Factors associated with decision time to seek care in the face of ischemic stroke.

Autor:	Muniz LS; Empresa Brasileira de Serviços Hospitalares, Hospital Universitário Professor Edgard Santos, Salvador, BA, Brazil., Moraes MA; Universidade Federal da Bahia, Faculdade de Enfermagem, Salvador, BA, Brazil., Sales RS; Universidade Federal da Bahia, Faculdade de Enfermagem, Salvador, BA, Brazil., Ribeiro LS; Universidade Federal da Bahia, Faculdade de Enfermagem, Salvador, BA, Brazil., Cunha BS; Universidade Federal da Bahia, Faculdade de Enfermagem, Salvador, BA, Brazil., Jesus PAP; Universidade Federal da Bahia, Instituto de Ciências da Saúde, Salvador, BA, Brazil., Sampaio EES; Universidade Federal da Bahia, Faculdade de Enfermagem, Salvador, BA, Brazil., Baccin CRA; Universidade Federal da Paraíba, Faculdade de Enfermagem, João Pessoa, PB, Brazil., Teles CAS; Universidade Estadual de Feira de Santana, Instituto Gonçalo Moniz, Fiocruz, Salvador, BA, Brazil., Mussi FC; Universidade Federal da Bahia, Faculdade de Enfermagem, Salvador, BA, Brazil.
Jazyk:	English; Portuguese
Zdroj:	Revista da Escola de Enfermagem da U S P [Rev Esc Enferm USP] 2023 Aug 25; Vol. 57, pp. e20230075. Date of Electronic Publication: 2023 Aug 25 (Print Publication: 2023).
DOI:	10.1590/1980-220X-REEUSP-2023-0075en
Abstrakt:	Objective: To verify the association between sociodemographic, clinical, environmental, cognitive, and emotional factors and the decision time of people with ischemic stroke to seek a health service after the onset of symptoms or wake up stroke. Method: Cross-sectional study carried out from March to October 2019, with 304 patients, in a public hospital, a reference in neurology. Data obtained through interview and from medical records. Decision time was analyzed as a geometric mean. In the bivariate and multivariate analyses, linear regression was used and the Akaike Information Criterion was used to select the best model. Statistical significance of 5% was adopted. Results: The geometric mean of decision time was 0.30h (95% CI 0.23-0.39). The final model explained this time in 41%, showing an increase of 0.5 min for people with arterial hypertension; 10.8 min for those who waited for symptoms to improve; 1.4 min for those who were alone at the onset of symptoms; 3.9 min for those at home; 3.2 min for the ones at work; and 2.1 for those on the street/public space. Conclusion: The mean decision time for seeking a health service was high and influenced by clinical, environmental, cognitive, and emotional variables. The results guide nurses regarding health education.
Databáze:	MEDLINE
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