CAJ | 학술논문

目的：深入了解脑卒中患者发病后的就诊意向，探讨脑卒中患者就诊延迟的影响因素，为促进脑卒中患者发病后及早就诊提供指导。方法于2012年7-12月采用目的抽样法选取开封市某三级甲等医院住院的缺血性脑卒中患者（就诊时间<72 h）20例，采用定性研究的方法进行深入访谈并记录，采用框架分析方法对资料进行整理分析。结果20例患者中5例有脑卒中史，8例有脑卒中家族史，16例出现就诊延迟。缺乏脑卒中基本常识、医疗机构诊疗水平、担心预后效果、经济因素及身边人的影响是脑卒中患者就诊意向及就诊延迟的影响因素。结论影响脑卒中患者就诊意向和就诊延迟的因素比较复杂，既有患者因素也有医者因素，应该有针对性地制定应对措施，普及脑卒中相关知识，提高基层医疗机构的诊疗水平。
목적：심입료해뇌졸중환자발병후적취진의향，탐토뇌졸중환자취진연지적영향인소，위촉진뇌졸중환자발병후급조취진제공지도。방법우2012년7-12월채용목적추양법선취개봉시모삼급갑등의원주원적결혈성뇌졸중환자（취진시간<72 h）20례，채용정성연구적방법진행심입방담병기록，채용광가분석방법대자료진행정리분석。결과20례환자중5례유뇌졸중사，8례유뇌졸중가족사，16례출현취진연지。결핍뇌졸중기본상식、의료궤구진료수평、담심예후효과、경제인소급신변인적영향시뇌졸중환자취진의향급취진연지적영향인소。결론영향뇌졸중환자취진의향화취진연지적인소비교복잡，기유환자인소야유의자인소，응해유침대성지제정응대조시，보급뇌졸중상관지식，제고기층의료궤구적진료수평。
Objective To understand patients' visiting intention after stroke and explore the influencing factors for pa-tient delay behavior so as to provide guidance to patients to see a doctor as early as possible after stroke. Methods 20 patients with ischemic stroke,whose hospitalized time were less than 72 hours,were chosen for study through purposeful sampling from a third class hospital in a city. Qualitative Research Method was used for in - depth interview and recording and Framing Analysis Method was used for data collecting and data analyzing. Results In 20 patients,5 patients had a history of stroke,8 cases with family history of stroke,16 cases of patient delay. The basic knowledge of stroke diagnosis and treatment level of understanding, medical institutions,worry about the impact of economic factors andprognosis,the people around the patients are factors affecting cerebral patients strokeintention and the delay of diagnosis. Conclusion Factors for visiting intention and delay behavior after stroke are very complicated,both patient factors also medical factors,should be targeted to develop countermeasures,populari-zation of stroke related knowledge,improve the level of diagnosis and treatment of primary health care institutions.