頁籤選單縮合
題名 | 整合到院前及到院後急性缺血性腦中風溶栓照護以北臺灣為例:前趨研究=A Comprehensive Thrombolysis Service for Patients with Acute Ischemic Stroke Administered Prehospital and in an Energency Department in Northern Taiwan: A Pilot Study |
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作者 | 江俊宜; 賴昱樺; 熊光華; 黃建華; 彭家勛; 陳建生; 陳穎信; Chiang, Chun-i; Lai, Yu-hua; Hsiung, Kuang-hua; Huang, Chien-hua; Peng, Giia-sheun; Chen, Chien-sheng; Chen, Ying-hsin; |
期刊 | 臺灣急診專科醫師期刊 |
出版日期 | 20100900 |
卷期 | 2:3 2010.09[民99.09] |
頁次 | 頁74-82 |
分類號 | 415.922 |
語文 | chi |
關鍵詞 | 腦中風; 腦梗塞; 血栓溶解治療; 到院前救護; 腦中風教育; Stroke; Ischemic infarction; Thrombolytic; Prehospital; Stroke education; |
中文摘要 | 研究目的:本研究在瞭解緊急醫療人員經由教育訓練後,對腦中風相關知識、態度、行為的改變。研究方法:以問卷方式評估醫療人員經由教育訓練以及整合腦中風處置流程,腦中風相關知識、態度與行為的變化。主要發現:醫師態度改變,及參與者行為改變都達到顯著差異(p<0.001)。護理人員的知識改變以個案討論教學比課堂講授效果顯著(p<0.001)。經整合處置流程,接受溶栓治療率較前兩年增加,由2008-2009年3.0%提升到2010年3-6月7.9%(p=0.004)。結論:整合到院前後的缺血性腦中風處置對於提升血栓溶解比例是可行的。腦中風的教育訓練以個案討論及情境模擬的教學效果較佳。 |
英文摘要 | Background: Emergency medical services (EMS) transport and hospital prenotification were not been strengthened in Taiwan. Our aims were to investigate changes in knowledge, attitudes, and behavior after organizing the management of patients with acute ischemic stroke prehospital and in the emergency department. Methods: Pretest and posttest questionnaires about acute stroke were sent to 180 people who worked in the EMS and emergency department. Results: Responses were received from 160 people for the pretest and 145 people for the posttest. In the pretest and posttest analysis, significant improvement in the attitudes of the physician group (p<0.001) and general behavior (p<0.001) were disclosed. The case-based educational module of acute stroke was better than the traditional oral lecture especially in the nursing group (p<0.001). The rate of administering thrombolytic therapy/total ischemic stroke increased from 3.0% to 7.9% (p=0.004) after running the organized service. Conclusion: Setting up and running a organized thrombolysis service for patients with acute ischemic stroke prehospital and in the emergency department can be a good method to increase the rate of administration of thrombolytic therapy. Case-based learning for EMS stroke education is effective when administered by the staff of the emergency department. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。