Development of a screening model for stroke patients in the Emergency and Forensic Accident Building Phon Phisai Hospital, Nong Khai Province.

Abstract

     This study was action research aimed to develop a model and study the results of developing a screening model for stroke patients, in the Emergency and Forensic Accident Building Phon Phisai Hospital, Nong Khai Province. The sample group was 11 stroke patients received treatment. Tools and data collection include: Semi-structured interview, patient medical records, group discussion questions, Evaluation form for screening activities, Screening knowledge assessment form, Opinion questionnaire regarding the use of screening formats. Descriptive statistics and pair t-test were used to analyze qualitative data and quantitative data were analyzed using content analysis.
     Results: The developed stroke patient screening model consists of 1) stroke patient screening guidelines, 2) screening forms and monitoring records for stroke patients, and 3) the service flow for stroke patients in the accident and emergency department at Phon Phisai Hospital. It was found that after using the screening model, the average knowledge scores and correct screening activities significantly increased compared to before the implementation of the model (p<0.05). The model was rated as highly to very highly appropriate. In terms of outcomes, the average time from patient arrival at the hospital to screening was 4 minutes, to being examined by a doctor in the ER was 8 minutes, to receiving a CT scan was 23 minutes, and to receiving thrombolytic therapy was 57 minutes on average.