an auxiliary tool，and analyzed by content analysis. Results　The recognition rate of three warning signs of stroke，namely crooked mouth，unilateral arm weakness and alalia was 64.5%（20/31），22.6%（7/31） and 61.3%（19/31），respectively. The proportion of participants who called 120 when found people around them with sudden appearance of at least one of the three above-mentioned warning signs of stroke was 32.2%（10/31），22.6%（7/31） and 41.9%（13/31），respectively. Insufficient knowledge of warning signs of stroke，and easily confusing stroke with other diseases were important factors affecting community residents' recognition of warning signs of stroke. The severity of warning signs of stroke and awareness of calling 120 were important factors affecting community residents' behavior of calling 120. Conclusion　The education of Stroke-120 in the community should focus on explaining the relationship between warning signs of stroke and stroke，the importance of quick medical treatment and the necessity of calling 120.

Key words: Stroke, Premonitory stroke, Stroke-120, Delayed diagnosis, Qualitative study