健康教育培训对社区居民使用脑卒中识别评分量表能力的影响

目的探讨健康教育培训对社区居民使用辛辛那提院前脑卒中识别评分量表(Cincinnati Pre-hospital Stroke Scale,CPSS)能力的影响。方法由全科医生组成脑卒中健康教育培训组;由入选患者和其陪同人员组成受训组。经培训后,由受训组单独操作CPSS对模拟脑卒中患者的典型体征进行评估,以培训组的评估结果为金标准,记录受训组操作CPSS的正确率、敏感度、特异度和Kappa值。结果在本次研究的393人中,有353人完成了培训(参与率89.82%),受训组成员独立操作CPSS对模拟脑卒中患者的典型体征进行评估,其正确率为94.90%、敏感度为96.75%、特异度为90.65%、Kappa值为0.879,与培训组操作CPSS有着极好的一致性。受训组与培训组运用CPSS识别脑卒中患者的阳性率,差异无统计学意义(P>0.05);受训组成员与培训组使用CPSS相关联(P<0.01),关联系数r为0.66。结论经过全科医师的健康教育培训后,社区居民有能力自行使用CPSS识别脑卒中患者。

Ability of community residents to use the Cincinnati Pre-hospital Stroke Scale in stroke recognition

Objective To explore the ability of community residents to use the Cincinnati Pre-hospital Stroke Scale (CPSS) in stroke recognition. Methods The training group was made up of several general practitioners and the trainee group was made up of selected patients and their retinues. When got trained, they used CPSS on typical stroke patient models. Compared with the training group, evaluated the trainee group’s ability of using CPSS. Results In this study, 353 of 393(89.82%) community residents finished the whole training education. And the trainee group’s accuracy was 94.90%, sensitivity 96.75%, specificity 90.65%, K value 0.879. There was no statistical difference of positive rate on using CPSS between the training group and the trainee group.And after training, the trainee group’s ability of using CPSS was associated with the train group’s (P<0.05). Conclusion When got health education, community residents had the ability of using CPSS in recognition of stroke patients.