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首页> 外文期刊>Journal of stroke and cerebrovascular diseases: The official journal of National Stroke Association >Modern Interdisciplinary and Interhospital Acute Stroke Therapy—What Patients Think About It and What They Really Understand
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Modern Interdisciplinary and Interhospital Acute Stroke Therapy—What Patients Think About It and What They Really Understand

机译：现代跨学科和互康急性卒中治疗 - 什么患者对它的看法以及他们真正理解的内容

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BackgroundAccess to reperfusion therapies in patients with large vessel occluding acute ischemic stroke demands process reorganization and optimization. Neurovascular networks are being built up to provide 24/7 endovascular stroke therapy service. In times of an increasingly complex stroke rescue chain little is known about patients’ and their relatives’ treatment awareness. MethodsAll patients, who received any kind of acute reperfusion treatment between January and August 2017 in the university hospital Aachen, and their proxies, were included in the survey. Patients were either primarily or secondarily transferred. ResultsFor all questions regarding stroke treatment patients and their caregivers provided concurring answers. 40% of both patients and caregivers did not understand the treatment that was performed. Finally, patients who perceived on their own that stroke detection was delayed had significantly longer onset to door times than patients who did not have this impression. ConclusionsThis study showed that patients’ and proxies’ answers correlated significantly. In case of patients’ unavailability extrapolation of treatment satisfaction from answers by proxies might be permitted. High percentages of patients and caregivers do not understand relevant information, possibly due to limits of communication in an emergency setting or deficits in communication during the hospital stay. More emphasis should be laid on providing further information during the hospital stay.
机译：背景大血管闭塞性急性缺血性卒中患者的再灌注治疗需要流程重组和优化。正在建立神经血管网络，以提供24/7血管内中风治疗服务。在中风救援链日益复杂的时代，人们对患者及其亲属的治疗意识知之甚少。方法将2017年1月至8月在亚琛大学医院接受任何类型急性再灌注治疗的所有患者及其代理人纳入调查。患者主要或次要转移。结果对于所有关于中风治疗的问题，患者及其护理人员都给出了一致的答案。40%的患者和护理人员不了解所进行的治疗。最后，与没有这种印象的患者相比，那些自己感觉到中风检测延迟的患者发病到门的时间明显更长。结论本研究表明，患者和代理人的回答显著相关。如果患者不可用，可以根据代理人的回答推断治疗满意度。高比例的患者和护理人员不理解相关信息，可能是因为在紧急情况下沟通受限或住院期间沟通不足。住院期间应更加重视提供更多信息。

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