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美国药房提供的中风防治建议:对治疗与护理的影响

Advice on stroke provided by pharmacies in the United States: implications for treatment and care.

作者信息

Monseau Aaron J, Whiteman Charles, Crocco Todd J, Davis Stephen M, Barkley Jacob

机构信息

From the Department of Emergency Medicine, West Virginia University, Morgantown, and Emergency Medicine, Davis Memorial Hospital, Elkins, West Virginia.

出版信息

South Med J. 2015 Apr;108(4):219-22. doi: 10.14423/SMJ.0000000000000262.

DOI:10.14423/SMJ.0000000000000262
PMID:25871990
Abstract

OBJECTIVES

Studies have found that some health lines and physician's offices have provided treatment advice other than "call 9-1-1 for an ambulance" to patients who present with a stroke scenario. We assessed the treatment advice given by selected pharmacies in the United States regarding stroke.

METHODS

The investigators called 73 randomly selected pharmacies and informed respondents that the caller's mother had experienced stroke-like symptoms several days earlier. Respondents were asked what should be done if the symptoms returned in the future and then debriefed on the deception afterward.

RESULTS

Seventy-one of the 73 pharmacies participated and only 20% (95% confidence interval 12-30) of respondents gave the ideal advice "call 9-1-1 for an ambulance."

CONCLUSIONS

One out of every five pharmacy respondents across the United States recommended advice other than calling emergency medical services for a potential stroke scenario.

摘要

目的

研究发现,一些健康热线和医生办公室针对出现中风症状的患者,除了给出“拨打911叫救护车”的建议外,还提供了其他治疗建议。我们评估了美国部分药店针对中风给出的治疗建议。

方法

研究人员致电73家随机挑选的药店,告知受访者打电话者的母亲几天前出现了类似中风的症状。询问受访者如果症状日后再次出现该怎么做,之后再向他们说明这是一场骗局。

结果

73家药店中的71家参与了调查,只有20%(95%置信区间为12 - 30)的受访者给出了理想建议“拨打911叫救护车”。

结论

在美国,每五名药店受访者中就有一人针对潜在中风情况给出了除呼叫紧急医疗服务之外的建议。

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