A Survey on the Delay Time Before Seeking Treatment and Clinical Symptoms in Patients with Acute Myocardial Infarction

박오장,; 김조자,; 이향련,; 이해옥,

doi:10.4040/jkan.2000.30.3.659

Cited by 4 publications

(7 citation statements)

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“…Patients took a longer time to recognize their symptoms seriously and make the decision to go to the hospital than patients in other studies; and that caused a longer overall pre-hospital delay time. Additionally, transportation took longer in this study than a previous study (24.9 minutes in this study vs. 16.1 minutes in Park et al, 2000); longer transportation time contributed to the longer delay time in addition to the patients delay. As expected, using an emergency vehicle decreased transportation time.…”

Section: Discussioncontrasting

confidence: 58%

“…A recent study conducted with AMI patients in Korea found that neither many socio-demographic characteristics nor history of disease, including heart disease, were associated with pre-hospital delay times (An, 2001). Pain-related factors rather than sociodemographic characteristics were more closely associated with the delay time: patients who had typical AMI chest pain sought treatment earlier than those who had non-typical symptoms of AMI (Park et al, 2000).…”

Section: Introductionmentioning

confidence: 93%

“…Previous studies reported that patients delay accounted for 65% (Kim & Kim, 1999), 74.2% (Park, Kim, Lee, & Lee, 2000), 67% (Song, 1997), and more than 90% (An, 2001) of the overall pre-hospital delay time. Therefore, knowing reasons for their delay as stated by the patients will promote an understanding of cognitive factors associated with delay of AMI patients in seeking treatment.…”

Section: Introductionmentioning

confidence: 96%

“…Furthermore, the effects of socio-demographic factors and history of previous attack on delay time are not consistent among Koreans, according to studies conducted (An, 2001;Kim & Kim, 1995;Park, Kim & Lee, 2000;Song, 1997). A recent study conducted with AMI patients in Korea found that neither many socio-demographic characteristics nor history of disease, including heart disease, were associated with pre-hospital delay times (An, 2001).…”

Section: Introductionmentioning

confidence: 98%

“…Previous studies mostly examined the associations between socio-demographic variables or pain-related factors and delay (Kim & Kim, 1995;Park, Kim, Lee, & Lee, 2000;Song, 1997), and not many investigators examined the effects of cognitive factors on delay among Koreans. Whether patients recognize their symptoms as originating in the heart, whether patients recognize the seriousness of the symptoms and whether they recognize the importance of seeking professional help may all influence their pre-hospital delay time.…”

Section: Introductionmentioning

confidence: 99%

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Responses to Symptoms of Acute Myocardial Infarction: Reasons for Delay and Bystanders' Role

Moser

2002

J Korean Acad Nurs

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Significance of the study. Acute myocardial infarction (AMI) is a major cause of death in Korea. Delay in seeking treatment may cause unnecessary exacerbation of the disease and early mortality from AMI. Patients¡fl recognition of symptoms of an AMI and response to those symptoms may influence the delay time. Bystanders' role in patients' seeking treatment after AMI has not been studied in previous research. Understanding reasons for delay in seeking treatment is important in developing interventions for reducing these delays and increasing survival rate from AMI.Purpose of the study. A retrospective survey was conducted with 144 AMI patients to: (1) investigate time from symptom onset to arrival at the first hospital for treatment of AMI; (2) describe patient's and bystander's response to the patient's symptoms; (3)examine whether patient's and bystander s responses affect delay time.Results. The mean of overall pre-hospital delay time was 13.64 (21.86) hours and it consisted of patients' delay of 13.64 (22.32) hours and transportation time of 24.86 (19.41) minutes. People living in rural area delayed longer than people living in urban area. Pre-hospital delay time was associated with the bystander: patients delayed longer when they were with their spouse, family and friends than when with colleagues at work. Calling 119 saved transportation time, but did not reduce overall pre-hospital delay time. Conclusion and suggestions.Patients delay longer than the time window for a successful reperfusion therapy when they experience symptoms of AMI; and calling 119 does not diminish this delay. Bystanders' adequate response to the patients' symptom may reduce the delay time in seeking treatment. Findings from this study may suggest that health education and public campaigns are needed to increase people s recognition of symptoms of an AMI and to promote adequate response from bystanders to the AMI symptoms. In addition, public campaigns urging car operators to yield to the emergency vehicle are needed in order to reduce transportation time.

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Section: Discussioncontrasting

confidence: 58%

Section: Introductionmentioning

confidence: 93%

Section: Introductionmentioning

confidence: 96%

Section: Introductionmentioning

confidence: 98%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Responses to Symptoms of Acute Myocardial Infarction: Reasons for Delay and Bystanders' Role

Moser

2002

J Korean Acad Nurs

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Decision Tree Model of the Treatment-Seeking Behaviors Among Korean Cancer Patients

Park²

2004

Cancer Nursing

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The purpose of this study was to develop and test a decision tree model of the treatment-seeking behaviors among Korean cancer patients. The study used methodological triangulation, applying the cognitive ethnographic decision tree modeling approach. The model was developed based on qualitative data collected from in-depth interviews with 29 cancer patients. The model was tested using qualitative and quantitative data collected from interviews and a structured questionnaire involving 165 cancer patients. The predictability of the decision tree model was quantified as the proportion of participants who followed the pathway predicted by the model. Two models were developed, the first for decision making about when to visit a doctor after detecting symptoms, and the second for decision making about treatment type following the diagnosis. Decision outcomes for the first model were categorized into immediate visit and delayed visit. The first model was influenced by the perceived seriousness of symptoms, the experiences of visiting a doctor previously with similar symptoms, social-group influences on visiting a doctor, and barriers to visiting a doctor. Decision outcomes for the second model were hospital treatment only, and a mixture of hospital treatment and alternative therapies. The second model was influenced by curability, social-group influences on alternative therapies, and confidence in alternative therapies. The predictabilities of the 2 models were 90.3% and 94.5%, respectively. This study result can help nurses understand the treatment-seeking behaviors of cancer patients, and hence develop nursing intervention strategies.

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Pre-hospital Delay in Treatment after Acute Myocardial Infarction

2001

J Korean Acad Nurs

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A Survey on the Delay Time Before Seeking Treatment and Clinical Symptoms in Patients with Acute Myocardial Infarction

Cited by 4 publications

References 0 publications

Responses to Symptoms of Acute Myocardial Infarction: Reasons for Delay and Bystanders' Role

Responses to Symptoms of Acute Myocardial Infarction: Reasons for Delay and Bystanders' Role

Decision Tree Model of the Treatment-Seeking Behaviors Among Korean Cancer Patients

Pre-hospital Delay in Treatment after Acute Myocardial Infarction

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