Stroke awareness among inpatient nursing staff at an academic medical center.
Stroke awareness among inpatient nursing staff at an academic medical center.
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DOI：
10.1161/strokeaha.113.002905
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发表时间：
2014-01
期刊：
影响因子：
8.3
通讯作者：
Skolarus LE
中科院分区：
文献类型：
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作者：
Adelman EE;Meurer WJ;Nance DK;Kocan MJ;Maddox KE;Morgenstern LB;Skolarus LE
由于10%的卒中发生在住院患者中，我们试图评估住院和急诊科护理人员卒中知识和卒中知识的预测因素。护理人员完成了一项在线中风调查。该调查询问了结果预期（快速识别中风的重要性）、识别中风的自我效能感和中风知识（说出三种中风警告迹象/症状）。足够的中风知识被定义为能够说出两个或更多中风警告信号。采用Logistic回归来确定卒中症状知识与医护人员特征（教育程度、临床经验和护理单位）、卒中自我效能感和结果预期之间的关系。共有875名受访护士（84%）完成了调查，其中以护士居多。超过85%的受访者正确报告了2个或更多的中风警告信号或症状。识别中风症状的自我效能感（OR 1.13, 95% CI 1.01-1.27）和快速识别中风症状的重要性评分较高（OR 1.23, 95% CI 1.002-1.51）与中风知识相关。临床经验、教育经历、护理单位和对脑卒中患者的个人了解与脑卒中知识无关。卒中预后预期和自我效能感与卒中知识相关，应纳入卒中护理教育。
Since 10% of strokes occur in hospitalized patients, we sought to evaluate stroke knowledge and predictors of stroke knowledge among inpatient and emergency department nursing staff. Nursing staff completed an on-line stroke survey. The survey queried outcome expectations (the importance of rapid stroke identification), self-efficacy in recognizing stroke, and stroke knowledge (name three stroke warning signs/symptoms). Adequate stroke knowledge was defined as the ability to name two or more stroke warning signs. Logistic regression was used to identify the association between stroke symptom knowledge and staff characteristics (education, clinical experience, and nursing unit), stroke self-efficacy, and outcome expectations. A total of 875 respondents (84% response rate) completed the survey and most of the respondents were nurses. More than 85% of respondents correctly reported 2 or more stroke warning signs or symptoms. Greater self-efficacy in identifying stroke symptoms (OR 1.13, 95% CI 1.01–1.27) and higher ratings for the importance of rapid identification of stroke symptoms (OR 1.23, 95% CI 1.002–1.51) were associated with stroke knowledge. Clinical experience, educational experience, nursing unit, and personal knowledge of a stroke patient were not associated with stroke knowledge. Stroke outcome expectations and self-efficacy are associated with stroke knowledge and should be included in nursing education about stroke.