Factors affecting the delay in the treatment process for stroke patients at Sikhiu Hospital, Nakhon Ratchasima Province, fiscal year 2020 - 2022

Abstract

This study aims to investigate the factors that contribute to delayed treatment processes for stroke patients in Sikhiu District, Nakhon Ratchasima Province. A retrospective study design was employed, with the sample consisting of patients aged over 15 years who were diagnosed with stroke (ICD-10 I60-I69) and received treatment at Sikhiu Hospital, Nakhon Ratchasima, between 2020 and 2022, totaling 300 cases. The statistical methods used for data analysis included percentages, means, standard deviations, and multivariable logistic regression analysis. The research findings revealed that: 1) Patient and environmental factors, such as residence (F = 4.358, p-value = 0.013), having DLP (F = 5.748, p-value = 0.017), patient symptoms (F = 55.382, p-value = 0.003), and having DM (F = 5.748, p-value = 0.017) affected the delayed treatment process for stroke patients in Sikhio District, Nakhon Ratchasima Province. 2) Factors related to the emergency medical service system, such as the method of transportation to the hospital (F = 37.563, p-value < 0.001) and time of admission (F = 8.903, p-value = 0.003) also affected delayed treatment. 3) Hospital service factors, such as Door to Triage Time (F = 34.969, p-value < 0.001), Triage to Physician contact time (F = 16.047, p-value < 0.001), and Stroke care activation (F = 9.845, p-value = 0.002) significantly contributed to delayed treatment for stroke patients in Sikhio District, Nakhon Ratchasima Province.