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研究生:陳金鈴
研究生(外文):Chin-Ling Chen
論文名稱:腦中風病人延遲就醫原因與中風衛教成果之分析
論文名稱(外文):Stroke patients delay medical treatment with the analysis of the results of health education
指導教授:鄭博文鄭博文引用關係
指導教授(外文):Bor-Wen Cheng
學位類別:碩士
校院名稱:國立雲林科技大學
系所名稱:健康產業管理研究所碩士班
學門:工程學門
學類:工業工程學類
論文種類:學術論文
論文出版年:2013
畢業學年度:101
語文別:中文
論文頁數:80
中文關鍵詞:腦中風衛教成效
外文關鍵詞:Strokethe effectiveness of health education
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腦中風是一個嚴重威脅民眾生活品質及增加醫療照護成本的重大疾病。血栓溶解治療已經被證明對於急性缺血性腦中風病患是有效的治療,但僅能在中風發生後3-4.5小時內施打。因此中風病患要及時接受治療,需要靠病患或家屬快速辨認中風警告徵候且立即啟動緊急醫療系統、緊急醫療系統快速地派遣、進行到院前通報,運送病患前往中風中心、及到院後病患被快速地診斷與治療。根據台灣本土研究顯示,急性腦中風的病患只有29.4%能於中風發作後3小時內被送達急診室,也因此非常少數的急性缺血性腦中風病患能夠接受血栓溶解劑的治療。
因此,本研究使用問卷訪談(前、後測中間施予衛教)進行資料蒐集與病患醫療資訊搜集。目的在了解為何我國急性腦中風病患延遲就醫的原因。另外,亦對中風住院的病患與親友進行衛教,同時進行衛教後的問卷詢問,藉此來了解現今衛教之成效,以作為未來衛教方式創新之參考。
Stroke is a major disease which threatens the quality of life of patients seriously and increases the cost of medical care. Thrombolytic therapy has been proven to be beneficial to acute ischemic stroke patients. Nevertheless, it can be administrated only within 3-4.5 hours after symptoms onset. Therefore, in order to treating stroke patients in a timely manner, it needs that the patient or their family identifies the warning signs quickly and activates the emergency medical service system immediately, that the emergency medical system dispatches their personnel fast, performs pre-hospital notification, and delivers the patient to the stroke center, and that the patient was diagnosed and treated rapidly after arriving at the stroke center. According to the local research, there are only 29.4% of stroke patients arriving at emergency department within 3 hours after stroke attack in Taiwan and thus few patients with acute ischemic stroke can receive thrombolytic therapy.
Therefore, our study used questionnaires interviews (before and after the test
administered health education center) to collect data and patient medical
information gathering,and aims to know the reasons why the stroke patients in
Taiwan delay in seeking stroke care. In addition, we also perform the education
program of stroke to patients admitted because of stroke and their family. After
ducation program, those patients and family are asked to complete another form of
e questionnaire to understand the effect of the education program.
中文摘要 i
英文摘要 ii
致謝 iii
目錄 iv
表目錄 v
圖目錄 vi
第一章、緒論 1
第一節 研究背景 1
第二節 研究動機 3
第三節 研究目的 5
第四節 研究步驟與流程 5
第五節 研究限制 8
第二章、文獻探討 9
第一節 急性腦中風概述 9
第二節 靜脈血栓溶解治療概述 13
第三節 緊急醫療處置之概述 15
第四節 自覺症狀之相關因素 14
第五節 客製化照護衛教 15
第三章、研究方式 16
第一節 研究概念架構… 16
第二節 研究期間及對象 17
第三節 研究設計與工具 18
第四節 操作型定義 20
第五節 名詞界定 24
第六節 資料處理與分析 25
第四章、研究結果 26
第一節 問卷信度分析 26
第二節 樣本的描述性統計分析結果 27
第三節 分析中風行動測驗量表 40
第五章、討論與建議 42
第一節 研究重要結果及討論 42
第二節 未來後續研究建議 45
參考文獻 46
附錄一:量表使用同意書 53
附錄二:腦中風簡介 57
附錄三:腦中風自我照顧 58
附錄四:提升中風照顧之品質問卷 59
附錄五:原始版本與翻譯對照版
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