Development of the BEFAST expressway system for caring for stroke patients, Na Bon Hospital Nakhon Si Thammarat Province

Abstract

             This study was a cross-sectional study to develop the BEFAST expressway system for caring for stroke patients at Na Bon Hospital, Nakhon Si Thammarat Province. The sample group was purposively selected: 1) 40 stroke patients in the BEFAST expressway service system. 2) Service personnel involved in caring for stroke patients in the BEFAST express lane service system, Nabon Hospital, including 3 doctors, 10 professional nurses, 3 autopsy room staff, 2 patient assistants, 2 card room staff, and 3 drivers, totaling 23 people. Information was collected from patients receiving services during October 2022 - June 2023. The research instrument consisted of 3 parts: 1) Personal information 2) Clinical information 3) Part 3 Stroke patient screening assessment form using descriptive statistics, including frequency (F), percentage (Percent), mean (Mean), and standard deviation (S.D.)

            The results of the study found that the management team of Nabon Hospital implemented an emergency medical system following the provision of health services for stroke patients. It was the main mission of Nabon Hospital. They increased the knowledge and skills of staff in disease-specific CPGs. They organized medical equipment, set forwarding guidelines, and the Consult system to be of the same standard throughout the network. They rehearsed the plan while there was a patient along with improving the system. After rehearsal, it became a practice guideline that relevant personnel could implement as the same guideline for the entire network. For clinical study results, it was found that for personal information most were male, 64.3 percent were in the age group of 60 years and over (Range=26-86, M=72.9). Most stroke patients had abnormal blood pressure levels (more than 140/90 mmHg), 65.7 percent, at the time of symptom onset. Before coming to Nabon Hospital, 0-30 minutes, 51.4% had an average time of 109.2 minutes (M=109.2 S.D.=231.23). For estimation of first pick-up time until reporting to the doctor, most took between 1-10 minutes, 74.3%, average time 10.37 minutes (M=10.37 S.D.=34.64). For the time from first admission to referral time for CT at the host hospital, Thung Song Hospital, it took more than 30 minutes for 85.7 percent and took an average of 11.45 minutes (Range=13-140, M=11.45 S.D.=23.25).