FACTORS OF DELAY IN MANAGING STROKE PATIENTS -

Abstract

Abstract

The golden window for stroke treatment is ± 3 hours. Patients should obtain full therapy within this time frame to avoid chronic conditions or death. The purpose of this study is to identify the factors that contribute to stroke patient treatment delays. This cross-sectional study was conducted using multivariate regression analysis at the H Hanafie Muaro Bungo Regional Hospital Indonesia. Purposive sampling was used to choose an 80-person sample from 399 monthly visitors. This research was conducted in 2023. Among other p-values, seven major factors were discovered to cause delays in stroke treatment: low knowledge (p-value: 0.000, OR 7.827), delays in the referral system (p-value: 0.000, OR 7.667), lack of family support (p-value: 0.001, OR 6.769), the role of health workers (p-value: 0.001, OR 5.371), companion in referral (p-value: 0.006, OR 4.121), and low education (p-value: 0.024, OR 3.273). Distance time (p-value 0.001, exp β = 0.125) and referral system delays (p-value 0.003, exp B = 0.139) are the multivariate outcomes of stroke patients arriving late at H Hanafi Muaro Bungo Regional Hospital. It was determined that distance time and referral system delays were the most significant contributors to stroke patient treatment delays. It is advised that the health service and hospitals improve information in establishing Planning of actions for handling stroke patients, necessitating more facilities such as ambulances, to avoid stroke patient deaths due to service delays.

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Keywords: Delay, Stroke, Referral system, Distance time