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一项关于提高医疗服务提供者急性中风知识的教育项目的有效性:一项随机区组设计研究。

Effectiveness of an educational program on improving healthcare providers' knowledge of acute stroke: A randomized block design study.

作者信息

Rababah Jehad A, Al-Hammouri Mohammed M, AlNsour Esra'a

机构信息

Jordan University of Science and Technology, Faculty of Nursing, Irbid 22110, Jordan.

Prince Al Hussein Bin Abdullah II Academy for Civil Protection, Amman 11511, Jordan.

出版信息

World J Emerg Med. 2021;12(2):93-98. doi: 10.5847/wjem.j.1920-8642.2021.02.002.

Abstract

BACKGROUND

Stroke is a time-sensitive neurological disease and a life-threatening medical condition. Providing timely management for stroke patients is a crucial issue in healthcare settings. The primary objective of this study is to evaluate the effectiveness of an evidence-based educational program on healthcare providers' (HCPs) overall knowledge of stroke.

METHODS

A randomized block design with post-test only was used. A total of 189 HCPs (physicians, registered nurses, and paramedics) involved with treating stroke patients in the emergency were recruited. Participants were randomly assigned to either the intervention or waiting list control group. A one-session, stroke educational program was offered to the HCPs followed by a post-test designed to assess knowledge about stroke.

RESULTS

A significant main effect on the profession type was found, with physicians having higher mean scores of stroke knowledge compared with nurses and paramedics ( [2, 183]=48.55, <0.001). The implemented educational program had a positive effect on increasing the level of stroke knowledge among HCPs ( [1, 183]=43.31, <0.001). The utilization of any evidence-based assessment tools for patients with suspected stroke was denied by 36% of the total sample.

CONCLUSIONS

The implemented intervention can increase HCP's knowledge regarding stroke. Stroke education should be considered as one of the essential requirements for professional development for all HCPs in the emergency.

摘要

背景

中风是一种对时间敏感的神经系统疾病,也是一种危及生命的医疗状况。为中风患者提供及时治疗是医疗环境中的关键问题。本研究的主要目的是评估一项循证教育计划对医疗服务提供者(HCPs)中风总体知识的有效性。

方法

采用仅进行后测的随机区组设计。共招募了189名参与急诊中风患者治疗的HCPs(医生、注册护士和护理人员)。参与者被随机分配到干预组或等待名单对照组。为HCPs提供了一场中风教育课程,随后进行了一项旨在评估中风知识的后测。

结果

发现职业类型有显著的主效应,与护士和护理人员相比,医生的中风知识平均得分更高([2, 183]=48.55,<0.001)。实施的教育计划对提高HCPs的中风知识水平有积极影响([1, 183]=43.31,<0.001)。36%的总样本拒绝使用任何针对疑似中风患者的循证评估工具。

结论

实施的干预措施可以增加HCPs关于中风的知识。中风教育应被视为急诊中所有HCPs专业发展的基本要求之一。

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