PDF(Pubmed)
Abstract：
This study evaluated the essential stroke care structure available in the two Tertiary Health Facilities in Rives State, Nigeria. This was a descriptive survey involving the Stroke Care Survey and Assessment Tool (checklist/questionnaire) developed by the World Stroke Organisation to obtain information about the available essential stroke care structure (facilities, equipment, personnel and management protocol) at the two tertiary health facilities (RSUTH & UPTH). The study gathered relevant information, which was summarised into tables and graphs using Microsoft Excel 2016. From the results, although facilities had A and E departments, dedicated stroke units (fixed or mobile) were unavailable, and there was no locally developed protocol to support rapid triage of stroke patients. The facilities and equipment were either unavailable or insufficient. Only one health facility (RSUTH) provided 24 hrs/7 days laboratory services. The workforces were a mix between regular clinical staff and some specialists. Tissue plasminogen activator (tPA) use was non-existent, though specialists were trained on its administration. There was no locally developed or adopted stroke-specific clinical guidelines. In conclusion, the structural services available for stroke care within the studied tertiary health facilities were poor, unavailable or grossly insufficient. The state facility (RSUTH) suffered the most in terms of unavailable national support and staff development.
摘要：
这项研究评估了RivesState的两个三级医疗机构中可用的基本中风护理结构，尼日利亚。这是一项描述性调查，涉及世界中风组织开发的中风护理调查和评估工具（清单/问卷），以获取有关可用的基本中风护理结构（设施，设备,人员和管理协议）在两个三级医疗机构（RSUTH和UPTH）。这项研究收集了相关信息，使用MicrosoftExcel2016将其汇总为表格和图形。从结果来看,虽然设施有A和E部门，专用卒中单元（固定或移动）不可用，并且没有当地制定的方案来支持卒中患者的快速分诊.设施和设备要么不可用，要么不足。只有一家医疗机构（RSUTH）提供24小时/7天的实验室服务。劳动力是正规临床工作人员和一些专家的混合体。组织纤溶酶原激活剂（tPA）的使用是不存在的，尽管专家接受了管理方面的培训。没有局部开发或采用卒中特异性临床指南。总之,在所研究的三级医疗机构中，可用于中风护理的结构服务很差，不可用或严重不足。就无法获得国家支持和员工发展而言，国家机构（RSUTH）遭受的损失最大。
