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塞浦路斯共和国急诊科医护人员对中风识别与管理的认知

Knowledge on Stroke Recognition and Management among Emergency Department Healthcare Professionals in the Republic of Cyprus.

作者信息

Rossis Christos, Michail Koralia A, Middleton Nicos, Karanikola Maria, Papathanassoglou Elizabeth, Mpouzika Meropi

机构信息

Nicosia General Hospital Cyprus, 2031 Nicosia, Cyprus.

Department of Nursing, Cyprus University of Technology, 3041 Limassol, Cyprus.

出版信息

Healthcare (Basel). 2023 Dec 29;12(1):77. doi: 10.3390/healthcare12010077.

Abstract

Stroke is a global leading cause of death and disability. Knowledge of related guidelines is crucial for emergency department (ED) staff, influencing early diagnosis and timely treatment. We investigated Greek Cypriot ED healthcare professionals' (nurses and physicians) knowledge in recognizing and managing stroke. A descriptive cross-sectional study spanned November 2019 to April 2020, encompassing four private and seven public EDs in the Republic of Cyprus. The data were collected through a self-reported questionnaire developed by the research team, consisting of 37 questions. Eight questions focused on sociodemographic and employment characteristics, twenty-eight assessed knowledge in stroke recognition and management (each item was equally weighted without deliberate prioritization), and one question addressed self-assessment of knowledge in stroke care. A total of 255 nurses (response rate (RR): 74.1%) and 26 physicians (RR: 47.3%) completed the questionnaire. The average correct response rate was 12.9 out of 28 statements (SD: 4.2), with nurses and physicians scoring 12.6 (SD: 4.1) and 15.7 (SD: 4), respectively. Work experience significantly influenced stroke knowledge, with all groups demonstrating superiority over those with less than one year of experience. Participants with previous training scored an average of 1.45 additional correct answers while educational attainment did not significantly influence stroke knowledge. Investigating stroke knowledge among emergency department nurses and physicians in the Republic of Cyprus revealed significant deficits. This study stresses targeted interventions, including education, yearly examinations, workshops with hands-on training, and repeated training, to address these gaps and enhance the overall stroke care capabilities of the healthcare professionals.

摘要

中风是全球主要的死亡和残疾原因。了解相关指南对急诊科工作人员至关重要,会影响早期诊断和及时治疗。我们调查了塞浦路斯希腊族急诊科医护人员(护士和医生)在识别和管理中风方面的知识。一项描述性横断面研究涵盖了2019年11月至2020年4月,包括塞浦路斯共和国的四家私立和七家公立急诊科。数据通过研究团队自行设计的一份包含37个问题的问卷收集。八个问题聚焦于社会人口统计学和就业特征,28个评估中风识别和管理方面的知识(每个项目权重相同,无刻意优先排序),还有一个问题涉及中风护理知识的自我评估。共有255名护士(回复率(RR):74.1%)和26名医生(RR:47.3%)完成了问卷。在28条陈述中,平均正确回复率为12.9条(标准差:4.2),护士和医生的得分分别为12.6(标准差:4.1)和15.7(标准差:4)。工作经验对中风知识有显著影响,所有组在中风知识方面都优于经验少于一年的人员。之前接受过培训的参与者平均多答对1.45道题,而受教育程度对中风知识没有显著影响。对塞浦路斯共和国急诊科护士和医生的中风知识调查显示存在显著不足。本研究强调了针对性干预措施,包括教育、年度考核、开展实操培训的工作坊以及重复培训,以弥补这些差距并提高医护人员的整体中风护理能力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4723/10778653/56da2a6aea46/healthcare-12-00077-g001.jpg

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