Rozhodování a informovanost pacientů o CMP : hledání smysluplných cest
| Title in English | Decision making and stroke awareness : looking for meaningfull strategies |
|---|---|
| Authors | |
| Year of publication | 2019 |
| Type | Article in Periodical |
| Magazine / Source | Urgentní medicína |
| MU Faculty or unit | |
| Citation | |
| Web | celé číslo 4/2019 - open access |
| Keywords | Stroke; Awareness; Decision making; Health care; Community health education |
| Attached files | |
| Description | Aim: Reaction of the lay public to a stroke event is often insufficient. The aim of this research was to identify the sources of stroke knowledge of stroke patients or their relatives who called emergency for suspected stroke event, and the key moments for the decision to call emergency. Findings indicate direction in more effective management of cases in Emergency medicine. Sample and methods: This is a qualitative study using semi- -structured deep personal interviews. 12 stroke patient were interviewed, 6 relatives of stroke patients and, in two cases, both patient and his/her relative. Also, 6 meetings with hospital personnel were conducted. Results: The decision to call ambulance was based on previous stroke experience and realization that something was wrong. Also, other people and their knowledge or experience were important. The decision making is set in the complex setting with patient’s concerns about accepting patient’s role and expectations connected to it. The recovery process is connected both to hopes and uncertainties about the outcome. Conclusions: When the patients do not have previous stroke experience and the doctor is not called by a witness of the event, then the decision to call a doctor is based not on the recognition of the stroke symptoms, but on the perception that something is terribly wrong. For the educational campaigns to be more effective, they need to be targeted to the high-risk subgroups. This knowledge was derived from the experience and life situation of the cases included in the study. Multidisciplinary cooperation connecting not only medical but also social approach could be beneficial in emergency medicine. |