为西班牙语消费者提供中风识别工具:全国性研究
Jennifer E S Beauchamp1, Remle Crowe2, Stephanie Mohl3
1Cizik School of Nursing, Department of Research and Institute for Stroke and Cerebrovascular Diseases, The University of Texas Health Science Center at Houston (J.E.S.B.).
Stroke
|January 14, 2026
概括
西班牙语中风识别缩写如RÁPIDO和PARA Stroke的性能类似于通常的护理,但医疗保健专业人员和西班牙语西班牙裔和拉丁裔成年人更喜欢. 需要进一步的研究,以优化对此群体的中风教育.
科学领域:
- 公共卫生 公共卫生
- 神经学 神经学
- 卫生沟通健康沟通
背景情况:
- 在美国,中风不成比例地影响西班牙语西班牙裔和拉丁裔 (SSHL) 成年人,突出了文化上适当的健康教育的差异.
- 西班牙语中风识别的现有缩写需要在SSHL成年人中评估其有效性和文化相关性.
研究的目的:
- 评估新的西班牙语中风识别缩写 (AHORA,PARA Stroke,RÁPIDO) 与通常护理相比,在SSHL成年人中提高中风知识和打算拨打9-1-1的有效性.
- 评估SSHL成年人和医疗保健专业人员对中风识别缩写的偏好.
主要方法:
- 采用了三阶段的探索性顺序设计,包括与医疗保健专业人员的采访和与SSHL个人聚焦小组.
- 第三阶段涉及一项随机研究,1105名SSHL参与者接受了四种干预措施之一:AHORA,PARA中风,RÁPIDO或常规护理.
- 使用在线调查问卷评估中风知识和打电话给911的意图,使用在线调查问卷评估暴露前和30天后,通过顺序和二项回归分析数据.
主要成果:
- 在30天后,AHORA,PARA Stroke和RÁPIDO显示了与通常护理相比识别中风症状的比较几率 (ORs从0.54到1.47,P>0.05).
- 打电话给911的意图在缩写组和通常护理之间没有显著差异 (ORs从0.95到1.18,P>0.05).
- 所有的缩写都对打911的意图产生了显著的长期积极影响,尽管缩写本身之间没有发现显著的差异.
结论:
- 评估的西班牙语中风识别缩写 (AHORA,PARA Stroke,RÁPIDO) 在改善中风识别和打电话给911-1的意图方面表现与通常的护理相当.
- 医疗保健专业人员和SSHL消费者表示他们更喜欢文化上相关的西班牙语缩写,特别是RÁPIDO和PARA Stroke,而不是直接的英语翻译.
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