ปัจจัยทำนายระยะเวลาการมารับการรักษาของผู้ป่วยโรคหลอดเลือดสมอง หลังจากเกิดอาการในระยะเฉียบพลัน Factors Predicting Prehospital Time of Patients with Acute Ischemic Stroke in Acute Phase

Abstract

Stroke is a chronic disease that caused permanent disability and death. The aim of this study was to explore selected factors predicting prehospital time of patients with an acute ischemic stroke in the acute phase. The sample included 131 stroke patients who attended the stroke unit in one provincial hospital. The random number table was used to select the study’s participants. Participants completed the following questionnaires: 1) Stroke Perception, 2) Stroke Severity Perception, 3) Stroke Fast Track Perception with reliabilities of 0.76, 0.70 and 0.87, respectively, 4) the National Institutes of Health Stroke Scale. The data were analyzed by using stepwise multiple regression analysis.

                The results showed that 56.4% of the participants had a prehospital time longer than 270 minutes. The participants reported high levels in their perceptions of stroke and stroke severity ( = 20.7, SD = 4.47 and  = 23.3, SD = 2.33).  However, the physicians scored stroke severity of the patients at a mild level ( = 3.97, SD = 2.95). The predictive analysis found that patient’s perception of stroke, severity of stroke (evaluation by physicians), and family income jointly predicted a longer prehospital time (R² = .114, F = 4.267, p < .05). In conclusion, healthcare providers should promote people who have the risk of stroke to improve their perception and knowledge about the warning signs of stroke in order to shorten prehospital time.