Facilitators of and barriers to emergency medical service use by acute ischemic stroke patients: A retrospective survey

Chanam Shin, Kyungeh An, Jeongha Sim

Research output: Contribution to journalArticle

4 Scopus citations

Abstract

Objective The objective of the study was to identify facilitators and barriers to emergency medical service use among acute ischemic stroke patients in Korea. Methods This paper presents a secondary analysis of a retrospective survey that collected data from questionnaires and medical records. Among 233 acute ischemic stroke patients enrolled in a large-scale study, 160 patients who had arrived at a hospital within 72 h after symptom onset were included in the data analysis. Results Users of emergency medical services needed a shorter time than non-users to arrive at hospital (140 min vs. 625 min., p = 0.001) and were more likely to arrive at hospital within 3 h of symptom onset (51.9% vs. 31.5%, p = 0.013). For those who first contacted emergency medical service, the facilitators of emergency medical service use were the presence of hemiparesis (p = 0.003), bilateral paralysis (p = 0.040), and loss of balance (p = 0.021). The predominant barrier was the failure to recognize the urgency of symptoms (p = 0.006). Conclusions The use of emergency medical services reduced prehospital delay and increased the likelihood of patient arrival at hospital within 3 h. Given that experiencing typical stroke symptoms was a facilitator of emergency medical service use yet failure to recognize the urgency of symptoms was a barrier, public awareness should be raised as regards stroke symptoms and the benefits of using emergency medical services.

Original languageEnglish (US)
Pages (from-to)52-57
Number of pages6
JournalInternational Journal of Nursing Sciences
Volume4
Issue number1
DOIs
StatePublished - Jan 10 2017

Keywords

  • Barrier
  • Emergency medical services
  • Facilitator
  • Social norms
  • Stroke

ASJC Scopus subject areas

  • Nursing(all)

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