Stroke education for multidisciplinary medical personnel in a rural area of Japan for promotion of hospital visit of acute stroke patients
| Autor: | Yosuke Mihara, Yukio Ando, Chiaki Yokota, Yoshiteru Mori, Kazuo Minematsu, Fumio Yamamoto, Hiroyuki Kawano |
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| Rok vydání: | 2014 |
| Předmět: |
Adult
Male Rural Population medicine.medical_specialty Weakness Emergency Medical Services Health Knowledge Attitudes Practice Medical staff media_common.quotation_subject Health Personnel Health Promotion Rural Health Promotion (rank) Japan Multidisciplinary approach Risk Factors Surveys and Questionnaires Medicine Humans cardiovascular diseases Stroke Health Education Acute stroke media_common Aged business.industry Rehabilitation Middle Aged medicine.disease Test (assessment) Hospitalization Physical therapy Surgery Female Neurology (clinical) Rural area medicine.symptom Cardiology and Cardiovascular Medicine business |
| Zdroj: | Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association. 23(9) |
| ISSN: | 1532-8511 |
| Popis: | Background There are few studies of stroke education suitable for multidisciplinary medical personnel. A reorganization of the management of acute stroke and stroke education for multidisciplinary medical personnel started since 2013 in our hospital located in a rural area of Japan. This study aimed to examine the effect of our stroke education on changing the number of visits of acute stroke patients to our hospital and to test the stroke knowledge of medical personnel. Methods The stroke education, composed of a 20-minute lecture, was given by a stroke neurologist to 217 medical personnel (age, 49 ± 10 years; male, 70%). Posters printed with the FAST message were given to the participants at the end of the lesson: F, facial drooping; A, arm numbness or weakness; S, slurred speech or difficulty speaking or understanding; T, a time to call an ambulance. Participants completed questionnaires on stroke knowledge at baseline and 3 months after the lesson. Results The number of participants who remembered correctly the FAST mnemonic at 3 months was significantly higher than at baseline (78 vs. 90%, P = .006). The correct answer rate for stroke symptoms other than FAST such as vision loss was approximately 50% at 3 months. The number of visits of acute stroke patients to our hospital, particularly patients with transient ischemic attack, increased significantly compared with that before the stroke education. Conclusions Our stroke education method using the FAST mnemonic designed for multidisciplinary medical personnel improved their stroke knowledge. Reorganization of the management of acute stroke and greater stroke knowledge for medical staff are necessary to increase the visits of acute stroke patients in the rural areas. |
| Databáze: | OpenAIRE |
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