Facilitators of and barriers to emergency medical service use by acute ischemic stroke patients: A retrospective survey

Cha Nam Shin, Kyungeh An, Jeongha Sim

Resultado de la investigación: Articlerevisión exhaustiva

5 Citas (Scopus)

Resumen

Objective The objective of the study was to identify facilitators and barriers to emergency medical service use among acute ischemic stroke patients in Korea. Methods This paper presents a secondary analysis of a retrospective survey that collected data from questionnaires and medical records. Among 233 acute ischemic stroke patients enrolled in a large-scale study, 160 patients who had arrived at a hospital within 72 h after symptom onset were included in the data analysis. Results Users of emergency medical services needed a shorter time than non-users to arrive at hospital (140 min vs. 625 min., p = 0.001) and were more likely to arrive at hospital within 3 h of symptom onset (51.9% vs. 31.5%, p = 0.013). For those who first contacted emergency medical service, the facilitators of emergency medical service use were the presence of hemiparesis (p = 0.003), bilateral paralysis (p = 0.040), and loss of balance (p = 0.021). The predominant barrier was the failure to recognize the urgency of symptoms (p = 0.006). Conclusions The use of emergency medical services reduced prehospital delay and increased the likelihood of patient arrival at hospital within 3 h. Given that experiencing typical stroke symptoms was a facilitator of emergency medical service use yet failure to recognize the urgency of symptoms was a barrier, public awareness should be raised as regards stroke symptoms and the benefits of using emergency medical services.

Idioma originalEnglish (US)
Páginas (desde-hasta)52-57
Número de páginas6
PublicaciónInternational Journal of Nursing Sciences
Volumen4
N.º1
DOI
EstadoPublished - ene. 10 2017
Publicado de forma externa

ASJC Scopus subject areas

  • Nursing(all)

Huella

Profundice en los temas de investigación de 'Facilitators of and barriers to emergency medical service use by acute ischemic stroke patients: A retrospective survey'. En conjunto forman una huella única.

Citar esto