Decker School of Nursing, Binghamton University, Binghamton, NY 13902-6000, USA.
Appl Nurs Res. 2011 May;24(2):82-7. doi: 10.1016/j.apnr.2009.04.001. Epub 2009 Sep 18.
Stroke is the third leading cause of death in the United States with 780,000 new and/or recurrent strokes each year. Interventions aimed at the onset of stroke symptoms have been successful in decreasing long-term neurological deficits; however, providing the prompt medical interventions in rural areas involves unique challenges. To decrease time-to-treatment in rural areas, education about symptoms of stroke and the need for immediate medical attention are critical. The objective of this study was to measure the effectiveness of the Facts for Action to Stroke Treatment (FAST)-based educational intervention program focused on the improving knowledge about stroke of 402 rural-dwelling adults. Using a paired means t test, the participants had a significant increase in knowledge from pretest to posttest (p = .000). Of those, 215 subjects participated in 2-month follow-up testing with the paired t test showing that the increased score from pretest to 2-month follow-up remained significant (p = .000). The authors concluded that the FAST-based program was an effective tool to use when teaching recognition of stroke symptoms and the need for immediate medical intervention to rural adults.
在美国,中风是导致死亡的第三大原因,每年有 78 万人新患或复发中风。针对中风症状发作的干预措施已成功降低了长期神经功能缺陷;然而,在农村地区提供及时的医疗干预涉及到独特的挑战。为了减少农村地区的治疗时间,对中风症状和立即就医的必要性进行教育至关重要。本研究的目的是衡量基于 Facts for Action to Stroke Treatment(FAST)的教育干预计划在提高 402 名农村成年人对中风知识方面的有效性。使用配对均值 t 检验,参与者的知识从预测试到后测试有显著提高(p =.000)。其中 215 名受试者参加了 2 个月的随访测试,配对 t 检验显示,从预测试到 2 个月随访的得分增加仍然显著(p =.000)。作者得出结论,FAST 为基础的项目是在农村成年人中教授识别中风症状和立即进行医疗干预必要性的有效工具。