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

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International Journal of Nursing Sciences 2017年第1期4卷 52-57页

作者： Cha-Nam Shin Kyungeh An jeongha sim College of Nursing and Health Innovation Arizona State University500 N.Third St.PhoenixAZ 85004United States College of Nursing Virginia Commonwealth University1100 E.Leigh StRichmondVAUnited States Department of Nursing Jeonju University303 Cheonjam-roWansan-guJeonju560-759South Korea

Objective: The objective of the study was to identify facilitators and barriers to emergency medical service use among acute ischemic stroke patients in ***: This paper presents a secondary analysis of a retrospective survey that collected data from questionnaires and medical *** 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 ***: 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 *** 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.

关键词： Barrier Emergency medical services Facilitator Social norms Stroke

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