Women's Interpretation of and Cognitive and Behavioral Responses to the Symptoms of Acute Ischemic Stroke
Women's Interpretation of and Cognitive and Behavioral Responses to the Symptoms of Acute Ischemic Stroke
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DOI：
10.1097/jnn.0000000000000083
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发表时间：
2014-10-01
影响因子：
2.3
通讯作者：
Beal, Claudia C.
中科院分区：
文献类型：
--
作者：
Beal, Claudia C.
延迟寻求急性缺血性中风的医疗援助仍然是提供最佳护理（包括施用组织纤溶酶原激活剂）的障碍。尽管女性比男性更了解中风症状和中风危险因素，但女性较早到达医院的报道并不一致。本研究的目的是检查女性对中风症状的解释，并比较症状出现 3 小时内到达医院的女性和 3 小时后到达医院的女性的认知和行为反应。超过一半的参与者在首次注意到症状后 3 小时以上到达医院。大多数女性不知道症状的原因。关于中风治疗的知识有限，尽管有已知的危险因素，但少数女性知道自己有中风的风险。症状出现后超过 3 小时到达医院的女性比较早到达医院的女性更频繁地报告对症状的适应不良反应。需要努力减少对中风发作的适应不良反应，这可能会导致延迟就急性缺血性中风症状寻求医疗救助。
Delay seeking medical assistance for acute ischemic stroke remains a barrier to the provision of optimal care, including the administration of tissue plasminogen activator. Although women report greater knowledge of stroke symptoms and stroke risk factors than men, earlier hospital arrival in women has not been consistently reported. The purposes of this study were to examine women's interpretation of stroke symptoms and compare cognitive and behavioral responses between women who arrived at the hospital within 3 hours of symptom onset and women who arrived after 3 hours. More than half of the participants arrived at the hospital greater than 3 hours after first noticing symptoms. Most women did not recognize the cause of symptoms. Knowledge about a treatment of stroke was limited, and a minority of the women knew they were at risk for stroke despite having known risk factors. Maladaptive responses to symptoms were reported more frequently by women with hospital arrival greater than 3 hours after symptom onset than by women with earlier arrival. Efforts are needed to reduce maladaptive responses to stroke onset that may contribute to delay seeking medical assistance for the symptoms of acute ischemic stroke.