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目的了解缺血性脑卒中患者的就诊时间,探讨其就诊延迟的影响因素。方法采用问卷调查法,对2013年6—9月在某院神经内科住院且符合纳入标准的缺血性脑卒中患者进行调查。结果共有216例患者符合纳入标准,患者的平均就诊时间为28.18h,就诊时间>6 h的有110例,就诊延迟率为50.9%。单因素分析显示患者就诊延迟的影响因素有:文化程度、是否与子女同住、发病时间、患者脑卒中防治知识的认知水平(P<0.05);多因素Logistic回归分析显示患者就诊延迟的影响因素有:患者脑卒中防治知识认知水平(P<0.05,OR=0.943)、与子女同住(P<0.05,OR=0.441)。结论缺血性脑卒中患者平均就诊时间较长,就诊延迟现象严重。缺血性脑卒中患者卒中防治知识认知水平低,未与子女同住是就诊延迟的主要影响因素。为降低卒中患者就诊延迟率,建议重点从提高公众的卒中防治知识认知水平和加强对老年人的家庭照护这两方面着手。
Objective To understand the treatment time of patients with ischemic stroke and to explore the influencing factors of delayed treatment. Methods A questionnaire survey was conducted to investigate the incidence of ischemic stroke in hospital from June to September in 2013 in the Department of Neurology of a hospital and meeting the inclusion criteria. Results A total of 216 patients met the inclusion criteria. The average time for treatment was 28.18 hours, 110 cases were treated for> 6 hours, and the delay rate was 50.9%. Univariate analysis showed that the influencing factors of delayed treatment were education level, whether they lived with their children, the onset time and the knowledge of stroke prevention and control (P <0.05). The multivariate logistic regression analysis showed that the delay in the treatment of patients The factors were: cognitive level of patients with stroke prevention and control (P <0.05, OR = 0.943), cohabitation with their children (P <0.05, OR = 0.441). Conclusion The average duration of treatment for ischemic stroke patients is longer, and the treatment delay is serious. Patients with ischemic stroke have a low cognitive level of prevention and treatment of stroke, and not living with their children is the main factor influencing the delay of treatment. In order to reduce the delay rate of visits for stroke patients, it is suggested that the focus should be on improving public awareness of stroke prevention and treatment and strengthening family care for the elderly.