Faculty of Medicine and Health Sciences, University Malaysia Sarawak, Kota Samarahan, Malaysia.
Neurology Unit, Department of Medicine, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, Malaysia.
J Stroke Cerebrovasc Dis. 2021 Jan;30(1):105421. doi: 10.1016/j.jstrokecerebrovasdis.2020.105421. Epub 2020 Nov 4.
Around 15.0% of all strokes occurred in hospitalised patients and studies showed significant delay in the stroke recognition and lack of awareness on thrombolytic therapy for acute ischaemic stroke (AIS) which lead to higher mortality for in-hospital stroke. We aimed to develop and validate a new instrument known as acute stroke management questionnaire (ASMaQ) to evaluate the awareness of healthcare professionals in managing acute ischaemic stroke cases.
This study consisted of 3 steps; the formulation of ASMaQ draft, content validation and construct validity. A total of 110 questions were drafted with 5-point Likert scale answers. From the list, 31 were selected and subsequently tested on 158 participants. The results were analysed and validated using exploratory factor analysis on SPSS. Components were extracted and questions with low factor loading were removed. The internal consistency was then measured with Cronbach's alpha.
Following analysis, 3 components were extracted and named as general stroke knowledge, hyperacute stroke care and advanced stroke management. Two items were deleted leaving 29 out of 31 questions for the final validated ASMaQ. Internal consistency showed high reliability with Cronbach's alpha of 0.82. Our respondents scored a total cumulative mean of 113.62 marks or 66.6%. A sub analysis by occupation showed that medical assistants scored the lowest in the group with a score of 57% whilst specialists including neurologists scored the highest at 79.4%.
The ASMaQ is a newly developed and validated questionnaire consisting of 29 questions testing the respondents' acute stroke management knowledge.
约有 15.0%的中风发生在住院患者中，研究表明中风识别存在明显延迟，并且对急性缺血性中风（AIS）的溶栓治疗认识不足，这导致住院中风患者的死亡率更高。我们旨在开发和验证一种新的工具，称为急性中风管理问卷（ASMaQ），以评估医疗保健专业人员管理急性缺血性中风病例的意识。
本研究包括 3 个步骤；ASMaQ 草案的制定、内容验证和结构有效性。共起草了 110 个问题，采用 5 点李克特量表回答。从列表中，选择了 31 个问题，并随后在 158 名参与者中进行了测试。结果使用 SPSS 中的探索性因素分析进行分析和验证。提取成分并删除具有低因子载荷的问题。然后用 Cronbach 的 alpha 测量内部一致性。
经过分析，提取了 3 个成分，并命名为一般中风知识、超急性中风护理和高级中风管理。删除了两个项目，留下 31 个问题中的 29 个用于最终验证的 ASMaQ。内部一致性显示出很高的可靠性，Cronbach 的 alpha 为 0.82。我们的受访者总累积平均得分为 113.62 分或 66.6%。按职业进行的亚分析显示，医疗助理在组中得分最低，得分为 57%，而包括神经学家在内的专家得分最高，为 79.4%。
ASMaQ 是一种新开发和验证的问卷，由 29 个问题组成，测试受访者的急性中风管理知识。
