缺血性脑卒中患者就诊时间及其就诊延迟的影响因素研究  

Study on time to admission and influence factors of admission delay in patients with ischemic stroke

作　　者：何红丽[1] 胡泊[1] 

机构地区：[1]南阳医学高等专科学校,河南473061

出　　处：《社区医学杂志》2015年第18期11-13,共3页Journal Of Community Medicine

摘　　要：目的了解缺血性脑卒中患者的就诊时间,探讨其就诊延迟的影响因素。方法采用问卷调查法,对2013年6—9月在某院神经内科住院且符合纳入标准的缺血性脑卒中患者进行调查。结果共有216例患者符合纳入标准,患者的平均就诊时间为28.18h,就诊时间>6 h的有110例,就诊延迟率为50.9%。单因素分析显示患者就诊延迟的影响因素有:文化程度、是否与子女同住、发病时间、患者脑卒中防治知识的认知水平(P<0.05);多因素Logistic回归分析显示患者就诊延迟的影响因素有:患者脑卒中防治知识认知水平(P<0.05,OR=0.943)、与子女同住(P<0.05,OR=0.441)。结论缺血性脑卒中患者平均就诊时间较长,就诊延迟现象严重。缺血性脑卒中患者卒中防治知识认知水平低,未与子女同住是就诊延迟的主要影响因素。为降低卒中患者就诊延迟率,建议重点从提高公众的卒中防治知识认知水平和加强对老年人的家庭照护这两方面着手。Objective To know the time to admission and explore influence factors of admission delay in patients With is- chemic stroke. Methods Adopting questionnaire survey method, ischemic stroke patients accorded with inclusion criteria in neurology from June 2013 to September were investigated. Results A total of 216 patients meet the inclusion criteria, the average time to admission 28, 18h, 110 patients＇admission time more than 6 hours and admission delay rate is 50.9%. One way variance analysis revealed the influence of admission time factors as follows： educational＇level, whether living With their children, onset time, patients＇stroke related knowledge cognition score （P 〈 0.05）; Multi factor Logistic analysis showed that the influence of admission delay factors are ： patients＇stroke related knowledge cognition score（ P 〈 0.05, OR = 0.943 ）, living With their children （ P 〈0.05, OR = 0.441 ）. Conclusions Ischemic stroke .patients an average admission time longer and admission delay phenomenon serioisly. Patients＇stroke related knowledge level is low and not to live With their children is the major influencing factors of admission delay in ischemic stroke patients.

关 键 词：缺血性脑卒中 就诊时间 就诊延迟 影响因素 

分 类 号：R743[医药卫生—神经病学与精神病学]