Recognition and response to stroke

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dc.contributor.advisor McCarthy, Geraldine en
dc.contributor.advisor Hartigan, Irene en
dc.contributor.author O'Connell, Elizabeth
dc.date.accessioned 2019-07-17T12:00:11Z
dc.date.available 9999-01-01T12:00:11Z
dc.date.issued 2018
dc.date.submitted 2018
dc.identifier.citation O'Connell, E. A. 2018. Recognition and response to stroke. PhD Thesis, University College Cork. en
dc.identifier.endpage 220 en
dc.identifier.uri http://hdl.handle.net/10468/8191
dc.description.abstract Aim: To investigate recognition and response to stroke and associated factors. Background: Early recognition of symptoms and immediate response by contacting the Emergency Medical Services (EMS) is neccessary to ensure timely access to treatment of stroke (O’ Connell and Hartigan, 2011, Mellon, 2015). Research which investigate how individuals respond to specific symptoms of stroke provides information on behavioral intentions (Mikulik et al., 2009, Magin et al., 2015, Caruso et al., 2015 and Denti et al., 2015). This has the potential to inform stroke public awareness campaigns. Design: A non- experimental, descriptive, quantitative, cross-sectional design was used. Instrument: A researcher developed questionnaire was designed to collect data on demographic profile, previous experience of stroke, knowledge of risk factors, recognition of stroke symptoms, awareness of treatment available and the ability to identify what the letters of the FAST acronym represent. The Stroke Action Test (STAT) (Billings- Gagliardi and Mazor, 2005) was used to investigate how participants would respond to specific symptoms of stroke. Sample: A convenience sample (n=243) included older people attending an outpatients Clinic (OPD) in a large teaching hospital in the South of Ireland and employees of a manufacturing plant and a third level college also in the South of Ireland. A mixed method of data collection was used. The older people attend the OPD (n=89) completed a researcher administered hard copy of the questionnaire. The employees of the manufacturing plant and third level college (n=154) completing an on- line version of the questionnaire. Findings: Results identified that 41% of participants recognised all six stroke symptoms as defined by the American Heart and Stroke Association. The symptom most frequently recognised by participants was numbness of the face, arm and leg (97%). The mean STAT score for participants was 9 which indicated that the majority of participants would respond appropriately (by contacting EMS) to 9 out of a total of 21 items describing stroke in the STAT. Multivariate analysis identified that having previously had a stroke and knowledge of risk factors for stroke were significantly associated with recognition of stroke symptoms. Participants were most likely to respond to items which described classic stroke symptoms such as limb weakness and difficulty speaking. In addition, multivariate analysis identified that female gender, second/third level of education, having a family member who experienced stroke and having heard of thrombectomy were predictors of appropriate response to stroke. Conclusion Awareness of treatment available for stroke is a predictor of appropriate response to stroke. Future stroke awareness campaigns should include information on the availability, benefits and timelines for treatment of stroke to help individuals who experience stroke overcome the barriers to appropriate response. en
dc.format.mimetype application/pdf en
dc.language.iso en en
dc.publisher University College Cork en
dc.rights © 2018, Elizabeth A. O'Connell. en
dc.rights.uri http://creativecommons.org/licenses/by-nc-nd/3.0/ en
dc.subject Stroke symptoms en
dc.subject Stroke risk factors en
dc.subject Response to stroke symptoms en
dc.subject Stroke action test en
dc.subject Treatment of stroke en
dc.title Recognition and response to stroke en
dc.type Doctoral thesis en
dc.type.qualificationlevel Doctoral en
dc.type.qualificationname DN - Doctor of Nursing en
dc.internal.availability Full text not available en
dc.check.info Not applicable en
dc.description.version Accepted Version
dc.description.status Not peer reviewed en
dc.internal.school Nursing and Midwifery en
dc.check.reason Not applicable en
dc.check.opt-out Yes en
dc.thesis.opt-out true
dc.check.embargoformat Embargo not applicable (If you have not submitted an e-thesis or do not want to request an embargo) en
ucc.workflow.supervisor g.mccarthy@ucc.ie
dc.internal.conferring Summer 2019 en


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© 2018, Elizabeth A. O'Connell. Except where otherwise noted, this item's license is described as © 2018, Elizabeth A. O'Connell.
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