Can Children Reduce Delayed Hospital Arrival for Ischemic Stroke?
| Autor: | Susan Gerding Bader, Sonya A. Flanders, Claudia C. Beal |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Parents
medicine.medical_specialty Time Factors education Psychological intervention MEDLINE CINAHL PsycINFO 030204 cardiovascular system & hematology Tissue plasminogen activator 03 medical and health sciences 0302 clinical medicine medicine Humans cardiovascular diseases Child Students Health Education Stroke Endocrine and Autonomic Systems business.industry medicine.disease Hospitals Medical–Surgical Nursing Tissue Plasminogen Activator Ischemic stroke Physical therapy Surgery Health education Neurology (clinical) business 030217 neurology & neurosurgery medicine.drug |
| Zdroj: | Journal of Neuroscience Nursing. 48:E2-E13 |
| ISSN: | 0888-0395 |
| DOI: | 10.1097/jnn.0000000000000202 |
| Popis: | BACKGROUND Delayed hospital arrival after onset of ischemic stroke reduces the number of patients eligible for tissue plasminogen activator, which must be given soon after stroke onset. There are conflicting results about the impact of mass media stroke education on timing of hospital arrival and tissue plasminogen activator administration rates. School-based programs are a new way to communicate stroke information. METHODS A search of MEDLINE, CINAHL, PsycINFO, and ERIC databases from 1995 to 2014 identified school-based stroke education interventions. Twelve studies involving 3,312 children and 612 parents met criteria for review. RESULTS School-based stroke education interventions were effective to improve knowledge of stroke symptoms among children in kindergarten through junior high. Improvement for stroke risk factors was less robust. Interventions were effective regardless of format, length, or who delivered the information. Despite low parental response rates in some studies, there was evidence that children transmitted stroke information to parents. CONCLUSIONS School-based stroke education programs appear effective to improve knowledge of stroke symptoms. Research is needed to determine if children who participate are able to recognize stroke and respond appropriately by calling 911 in the real world. More study is needed about transfer of stroke knowledge from child to parent. Strategies to improve parent participation are needed. |
| Databáze: | OpenAIRE |
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