Pre-Hospital Delay In Family Members Of Patients With Acute Ischemic Stroke
Keywords:
pre-hospitalization delay, stroke knowledge, stroke awareness, perceived stroke severity, symptom managementAbstract
Abstract
This descriptive study aimed to explore the pre-hospitalization delay caused by family members of patients with acute ischemic stroke, and its related factors. The sample was 85 family members of patients with acute ischemic stroke who arrived a hospital in Chonburi after 210 minutes (3.5 hours). The sample was recruited using inclusion criteria and a random time frame from October 2018 and February 2019. The research instruments included a demographic questionnaire, the stroke knowledge questionnaires, the stroke awareness questionnaire, the perception of stroke severity questionnaire, and the response to stroke symptoms questionnaire. Reliability scores of the questionnaires were .77, .63, .95 and .86 respectively. Data were analyzed using descriptive statistics.
The results revealed that the mean hospital arrival time was 1,768 minutes (approximately 29.5 hours). Symptom management strategies included: 1) doing nothing and waiting for the patient recovery by him/herself (48.3%); 2) letting the patient sleep (32.9 %); 3) giving medication such as aspirin or paracetamol (9.4 %), and; 4) telling someone (3.5 %). The subjects had low scores on stroke knowledge (M = 17.5, SD = 3.20), stroke awareness (M = 1.68, SD = 0.47), and perceived stroke severity (M = 29.29, SD = 24.69). The findings indicate that health care professionals should provide more information about stroke to enhance family members’ stroke knowledge, awareness, and perception of stroke severity. Consequently, this would promote appropriate symptom management in order to decrease pre-hospitalization delay, resulting in more patients receiving more timely treatment.
References
Signs. Retrieved from http://www.strokeassociation.org/STROKEORG/WarningSings
/Stroke-Warning-Signs-and-Symptoms_UCM_308528_SubHomePage.jsp
American Heart Association/ American Stroke Association [AHA/ ASA]. (2018). guideline.
Retrieved from http://www.lpnh.go.th/newlp/wp-content/uploads/2013/10/ Ischemic-Stroke-AHA_ASA2018.pdf
American Heart Association. (2019). About stroke. Retrieved from https://www.stroke.
org/en/about-stroke
Ashraf, V. V., Maneesh, M., Praveenkumar, R., Saifudheen, K., & Girija, A. S. (2015).
Factorsdelaying hospital arrival of patients with acute stroke. Annals of Indian
Academy of Neurology, 18(2), 162-166.
Barr, J., McKinley, S., O’Brien, E., & Herkes, G. (2006). Patient recognition of and response to
symptoms of TIA or Stroke. Neuroepidemiology, 26, 168-175.
Chaiyo, S. (2014). Factors predicting the visiting time in patients with acute ischemic stroke.
Master of Nursing Science Thesis in Adult Nursing, Graduate School, Khon Kaen
University. [In Thai]
Chirawatkun, A. (2007). Statistics. Nonthaburi: Office to dismiss the Ministry of Public Health.
[In Thai]
Division of Non Communicable Disease Department of Disease Control. (2019). Non-
communicable disease information. Retrieved from http://www.thaincd.com
/2016/mission/documents-detail.php?id=13486&tid=32&gid=1-020 [In Thai]
Dodd, M., Janson, S., Facione, N., Faucett, J., Froelicher, E. S., Humphreys, J., Lee, K.,
Miaskowski, C., Puntillo, K., Rankin, S., & Taylor, D. (2001). Advancing the science
of symptom management. Journal of Advanced Nursing, 33(5), 668-676.
Emergency Unit A Hospital In Chonburi province. (2017). Patient statistics in 2018. Chon Buri:
A hospital In Chonburi province. [In Thai]
Jiang, B., Ru, X., Sun, H., Liu, H., Sun, D., Liu, Y., Huang, J., He, L., & Wang, W. (2016).
Pre-hospital delay and its associated factors in first-ever stroke registered in
communities from three cities in China. Scientific Reports, 6(29795), 1-10.
Kamsareeruk, J., & Jitpanya, Ch. (2015). Factors Related to Prehospital Time in Patients with
Acute Ischemic Stroke. Journal of The Police Nurse, 7(2), 106-119. [In Thai]
Khantichitr, Ph., Sanchaisuriya, P., & Thepphawan, P. (2016). Time-to-Treatment of Stroke
patients: Experience from Ubon Ratchathani Province, Master of Nursing Science
Thesis in Adult Nursing, Faculty of Nursing, Health Systems Research Institute.
[In Thai]
Pinyosree, N. (2008). Factors related to seeking treatment after the onset of acute ischemic
stroke patients. Master of Nursing Science Program in Nursing Science, Faculty of
Nursing, Chulalongkorn University. [In Thai]
Potisopha, W., Utriyaprasit, K., & Sindhu, S. (2015). Relationships among response to
symptoms mode of transportation and hospital arrival time of acute stroke
patients. Journal of Nursing Science & Health, 38(1), 9-20. [In Thai]
Rerkasem, K. (2009). Pathophysiology and management in carotid artery stenosis.
Chiang Mai: Chiang Mai University. [In Thai]
Saeko, U. (2009). A study of stroke awareness in stroke risk patients. Master of Nursing
Science Program in Nursing Science, Faculty of Nursing, Chulalongkorn University.
[In Thai]
Saengsuwan, J., Suangpho, P., & Tiamkao, S. (2017). Knowledge of stroke risk factors and
warning signs in patients with recurrent stroke or recurrent transient ischemic attack in Thailand. Neurology Research International, 2017(2017), 1-7.
Seremwe, F., Kaseke, F., Chikwanha, T. M., & Chikwasha, V. (2017). Factors associated with
hospital arrival time after the onset of stroke symptoms: A cross-sectional study at two teaching hospitals in Harare, Zimbabwe. Malawi Medical Journal, 29(2), 171-176.
Singhard, S. (2011). Factors associated with knowledge of stroke warning signs, Risk factors
and treatment among elderly patients with stroke. Master of Nursing Science
Thesis in Gerontological Nursing, Graduate School, Khon Kaen University. [In Thai]
Srisathitnarakun, B. (2010). The methodology in nursing research. Bankok: U&I Intermedia.
[In Thai]
Yiadthaisong, K., Wongpiriyayothar, A. & Kuleelung, P. (2019). Factors Predicting Prehospital
Time of Patients with Acute Ischemic Stroke in Acute Phase. Journal of Nursing and Health Care, 37(1), 148-156. [In Thai]
