Factors Influencing Early Hospital Arrival within 3 Hours among Acute stroke Patients in Banlaem Hospital: A Mixed Methods Research
Keywords:
Acute ischemic stroke, Early hospital arrival, Warning signs awarenessAbstract
This research is a sequential explanatory mixed-methods design that aims to investigate factors influencing timely treatment for acute ischemic stroke patients. Data from the medical records of 157 individuals treated at the Emergency Department of Ban Laem Hospital between fiscal years 2019-2023. Data was collected through focus groups of 28 acute stroke patients, their relatives, community leaders, and healthcare professionals. Data were analyzed by using logistic regression, and qualitative data were analyzed by using content analysis. The findings as follows:
1. Patients with acute stroke with moderate- severe neurological assessment scores, facial droop, and limb weakness had a chance of receiving treatment in time at 20.51, 2.63, and 2.62 timely respectively, and combined predictive timely treatment at 24.10% (R2= .241, p< .05).
2. Factors that encourage patients with acute stroke to seek treatment in time within 3 hours include: 1) knowing the warning symptoms, severity, and impact of untimely treatment, 2) changing health behaviors of risk groups, and 3) receiving social support from family members, communities, and public health personnel.
Primary health care units can use this as a guideline for designing activities to promote health behavior change and raise awareness of disease severity and warning signs for high-risk patients, with family and community participation to reduce impact and mortality.
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