Knowledge, attitudes, and beliefs about acute coronary syndrome among patients with type 2 diabetes

Johnson, Camille A.; Pitta, Natássia Condilo; Dessotte, Carina Aparecida Marosti; Dantas, Rosana Aparecida Spadoti; Rossi, Lídia Aparecida

doi:10.1590/1518-8345.5435.3503

Cited by 8 publications

(3 citation statements)

References 29 publications

(90 reference statements)

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“…From a clinical perspective, diabetic participants were more likely to be knowledgeable about ACS and is supported by several LMIC studies [36]. Conversely, in study elsewhere diabetic patients identi ed as having lower knowledge of ACS symptoms [37]. Diabetes self-management is complex, and patients are more likely to experience atypical ACS symptoms which can potentially result in poor symptom recognition as other studies have reported [38].…”

Section: Discussionmentioning

confidence: 61%

Knowledge, Attitudes and Beliefs About Acute Coronary Syndrome Among Patients Diagnosed With Acute Coronary Syndrome, Addis Ababa, Ethiopia

Beza

Bekele

Addissie

et al. 2022

Preprint

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Background. Acute coronary syndrome (ACS) morbidity and mortality is increasing in low to middle income countries (LMICs) such as Ethiopia. The shift in resources from managing communicable diseases to chronic conditions have brought about formidable health care challenges.Objective. the objective of this study was to examine the knowledge, attitudes and beliefs among ACS patients.Methods. Cross-sectional design was used to enroll participants admitted to one of 3 emergency units (EU) in Addis Ababa, Ethiopia. Knowledge, attitudes and beliefs about ACS was measured using modified ACS response index questionaries.Results. Participant’s (N=330) mean age was 57.9 ± 14.1, majority male (n= 219, 66.36%). Half of the study participants have inadequate Knowledge (n=147, 44.6%), unfavorable attitudes (n=152, 46 %), and belief (n=153, 46.4%) about ACS symptoms even after being diagnosed and treated in the EU. The most frequently recognized ACS symptoms were chest discomfort (n= 274, 83%), fatigue (n=267, 80.9%) and chest pain (n=266, 80.6%) while Jaw pain (n=101, 30%) neck pain (n=146,44.2%), were less often recognized. Nearly two thirds of the participants (n=214, 65 %) would not prefer to use emergency medical services (EMS) to come to the hospital. Factors associated with adequate knowledge were age < 45 (AOR= 2.16, CI (1.1-4.0) p=0.014), and female sex (AOR= 2.7, CI (1.5-4.4) p= 0.001) and diabetics (AOR=1.9, (1.18-3.0) p= 0.008). Meanwhile, lack of formal education (AOR=6.7, CI (3.1-14) p<0.001) and unemployment (AOR=2.0, CI (1.1-3.8) p=0.021) were associated with unfavorable attitude. In addition, lack of social support (AOR=1.9, (1.17-3.0) p=0.009) and unfavorable attitude (AOR=2.1, CI (1.3-3.4) P=0.001) were significantly associated with unfavorable belief.Conclusion. Despite receiving treatment for ACS in an EU, roughly half of participants did not have adequate knowledge, favorable attitude and belief towards ACS. This elucidates there is significant communication gap between the health care providers and patients. The study findings stipulate there is a need to provide health awareness campaigns using different media outlet with special attention to the uneducated and unemployed groups. Furthermore, most participants were less likely to utilize EMS, which should be further investigated and addressed.

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Section: Discussionmentioning

confidence: 61%

Knowledge, Attitudes and Beliefs About Acute Coronary Syndrome Among Patients Diagnosed With Acute Coronary Syndrome, Addis Ababa, Ethiopia

Beza

Bekele

Addissie

et al. 2022

Preprint

View full text Add to dashboard Cite

show abstract

“…From a clinical perspective, diabetic participants were more likely to be knowledgeable about ACS and is supported by several LMIC studies [37]. Conversely, in study elsewhere diabetic patients identified as having lower knowledge of ACS symptoms [38]. Diabetes self-management is complex, and patients are more likely to experience atypical ACS symptoms which can potentially result in poor symptom recognition as other studies have reported [39].…”

Section: Discussionmentioning

confidence: 69%

Knowledge, attitudes and beliefs about acute coronary syndrome among patients diagnosed with acute coronary syndrome, Addis Ababa, Ethiopia

Beza

Bekele

Addissie

et al. 2022

BMC Cardiovasc Disord

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Background Acute coronary syndrome (ACS) morbidity and mortality are rising in low- and middle-income countries, including Ethiopia. The shift in health-care resources from communicable diseases to chronic conditions has created formidable health-care challenges. Objective The objective of this study was to examine the knowledge, attitudes and beliefs among ACS patients. Methods A cross-sectional design was used to enroll participants admitted to one of 3 emergency units in Addis Ababa, Ethiopia. Knowledge, attitudes and beliefs about ACS was measured using modified ACS response index questionaries. Results Participant’s (N = 330) mean age was 57.9 ± 14.1, majority male (n = 219, 66.36%). Half of the study participants have inadequate Knowledge (n = 147, 44.6%), unfavorable attitudes (n = 152, 46%), and belief (n = 153, 46.4%) about ACS symptoms even after being diagnosed and treated in the emergency unit. The most frequently recognized ACS symptoms were chest discomfort (n = 274, 83%), fatigue (n = 267, 80.9%) and chest pain (n = 266, 80.6%) while Jaw pain (n = 101, 30%) neck pain (n = 146,44.2%), were less often recognized. Nearly two thirds of the participants (n = 214, 65%) would not prefer to use emergency medical services (EMS) to come to the hospital. Factors associated with adequate knowledge were age < 45 (AOR = 2.16, CI (1.1–4.0) p = 0.014), and female sex (AOR = 2.7, CI (1.5–4.4) p = 0.001) and diabetics (AOR = 1.9, (1.18–3.0) p = 0.008). Meanwhile, lack of formal education (AOR = 6.7, CI (3.1–14) p < 0.001) and unemployment (AOR = 2.0, CI (1.1–3.8) p = 0.021) were associated with unfavorable attitude. In addition, lack of social support (AOR = 1.9, (1.17–3.0) p = 0.009) and unfavorable attitude (AOR = 2.1, CI (1.3–3.4) p = 0.001) were significantly associated with unfavorable belief. Conclusion Despite receiving treatment for ACS in an emergency unit, roughly half of participants did not have adequate knowledge, favorable attitude and belief towards ACS. This elucidates there is significant communication gap between the health care providers and patients. The study findings stipulate there is a need to provide health awareness campaigns using different media outlet with special attention to the uneducated and unemployed groups. Furthermore, most participants were less likely to utilize emergency medical service, which should be further investigated and addressed.

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“…The self-confidence among coronary heart disease patients found still lo like vulnerability feeling, advantages of preventing heart attack, still found patients feel constrained in self-care (Athbi & Hassan, 2019). Self-confidence coupled with a lack of knowledge and attitudes in patients diagnosed with ischemia is associated with delays in seeking help (Johnson et al, 2021). Self-Self-confidence of CHD patients is the role of self-care to help prevent recurrences such as selfefficacy in diet, self-eefficacy in exercise, and self-efficacy in smoking cessation (Qi et al, 2018).…”

Section: Attributing Definitionmentioning

confidence: 99%

Concept Analysis of Self Efficacy Among Coronary Heart Disease Patients Undergoing Percutaneous Coronary Intervention

Wahyuni

Setyowati

2022

J. Sci. n.a

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Mortality and morbidity due to coronary heart disease (CHD) are increasing. Patients with coronary heart disease are undergone Percutaneous Coronary Intervention (PCI) have different perceptions regarding these actions so the belief of inability to care for self is different for everyone, therefore, it is important to build the capability of patients which is called self-efficacy. The purpose of this article is to explain the definition of the concept of selfefficacy in CHD patients undergoing PCI. The method used in this concept analysis is using Walker and Avant's concept approach. The three definitions of self-efficacy attributes are strong self-confidence in self-care, perceived ability to engage in self-care activities, and effort and ability to control risk factors. The antecedents of the self-efficacy concept of CHD patients undergoing treatment consist of age, socioeconomic, the number of coronary blockages, duration since the first PCI, health education, selfawareness, social support, depression, adherence, and physical activity. The consequence of self-efficacy increases in health status, behavior toward health, and quality of life. The conclusion of this analysis concept increases nurse knowledge about the self-efficacy of patients with CHD that undergo PCI so that it is expected can develop evidence-based nursing through nursing intervention in improving self-efficacy and also conduct further research to dig more into self-efficacy.

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Knowledge, attitudes, and beliefs about acute coronary syndrome among patients with type 2 diabetes

Cited by 8 publications

References 29 publications

Knowledge, Attitudes and Beliefs About Acute Coronary Syndrome Among Patients Diagnosed With Acute Coronary Syndrome, Addis Ababa, Ethiopia

Knowledge, Attitudes and Beliefs About Acute Coronary Syndrome Among Patients Diagnosed With Acute Coronary Syndrome, Addis Ababa, Ethiopia

Knowledge, attitudes and beliefs about acute coronary syndrome among patients diagnosed with acute coronary syndrome, Addis Ababa, Ethiopia

Concept Analysis of Self Efficacy Among Coronary Heart Disease Patients Undergoing Percutaneous Coronary Intervention

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