Facilitators of and barriers to emergency medical service use by acute ischemic stroke patients: A retrospective survey
Objective: The objective of the study was to identify facilitators and barriers to emergency medical service use among acute ischemic stroke patients in Korea. Methods: This paper presents a secondary analysis of a retrospective survey that collected data from questionnaires and medical records. Amo...
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| Format: | Article |
| Language: | English |
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Elsevier
2017-01-01
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| Series: | International Journal of Nursing Sciences |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352013216300825 |
| _version_ | 1811262097353342976 |
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| author | Cha-Nam Shin Kyungeh An Jeongha Sim |
| author_facet | Cha-Nam Shin Kyungeh An Jeongha Sim |
| author_sort | Cha-Nam Shin |
| collection | DOAJ |
| description | Objective: The objective of the study was to identify facilitators and barriers to emergency medical service use among acute ischemic stroke patients in Korea. Methods: This paper presents a secondary analysis of a retrospective survey that collected data from questionnaires and medical records. Among 233 acute ischemic stroke patients enrolled in a large-scale study, 160 patients who had arrived at a hospital within 72 h after symptom onset were included in the data analysis. Results: Users of emergency medical services needed a shorter time than non-users to arrive at hospital (140 min vs. 625 min., p = 0.001) and were more likely to arrive at hospital within 3 h of symptom onset (51.9% vs. 31.5%, p = 0.013). For those who first contacted emergency medical service, the facilitators of emergency medical service use were the presence of hemiparesis (p = 0.003), bilateral paralysis (p = 0.040), and loss of balance (p = 0.021). The predominant barrier was the failure to recognize the urgency of symptoms (p = 0.006). Conclusions: The use of emergency medical services reduced prehospital delay and increased the likelihood of patient arrival at hospital within 3 h. Given that experiencing typical stroke symptoms was a facilitator of emergency medical service use yet failure to recognize the urgency of symptoms was a barrier, public awareness should be raised as regards stroke symptoms and the benefits of using emergency medical services. Keywords: Barrier, Emergency medical services, Facilitator, Social norms, Stroke |
| first_indexed | 2024-04-12T19:19:12Z |
| format | Article |
| id | doaj.art-2f2453dc23624484ac47dd72a33b6842 |
| institution | Directory Open Access Journal |
| issn | 2352-0132 |
| language | English |
| last_indexed | 2024-04-12T19:19:12Z |
| publishDate | 2017-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | International Journal of Nursing Sciences |
| spelling | doaj.art-2f2453dc23624484ac47dd72a33b68422022-12-22T03:19:39ZengElsevierInternational Journal of Nursing Sciences2352-01322017-01-01415257Facilitators of and barriers to emergency medical service use by acute ischemic stroke patients: A retrospective surveyCha-Nam Shin0Kyungeh An1Jeongha Sim2College of Nursing and Health Innovation, Arizona State University, 500 N. Third St., Phoenix, AZ 85004, United StatesCollege of Nursing, Virginia Commonwealth University, 1100 E. Leigh St., Richmond, VA, United States; Corresponding author. 1100 E. Leigh St., School of Nursing, Richmond, VA 23289, United States.Department of Nursing, Jeonju University, 303 Cheonjam-ro, Wansan-gu, Jeonju, 560-759, South KoreaObjective: The objective of the study was to identify facilitators and barriers to emergency medical service use among acute ischemic stroke patients in Korea. Methods: This paper presents a secondary analysis of a retrospective survey that collected data from questionnaires and medical records. Among 233 acute ischemic stroke patients enrolled in a large-scale study, 160 patients who had arrived at a hospital within 72 h after symptom onset were included in the data analysis. Results: Users of emergency medical services needed a shorter time than non-users to arrive at hospital (140 min vs. 625 min., p = 0.001) and were more likely to arrive at hospital within 3 h of symptom onset (51.9% vs. 31.5%, p = 0.013). For those who first contacted emergency medical service, the facilitators of emergency medical service use were the presence of hemiparesis (p = 0.003), bilateral paralysis (p = 0.040), and loss of balance (p = 0.021). The predominant barrier was the failure to recognize the urgency of symptoms (p = 0.006). Conclusions: The use of emergency medical services reduced prehospital delay and increased the likelihood of patient arrival at hospital within 3 h. Given that experiencing typical stroke symptoms was a facilitator of emergency medical service use yet failure to recognize the urgency of symptoms was a barrier, public awareness should be raised as regards stroke symptoms and the benefits of using emergency medical services. Keywords: Barrier, Emergency medical services, Facilitator, Social norms, Strokehttp://www.sciencedirect.com/science/article/pii/S2352013216300825 |
| spellingShingle | Cha-Nam Shin Kyungeh An Jeongha Sim Facilitators of and barriers to emergency medical service use by acute ischemic stroke patients: A retrospective survey International Journal of Nursing Sciences |
| title | Facilitators of and barriers to emergency medical service use by acute ischemic stroke patients: A retrospective survey |
| title_full | Facilitators of and barriers to emergency medical service use by acute ischemic stroke patients: A retrospective survey |
| title_fullStr | Facilitators of and barriers to emergency medical service use by acute ischemic stroke patients: A retrospective survey |
| title_full_unstemmed | Facilitators of and barriers to emergency medical service use by acute ischemic stroke patients: A retrospective survey |
| title_short | Facilitators of and barriers to emergency medical service use by acute ischemic stroke patients: A retrospective survey |
| title_sort | facilitators of and barriers to emergency medical service use by acute ischemic stroke patients a retrospective survey |
| url | http://www.sciencedirect.com/science/article/pii/S2352013216300825 |
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