DOI QR코드

DOI QR Code

Necessity of Education for Emergency Medical Technicians to Improve Awareness of Early Symptoms of Stroke and Assessment of Stroke Patients

응급구급대원에서 뇌졸중 조기증상 인지 및 환자평가 향상을 위한 교육 필요성

  • Lee, Jeong-Mi (Department of Preventive Medicine, Wonkwang University, School of Medicine) ;
  • Lee, Jang-Yeol (Department of Preventive Medicine, Wonkwang University, School of Medicine) ;
  • Park, Seong-Bin (Department of Preventive Medicine, Wonkwang University, School of Medicine) ;
  • Lee, Young-Hoon (Department of Preventive Medicine, Wonkwang University, School of Medicine) ;
  • Oh, Gyung-Jae (Department of Preventive Medicine, Wonkwang University, School of Medicine)
  • 이정미 (원광대학교 의과대학 예방의학교실) ;
  • 이장열 (원광대학교 의과대학 예방의학교실) ;
  • 박성빈 (원광대학교 의과대학 예방의학교실) ;
  • 이영훈 (원광대학교 의과대학 예방의학교실) ;
  • 오경재 (원광대학교 의과대학 예방의학교실)
  • Received : 2013.04.02
  • Accepted : 2013.06.13
  • Published : 2013.06.30

Abstract

Objectives: The purpose of this study was to reconsider the necessity of stroke-related educational programs by investigating early symptoms of stroke that emergency medical technicians (EMTs) may experience. Methods: An interview survey was carried out, targeting all EMTs 298 people who were working at 119 fire safety centers and local units in Jeollabuk-do province, from April 1 to 30, 2011. An interviewer administered questionnaire was used to obtain data on ETMs' demographic characteristics, educational level on stroke, and awareness level about early symptoms of stroke and treatment-related characteristics of stroke patients. Results: The results showed that 63.2% of those surveyed had completed the required educational programs on stroke during the past year. The level of awareness about early symptoms of stroke and assessment of stroke patients' condition was relatively high for women, those who were 30 years under, low position people, emergency service practitioners, emergency medical technicians, and people who have completed education, respectively. It was also turned out that 82.8% of those surveyed took stroke patients to the nearest hospitals first so that they could receive appropriate treatment. The level of awareness about early symptoms of stroke and assessment of stroke patients' condition in people who have completed education were higher than non-complete. The level of awareness about early symptoms of stroke was positively correlated with confidence, satisfaction and appropriateness in treatment of stroke patients. Conclusions: These results strongly suggest that it is necessary to operate specialized educational programs to enhance EMTs' appropriate awareness of the early symptoms of stroke and assessment of stroke patient's condition.

Keywords

Emergency medical technicians;Stroke;Awareness;Education

Acknowledgement

Supported by : 원광대학교

References

  1. Albrts MJ, Perry A, Dawson DV, Bertels C. Effects of public and professional education on reducing the delay in presentation and referral of stroke patients. Stroke 1992;23(3):352-356 https://doi.org/10.1161/01.STR.23.3.352
  2. Oh GJ. Characteristics of prehospital care against severe emergency patients in emergency medical technicians. Wonkwang University school of Medicine and Hospital, 2011, pp.94-95 (Korean)
  3. Caro JJ, Huybrechts KF, Duchesne I. Management patterns and costs of acute ischemic stroke : An international study. For the stroke economic analysis group. Stroke 2000;31(3):582-590 https://doi.org/10.1161/01.STR.31.3.582
  4. Jo MW, Bae HJ. One-Year Health Related Quality of Life and Its Comparison With Various Clinical and Functional Scale in Hospitalized Patients With Acute Ischemic Stroke: Seoul National University Bundang Stroke Registry Study. J Korean Neurol Assoc 2009;27(1):28-35 (Korean)
  5. Yoo JH, Eo EK, Kim YJ, Song HS. Educational Effect on Prehospital Personnel for Prehospital Stroke Management. J Korean Society of Emergency Medicine 2002;13(1):23-30 (Korean)
  6. Jeong SG, Kim KS, Cho SH, Kang MG, Han MA. The Contents of Emergency Treatment Practice Conducted by Emergency Medical Technician and Related Factors. J Agri Med & Community Health 2009;34(3): 346-358 (Korean) https://doi.org/10.5393/JAMCH.2009.34.3.346
  7. The National Institute of Neurological Disorders and Stroke rt-PA Stroke Study Group. Tissue plasminogen activator for acute ischemic stroke. N Engl J Med 1995;333:1581-1587 https://doi.org/10.1056/NEJM199512143332401
  8. Engelstein E, Margulies J, Jeret JS. Lack of t-PA use for acute ischemic stroke in a community hospital: high incidence of exclusion criteria. Am J Emerg Med 2000;18(3):257-260
  9. Antman EM, Anbe DT, Armstrong PW, Bates ER, Green LA, Hand M, et al. ACC/AHA guidelines for the management of patients with ST-elevation myocardial infarction-executive summary. A report of the American College of Cardiology/ American Heart Association Task Force on Practice Guidelines (Writing committee to Revise the 1999 Guidelines for the Management of Patients With Acute Myocardial Infarction). J Am Coll Cardiol 2004;44(3):671-719 https://doi.org/10.1016/j.jacc.2004.07.002
  10. Doh HB, Lee BC, Lee IH, Kim JH, Kim SM, Kwon KH. Presentation time to hospital and recognition of stroke in patients with ischemic stroke. J Korean Neurol Assoc 2000;18(2):125-131 (Korean)
  11. Anderson NE, Broad JB, Bonita R. Delay in hospital admission and investigation in acute stroke. BMJ 1995;311(6998):162 https://doi.org/10.1136/bmj.311.6998.162
  12. Salisbury HR, Banks BJ, Footitt DR, Winner SJ, Reynolds DJ. Delay in presentation of patients with acute stroke to hospital in Oxford. QJM 1998;91(9):635-640 https://doi.org/10.1093/qjmed/91.9.635
  13. Kothari R, Jauch E, Broderick J, Brott T, Sauerbeck L, Khoury J et al. Acute stroke: delays to presentation and emergency department evaluaion. Ann Emerg Med 1999;33(1):3-8 https://doi.org/10.1016/S0196-0644(99)70431-2
  14. Moser DK, Kimble LP, Alberts MJ, Alonzo A, Croft JB, Dracup K, et al. Reducing delay in seeking treatment by patients with acute coronary syndrome and stroke: a scientific statement from the American Heart Association Council on cardiovascular nursing and stroke council. J Cardiovasc Nurs 2007;22(4):326-343 https://doi.org/10.1097/01.JCN.0000278963.28619.4a
  15. Croquelois A, Bogousslavsky J. Risk awareness and knowledge of patients with stroke: results of a questionnaire survey 3 months after stroke. J Neurol Neurosurg Psychiatry 2006;77(6):726-728 https://doi.org/10.1136/jnnp.2005.078618
  16. Campos-Sousa RN, Soares VY, Almeida KJ, Carvalho LI, Jacobina KS, Athayde Netto AE, et al. Knowledge of stroke among a Brazilian urban population. Arq Neuropsiquiatr 2007;65(3A):587-591 https://doi.org/10.1590/S0004-282X2007000400007
  17. Aly Z, Abbas K, Kazim SF, Taj F, Aziz F, Irfan A, et al. Awareness of stroke risk factors, signs and treatment in a Pakistani population. J Pak Med Assoc 2009;59(7): 495-499
  18. Regional Cardiocerebrovascular Center. The cognitive level of early symptoms of cardio-cerebrovascular disease. Regional Cardiocerebrovascular Center, 2012, pp.10 (Korean)
  19. Community Health Research. Health and drug laws. Gyechukpub, 2013, pp.160 (Korean)
  20. KCDC. Awareness survey of the early symptoms of cardiocerebrovascular disease in Gyeongsangbuk-do. Osong, KCDC, 2011, pp.22-23 (Korean)
  21. Kothari RU, Pancioli A, Liu T, Brott T, Broderick J. Cincinnati Prehospital Stroke Scale: reproducibility and validity. Ann Emerg Med 1999;33(4):373-378 https://doi.org/10.1016/S0196-0644(99)70299-4
  22. Kidwell CS, Starkman S, Eckstein M, Weems K, Saver JL. Identifying stroke in the field. prospective validation of the Los Angeles prehospital stroke screen(LAPSS). Stroke 2000;31(1):71-76 https://doi.org/10.1161/01.STR.31.1.71
  23. Community Health Research. Health and pharmaceutical laws and regulations. Gyechukpub, 2012, pp.135-204 (Korean)
  24. KCDC. Study on the factors influencing long-term functional level and quality of life in patients with the first-ever stroke. KCDC, 2012, pp.8 (Korean)
  25. National Health Insurance Corporation . Trend of medical treatment in the elderly with geriatric disease. National Health Insurance Corporation, 2010, pp.1-7 (Korean)
  26. The National Institute of Neurologic Disorder and Stroke t-PA Stroke Study Group: Tissue plaminogen activator for acute ischemic stroke. N Engl J Med 1995;333:1581-1587 https://doi.org/10.1056/NEJM199512143332401

Cited by

  1. Pre-post comparison Analysis of Patient assessment education for Emergency Medical Technicians(EMTs) vol.17, pp.7, 2016, https://doi.org/10.5762/KAIS.2016.17.7.211