Reacting to stroke an explorative study regarding to knowledge and decisions of relatives of older stroke

1 | SEER wl Saxion University of Applied Science Reacting to stroke An to of explorative knowledge older stroke study decisions and at patients regarding of the relatives first stroke TPUGNG 8H DIEU DUONG TAMDe DONH eed 1V VIÊN sẽ:.ÿ#L.HQ/Im ANP Student: Pham Thi Thu Huong Tutor: Professor Joy Notter Supervisor: Mr Pham Thanh Nam Master of Advanced Nursing Practice Course | Enschede, 2010 Reacting to stroke EXPLANATION OF ORIGINALITY I declare that I, Pham Thi Thu Huong was bor on January, 19th, 1981, in Namdinh city, Vietnam as the author of this research report This study: “An exprorative study regarding to knowledge and decisions of relatives of older stroke patients at the first stroke” was not carried out previuosly If J used research carried out before by others, this is stated in the text The study was done by myself, with the support of my tutors Professor Joy Notter, Ir Ria Lohuis- Heesink and supervisor Mr Pham Thanh Nam The permission for this study was granted by the Medical Ethical Testing Committee and Management Broad of Saxion University, The Netherland (SSS Pham Thi Thu Huong SUMMARY Background: Stroke is a major killer with 10% of the deaths worldwide linked to strokes Strokes are more common in adults particularly the elderly but can also affect children factors There are certain risk associated with stroke, and these include hypertension, diabetes and alcohol abuse Vietnam is a developing country, where stroke is a major health problem According to the WHO (2005) report regarding Vietnam, strokes are one in ten the leading causes of deaths Objectives: The aims of this study is development of information for nurses working with the families of patients who have been assessed as being at risk of a stroke based on regarding the experiences and actions of relatives of stroke patients during the time they suspected the person was having a stroke, and whether they had any prior knowledge of stroke Methods: The interviewees A quasi-qualitative approach within the positivist paradigm was used were the relatives of patients with stroke, who witnessed the stroke happened and/or made the decision to take the patient to hospital The data were collected by using the standardized open-ended interview guide Results: 20 participants aged from 22 to 71 were recruited to the research At least one of symptoms of stroke was recognized and hypertension as a risk factor was also awared by many respondents But most of them did not understood what a stroke is In the situation when their relatives were suspected of having a stroke, a wide range of reactions of participants was actual Actions at the point of event include looking for a help from medical staff; transfer directly patients to hospital or self-treatment such as keeping the patient in bed then puting on him or her one of antihypertensive Respondents also met obstacle in seeking help such as there was not consensus from other family members or long distance to hospital Conclusions: The important findings that emerge from this study is the alarming lack of knowledge about stroke A minority of subjects correctly identified the brain as the affected organ in stroke, and ignorance of the warning symptoms and risk factors for stroke was common The deficiency in knowledge about stroke led to inappropriate actions to first stroke of family members Under pressure of the others, expenditure also influence of objective conditions as far distance, lack of emergency medical service, contact to medical staff before hospitalization, people delay and loose the important time to cure the patients il Reacting to stroke TOM TAT Bối cảnh: đột quy xem “kẻ giết người ghê gớm”, chiếm 10% tổng số ca tử vong toàn giới Đột quy chủ yếu xảy người già có trẻ nhỏ Các yếu tố nguy đột quy bao gồm huyết áp cao, tiểu đường việc lạm dụng rượu Việt Nam nước phát triển, nơi mà đột quy vấn để sức khoẻ cộm Theo báo cáo tổ chức Y tế giới, đột quy mười nguyên nhân gây tử vong hàng đầu Việt Nam năm 2005 Mục tiêu: mục tiêu nghiên cứu bỗ sung thông tin đột quy cho điều dưỡng, từ cung cấp cho người nhà người bệnh có nguy bị đột quy thông tin đột quy sở tìm hiểu trải nghiệm phản ứng người nhà người bệnh thời điểm nghỉ ngờ người bị đột quy tìm hiểu liệu họ có kiến thức đột quy Phương pháp nghiên cứu: nghiên cứu sử dụng phương pháp gần định tính, thực chứng Đối tượng nghiên cứu người nhà người bệnh bị đột quy, người chứng kiến đột quy xảy và/ đưa định đưa người bệnh đến viện Số liệu thu thập việc sử dụng câu hỏi mở tiêu chuẩn Kết quả: 20 người tuổi từ 22 đến 71 mời tham gia vào nghiên cứu Ít triệu chứng đột quy nhận huyết áp cao nhiều người tham gia ý nguy đột quy Tuy nhiên, phần lớn số họ khơng hiểu đột quy Diễn biến tâm lý phức tạp nhiều hành động diễn để phản ứng lại với đột quy thời điểm họ nghỉ ngờ người thân bị đột quy Các phản ứng bao gồm gọi nhân viên y tế, chuyển người bệnh đến bệnh viện hay tự điều trị đỡ người bệnh lên giường cho uống thuốc hạ huyết áp Người tham gia gặp cản trở việc tìm kiếm giúp đỡ y tế từ thành viên khác gia đình hay gặp khó khăn vận chuyên Kết luận: kết quan trọng nỗi bật nghiên cứu thiếu hiểu biết đột quy Một tỷ lệ nhỏ thành viên xác định xác não quan bị ảnh hưởng đột quy xảy ra, hạn chế việc nhận biết dấu hiệu yếu tố nguy đột quy lưu ý Do thiếu hiểu biết đột quy, thành viên gia đình ` có phản ứng không phù hợp với đột quy Áp lực thành viên khác, vấn đề tài ảnh hưởng điều kiện khách quan khoảng cách, thiếu phương tiện cấp cứu, liên lạc với nhân viên y tế chỗ trước đến viện, họ làm chậm trễ làm lỡ thời gian cho việc điều trị hiệu cho ca đột quy iii Pham Thi Thu Huong LIST OF ABBREVIATION CPR Cardiopulmonary Resuscitation CT scan Computer Tomography scanner EMS Emergency Medical System MRI Magnetic Resonance Imaging PhD Doctor of Philosophy TIA Transient Ischemic Attack WHO World Health Organization iv Reacting to stroke ACKNOWLEDGEMENTS I would Netherland; like to express my Ministry of Health, Vietnam; Saxion Universities of Applied every one who My great thanks to all institutions: Namdinh Sciences, The University School of has contributed to and helped me with my sincerely thanks should also go Nuffic of Nursing, of The Vietnam; Health, The Netherland and training and research to relatives of stroke patients, the medical staff of Cardiovascular department in Namdinh General hospital participated in my study and willingly shared their experiences, views and opinions with me on the research topics Their contributions are invaluable and unforgettable Especially, I would most sincere gratitude like to say to my forever thanks and carve deeply tutors and supervisor Professor in my heart the Joy Notter, Dr Pham Thanh Nam, Ir Ria Lohuis- Heesink You always give me your hands in my research work by the most effective way and at the same time you encourage me to go further and to make me more confident I would like to express many special thanks to: Mr Do Dinh Xuan, PhD, the Rector of Namdinh University of Nursing, Director of the “Jmproving the Qualitive of University and Collage Level Nursing Training in Vietnam” Project in Vietnam side for his support to my study I would like to gratefully and sincerely thank all professors and lecturers of the School of Health, Saxion University Apply Science, The Netherland who gave me lectures, ideas and comments to complete this research I also wish to extend my thanks to my colleagues in Fundamental of Nursing department as well as other teachers in Namdinh University of Nursing, Vietnam, where I am working, for their help, encouragement, and especially their willingness to share my work when I am away for training In particular, I would like to thank Ms Cao Thi Thanh Mai, Dr Tran Quang Huy, PhD, Dr Ngo Huy Hoang and my ANP friends for valuable and useful discussions, V Pham Thi Thu Huong comments related to research work, as well sharing their experiences with me in many other aspects I dedicate this thesis and deepest gratitude to my parents who always encourages me to study, and to my parents in law as well as to my family all, especially to my husband, Nguyen understanding, deeply Ba Tam, encouragement, in my heart that behind my son Nguyen patience, and, Hoang as well for your your love, sympathies, tolerance I understand this thesis is my own family, without you, I cannot have enough courage and energy to go ahead For that I am very grateful || 1iHl@HR LA(81 Thanks to all ! vi Reacting to stroke Content EXPLANATION OF ORIGINALITY