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Tran Thi Hanh

Tran Thi Hanh

Cantho Medical College, Vietnam

Title: Post-stroke management in Can Tho City's Hospitals, Vietnam: Evaluation from health staffs involving

Biography

Biography: Tran Thi Hanh

Abstract

Background: Stroke incidence in Can Tho City, Vietnam has been increased to the alarming level and the stroke survivors (SSs) have been facing challenges to get better care. Objectives: To describe post-stroke management (PSM) in Can Tho City, Vietnam and to evaluate PSM in the city. Methods: A Cross-sectional descriptive study was conducted in 8 district hospitals. Health staffs involving PSM filled in the quessionnaire covering all variables. The independent variables detected characteristics of input, process and output for PSM; the dependent variable is their evaluation for PSM. Usual scales were used to measure variables but Liker scale for PSM. Chi-squared-test and Fisher exact test were applied at p = 005. Results: Of 103 participants, 50% doctors and 59% managers in hospital/department. Findings on PSM: (1) Inputs: Mean time delay is 65 minutes; 34% health staffs involving were trained; insufficient facilities of basic safety for SSs were found out. (2) Process: Care for SSs in hospital: 59% having basic care; 59% with care to prevent complications, 42% having family caregivers; 60% family caregivers having guilded on post-stroke care. Care for SSs after hospital discharges: 58% having arrangement of re-examine. (3) Output: Length of hospital stay was 12.4 days; 58% was discharged without any plan to keep on post-stroke care; no rehabilitation facility but traditional medicine is recommented for 7% SSs. (4) Evaluation on PSM: Of the respondents 48% suggested “PSM needs to be improved”. Factors related to the evaluation for PSM: working place, job title, input facilities, time delay, patient's exercises and re-checkup after hospital discharge Conclusion: Input for PSM was insufficient; Process and output for PSM were inappropriate. Almost ½ respondents evaluated PSM as “Need to be improved”. Recommendation: Strengthening community alert on stroke; strengthening investment for PSM input; improving PSM process and keeping on PSM after hospital discharge.