Mellon Lisa, Hasan Husain, Lee Stuart, Williams David, Hickey Anne
From the Department of Psychology (L.M., A.H.), School of Medicine (H.H.), and Department of Geriatric and Stroke Medicine (S.L., D.W.), Royal College of Surgeons in Ireland, Dublin 2, Ireland.
Stroke. 2015 Dec;46(12):3551-3. doi: 10.1161/STROKEAHA.115.010327. Epub 2015 Oct 15.
In-hospital stroke is associated with slower access to thrombolysis than community-occurring stroke. It has been suggested that lack of knowledge regarding appropriate stroke response among hospital staff may contribute to delays in referral, assessment, and treatment of in-hospital stroke.
A survey was conducted among hospital ward staff members using the Stroke Awareness Questionnaire, which was adapted for use among hospital staff to assess their knowledge of stroke symptoms, acute treatments, and hospital protocols for treatment of stroke.
Ninety-six staff members were interviewed, 81% of whom were clinical staff (medical, nursing, allied health professionals). Ninety-two percent of staff could name ≥3 stroke symptoms. Only 49% of staff were aware of thrombolysis treatment, and only 48% could identify the time window for thrombolysis administration, with staff from stroke-related specialties likely to name thrombolysis as an acute treatment for stroke (71%; odds ratio =3.36, 95% confidence interval 1.17-9.61) and identify the correct treatment window (71%; odds ratio =3.55, 95% confidence interval 1.24-10.16). Only 52% of staff on general wards were aware of an in-hospital stroke protocol.
Hospital staff had adequate knowledge of stroke signs and symptoms; however, there was low awareness of thrombolysis therapy and its correct treatment time window among hospital staff. Targeted educational programmes among hospital staff regarding stroke are required to optimize acute stroke care.
与社区发生的中风相比，院内中风患者接受溶栓治疗的时间更晚。有人认为，医院工作人员对适当的中风应对措施缺乏了解可能导致院内中风转诊、评估和治疗的延迟。
使用中风认知问卷对医院病房工作人员进行了一项调查，该问卷经过改编，适用于医院工作人员，以评估他们对中风症状、急性治疗方法以及医院中风治疗方案的了解。
采访了96名工作人员，其中81%为临床工作人员（医生、护士、专职医疗人员）。92%的工作人员能说出≥3种中风症状。只有49%的工作人员知晓溶栓治疗，只有48%的工作人员能确定溶栓治疗的时间窗，来自中风相关专科的工作人员更有可能将溶栓治疗列为中风的急性治疗方法（71%；优势比=3.36，95%置信区间1.17 - 9.61）并确定正确的治疗窗（71%；优势比=3.55，95%置信区间1.24 - 10.16）。普通病房只有52%的工作人员知晓院内中风治疗方案。
医院工作人员对中风的体征和症状有足够的了解；然而，医院工作人员对溶栓治疗及其正确的治疗时间窗的知晓率较低。需要针对医院工作人员开展关于中风的定向教育项目，以优化急性中风护理。
