ATTITUDES AND KNOWLEDGE OF PARAMEDICS ABOUT RECOGNITION OF ACUTE STROKE AND PRE-HOSPITAL STOKE CARE IN NORTHERN CYPRUS*

Abstract

A Stroke is defined as a sudden dysfunction caused by the interruption of blood flow to the brain. Timely intervention is vital, making rapid and effective paramedic response critical. In this study, our purpose is to evaluate the knowledge and behaviors of paramedics toward pre-hospital stroke care in Northern Cyprus. In this descriptive study, an online questionnaire that was prepared by researchers was distributed to paramedics in Northern Cyprus. The data from the survey were analyzed with descriptive statistics and chi-square tests by using SPSS v26. The value of p<0.05 is accepted as statistically significant. 36 out of 50 active paramedics participated in the study. 63.9% of paramedics work in public hospitals. Although 72.2% of paramedics are educated in stroke, 61.1% of paramedics could not estimate the exact time period for the initiation of thrombolytic therapy. Paramedics who have stroke education have higher knowledge of the pre-hospital diagnosis scale (p=0.004). Private hospital paramedics have significantly less knoeledge of pre-hostpital diagnosis scale and about the hospitals with stroke unit. Multi-categorical evaluations demonstrated inadequate knowledge andpre-hospital management of stroke among paramedics. Periodic education must be held for paramedics to improve their knowledge about pre-hospital stroke care and treatment.

Keywords

• Acute stroke
• Cyprus
• paramedics
• pre-hospital stroke care

KUZEY KIBRIS’TA PARAMEDİKLERİN AKUT İNMENİN TANINMASI VE HASTANE ÖNCESİ YAKLAŞIM İLE İLGİLİ BİLGİ VE TUTUMLARI

Abstract

İnme, beyne giden kan akışının kesilmesinden kaynaklanan ani bir işlev bozukluğu olarak tanımlanır. Zamanında müdahale hayati önem taşımaktadır. Akut inme vakalarında hızlı ve etkili paramedic müdahalesi oldukça kritiktir. Bu çalışmadaki amacımız, Kuzey Kıbrıs'taki paramediklerin hastane öncesi inmeye yönelik bilgi ve davranışlarını değerlendirmektir. Bu tanımlayıcı çalışmada, Kuzey Kıbrıs'taki paramediklere araştırmacılar tarafından hazırlanmış bir çevrimiçi anket uygulanmıştır. Anketten elde edilen veriler, SPSS v26 kullanılarak tanımlayıcı istatistikler ve ki-kare testleri ile analiz edildi. p<0.05 değeri istatistiksel olarak anlamlı kabul edildi. Bu çalışmaya ülkede aktif olarak çalışan 50 paramedikten 36'sı katılmıştır. Paramediklerin %63.9'u devlet hastanelerinde çalışmaktadır. Paramediklerin %72.2'si inme konusunda eğitimli olmasına rağmen, %61.1'i trombolitik tedavinin başlaması için uygun süreyi bilememiştir. İnme eğitimi olan paramediklerin hastane öncesi tanı skalasına ilişkin bilgileri daha yüksektir (p= 0.004). Özel hastanelerde çalışan paramedikler hastane öncesi tanı ölçeği ve inme ünitesi olan hastaneler hakkında istatistiki olarak anlamlı olarak daha az bilgiye sahiptir. Çok kategorili değerlendirilmeler sonucunda, paramediklerin inme hakkındaki bilgilerinin ve hastane öncesi yönetimlerinin yetersiz olduğu gösterildi. Paramediklerin akut inme ve tedavisi hakkındaki bilgilerini arttırmak için periyodik eğitimler düzenlenmelidir.

Keywords

• Akut inme
• Kıbrıs
• paramedikler
• hastane öncesi inme tedavisi

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