Witness response at acute onset of stroke: a qualitative theory-guided study.
Witness response at acute onset of stroke: a qualitative theory-guided study.
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DOI：
10.1371/journal.pone.0039852
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发表时间：
2012
期刊：
影响因子：
3.7
通讯作者：
Araujo-Soares V
中科院分区：
文献类型：
--
作者：
Dombrowski SU;Sniehotta FF;Mackintosh J;White M;Rodgers H;Thomson RG;Murtagh MJ;Ford GA;Eccles MP;Araujo-Soares V
中风后延迟呼叫紧急医疗服务限制了获得早期治疗的机会，而早期治疗可以减少残疾。紧急医疗服务联系主要是由中风目击者（通常是亲属）发起的，而不是中风患者。本研究探讨了评估和行为因素，是潜在的重要影响证人的行为，以应对中风。半结构化访谈26中风证人转录和理论指导的内容进行了分析的基础上进行的常识自我调节模型（评估过程）和理论域框架（行为决定因素）。反应行为往往受到心理学引导的评价（即心理经验法则）的影响。一些目击者称他们对这种情况的反应是“自动的”和“本能的”，而不是深思熟虑的产物。潜在的行为影响包括：环境背景和资源（如一天中的时间）、社会影响（如患者的提示）和对后果的信念（如999次快速求助）。研究结果基于回顾性报告，需要在前瞻性研究中进一步验证。证人在病人获得紧急医疗服务方面发挥着关键作用。确定了可能影响证人对中风反应的因素，这些因素可以为行为干预和未来的研究提供信息。将自动/本能的威胁感知与对中风症状的故意评估联系起来，促使采取行动呼叫紧急医疗服务，可能会使干预措施受益。
Delay in calling emergency medical services following stroke limits access to early treatment that can reduce disability. Emergency medical services contact is mostly initiated by stroke witnesses (often relatives), rather than stroke patients. This study explored appraisal and behavioural factors that are potentially important in influencing witness behaviour in response to stroke. Semi-structured interviews with 26 stroke witnesses were transcribed and theory-guided content analysed was undertaken based on the Common Sense Self-Regulation Model (appraisal processes) and Theory Domains Framework (behavioural determinants). Response behaviours were often influenced by heuristics-guided appraisal (i.e. mental rules of thumb). Some witnesses described their responses to the situation as ‘automatic’ and ‘instinctive’, rather than products of deliberation. Potential behavioural influences included: environmental context and resources (e.g. time of day), social influence (e.g. prompts from patients) and beliefs about consequences (e.g. 999 accesses rapid help). Findings are based on retrospective accounts and need further verification in prospective studies. Witnesses play a key role in patient access to emergency medical services. Factors that potentially influence witnesses’ responses to stroke were identified and could inform behavioural interventions and future research. Interventions might benefit from linking automatic/instinctive threat perceptions with deliberate appraisal of stroke symptoms, prompting action to call emergency medical services.
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DOI：
10.1111/j.1747-4949.2009.00276.x
发表时间：
2009-06
期刊：
International journal of stroke : official journal of the International Stroke Society
影响因子：
--
作者：
Evenson KR;Foraker RE;Morris DL;Rosamond WD
通讯作者：
Rosamond WD
影响因子：
7.9
作者：
Lowe, Rob;Porter, Alison;Evans, Bridie Angela
通讯作者：
Evans, Bridie Angela
DOI：
10.1080/10903120590891985
发表时间：
2005-01-01
期刊：
Prehospital emergency care : official journal of the National Association of EMS Physicians and the National Association of State EMS Directors
影响因子：
--
作者：
Rosamond, Wayne D;Evenson, Kelly R;Brice, Jane H
通讯作者：
Brice, Jane H
影响因子：
8.3
作者：
Handschu, R;Poppe, R;Erbguth, F
通讯作者：
Erbguth, F
影响因子：
8.8
作者：
Weller, D.;Vedsted, P.;Neal, R. D.
通讯作者：
Neal, R. D.