Ý Định Hành Vi Trì Hoãn Trước Bệnh Viện Và Các Yếu Tố Liên Quan Ở Người Trung Niên Và Người Cao Tuổi Việt Nam Có Nguy Cơ Đột Qụy Cao

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Tác giả: Trần Ngọc Thanh Đặng, Như Loan Hồ, Wang Jing Jy

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Y Dược học Phạm Ngọc Thạch, 2023

Mô tả vật lý: tr.201

Bộ sưu tập: Metadata

ID: 339161

Thêm vào giỏ Liên kết toàn văn

- Tổng quan chung: Giảm thiểu thời gian từ khi khởi phát triệu chứng đến khi nhập viện để được can thiệp thích hợp nhằm giảm biến chứng và ngăn ngừa tử vong do đột qụy cấp tính. Mặc dù tỷ lệ mắc đột qụy tăng theo tuổi tác, đặc biệt ở người cao tuổi, nhưng độ tuổi trung bình mắc bệnh đột quỵ đang ngày càng trẻ hóa ở Việt Nam. Việc xác định ý định hành vi trì hoãn trước bệnh viện và các yếu tố liên quan của hai nhóm tuổi nêu trên là rất quan trọng.- Mục tiêu: Tìm hiểu ý định hành vi trì hoãn trước bệnh viện, xem xét các mối quan hệ giữa ý định hành vi trì hoãn trước bệnh viện và các biến nhân khẩu học, và xác định các yếu tố nhân khẩu học liên quan đến ý định hành vi trì hoãn trước bệnh viện.- Phương pháp: Một nghiên cứu mô tả cắt ngang đã được tiến hành vào tháng 6 năm 2020. 90 người tham gia có nguy cơ đột quỵ cao đã được chọn từ Bệnh viện Quận 2. Ý định hành vi trì hoãn trước bệnh viện được đánh giá theo thang điểm Ý định hành vi trì hoãn trước bệnh viện của bệnh Đột qụy (SPDBI). Phân tích dữ liệu bao gồm phân tích dữ liệu mô tả, tương quan Spearman, và hồi quy tuyến tính.- Kết quả: Điểm trung bình SPDBI là 72.38 (SD = 16.13). Các yếu tố liên quan đến ý định hành vi trì hoãn trước bệnh viện của bệnh đột quỵ, gồm tuổi (r = -0.30, p <
0.01), bệnh kèm theo (r = 0.27, p <
0.01), nơi cư trú (r = -0.25, p = 0.01), thu nhập cá nhân hàng tháng (r = -0.32, p <
0.01), và trình độ văn hóa (r = -0.37, p <
0.01). Trình độ học vấn và bệnh kèm theo được xem là những yếu tố tiên đoán cho ý định trì hoãn hành vi trước bệnh viện.- Kết luận: Điểm trung bình của SPDBI tương đối cao và số người mắc đột qụy tại nước ta vẫn có chiều hướng gia tăng, vì vậy hệ thống giáo dục y tế và hệ thống cấp cứu cần được phát triển.Abstract- Background: Decreasing the time from symptom onset to arrival of a hospital to receive appropriate intervention is an important approach to reduce severe complication of cerebral circulation and prevent death from acute stroke. Although the incidence of stroke increases with age - older adults, the average age of stroke victims is getting younger in Vietnam, especially middle-age adults who are at productive phase of life which need special attention. Therefore, to determine pre-hospital delay behavior intention and identify factors associated with pre-hospital delay behavior intention among these two groups of people are critical.- Aims: The purposes of this study are to explore stroke pre-hospital delay behavior intention, to examine the relationships between stroke pre-hospital delay behavior intention and demographic variables, and to determine factors associated with pre-hospital delay behavior intention among Vietnamese middle-age and older adults with high risk of stroke.- Methods: A cross-sectional study was conducted in June 2020. A sample size of 90 patients having high risk of stroke was recruited from Hospital District 2, Ho Chi Minh City, Vietnam. Pre-hospital delay behavior intention was assessed by Stroke Pre-hospital Delay Behavior Intention (SPDBI) scale. Data analysis included descriptive data analysis, Spearman correlation, and Multiple linear regression.- Results: This study found that the mean SPDBI score was 72.38 (SD = 16.13). There were some factors correlated to stroke pre-hospital delay behavior intention, including age (r = -0.30, p <
0.01), comorbidities (r = 0.27, p <
0.01), habitual residence (r = -0.25, p = 0.01), personal monthly income (r = -0.32, p <
0.01), educational level (r= -0.37, p <
0.01). Educational level and comorbidities were found to be the predicting factors to stroke pre-hospital delay behavior intention among this group of patients.- Conclusion: As the number of stroke victims still increases and the mean SPDBI score is relatively high, the health education system and the emergency medical system should be developed. DOI: 10.59715/pntjmp.1.1.26

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