Treatment-seeking Behavior among those with Signs and Symptoms of Acute Myocardial Infarction

김조자,; 김기연,

doi:10.4040/jkan.1999.29.3.605

Cited by 4 publications

(6 citation statements)

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“…It was also longer than delay times reported in previous studies: Yoo et al (1995) reported that the mean delay time was 555 551min-utes (9.25 hours) in 138 AMI patients; Song (1999) reported 6.56, andKim (1999) reported 6.39 hours as a mean of the pre-hospital delay time in AMI patients.…”

Section: Discussionmentioning

confidence: 58%

“…Patients' delay accounted for 65% of overall pre-hospital delay time in Kim & Kim (1999), 74.2% in Park et al (1999, and 67% in Song (1999)'s study. Given that the patients' delay time accounted for 97% of the overall pre-hospital delay time in this study, patients took a longer time to recognize their symptoms and make decisions to go to the hospital than patients in other studies.…”

Section: Discussionmentioning

confidence: 87%

“…Kim and Kim(1999) reported that the time from symptom onset to treatment was 6.39 (SD 10.80) hours; that time includes 4.74(SD 9.87) hours for transportation from the first hospital to the hospital where patients received treatment. People with higher education seek treatment earlier than those with lower education.…”

Section: Literature Reviewmentioning

confidence: 99%

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Pre-hospital Delay in Treatment after Acute Myocardial Infarction

2001

J Korean Acad Nurs

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Section: Discussionmentioning

confidence: 58%

Section: Discussionmentioning

confidence: 87%

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Pre-hospital Delay in Treatment after Acute Myocardial Infarction

2001

J Korean Acad Nurs

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“…It was also longer than delay times reported in previous studies: Yoo et al (1995) reported that the mean delay time was 555 ( 551) minutes (9.25 hours) in 138 AMI patients; Song (1997) reported 6.56 hours, and Kim & Kim (1999) reported a mean of 6.39 hours of pre-hospital delay time in AMI patients. The longer delay time in this study seemed due mostly to the large number of late arrivals.…”

Section: Discussionmentioning

confidence: 60%

“…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%

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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Factors associated with needlestick and sharp injuries among hospital nurses: A cross-sectional questionnaire survey

Cho

Lee

Choi

et al. 2013

International Journal of Nursing Studies

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Background The current status of needlestick or sharp injuries of hospital nurses and factors associated with the injuries have not been systematically examined with representative registered nurse samples in South Korea. Objective To examine the incidence to needlestick or sharp injuries and identify the factors associated with such injuries among hospital nurses in South Korea. Design, settings and participants A cross-sectional survey of hospital nurses in South Korea. Data were collected from 3079 registered nurses in 60 acute hospitals in South Korea by a stratified random sampling method based on the region and number of beds. Methods The dependent variable was the occurrence of needlestick or sharp injuries in the last year, and the independent variables were protective equipment, nurse characteristics, and hospital characteristics. This study employed logistic regression analysis with generalized estimating equation clustering by hospital to identify the factors associated with needlestick or sharp injuries. Results The majority (70.4%) of the hospital nurses had experienced needlestick or sharp injuries in the previous year. The non-use of safety containers for disposal of sharps and needles, less working experience as a registered nurse, poor work environments in regards to staffing and resource adequacy, and high emotional exhaustion significantly increased risk for needlestick or sharp injuries. Working in perioperative units also significantly increased the risk for such injuries but working in intensive care units, psychiatry, and obstetrics wards showed a significantly lower risk than medical–surgical wards. Conclusions The occurrence of needlestick or sharp injuries of registered nurses was associated with organizational characteristics as well as protective equipment and nurse characteristics. Hospitals can prevent or reduce such injuries by establishing better work environments in terms of staffing and resource adequacy, minimizing emotional exhaustion, and retaining more experienced nurses. All hospitals should make safety-engineered equipment available to registered nurses. Hospitals as well as specific units showing higher risk for needlestick and sharp injuries should implement organizational strategies to prevent such injuries. It is also necessary to establish a monitoring system of needlestick and sharp injuries at a hospital level and a reporting system at the national level in South Korea.

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Treatment-seeking Behavior among those with Signs and Symptoms of Acute Myocardial Infarction

Cited by 4 publications

References 0 publications

Pre-hospital Delay in Treatment after Acute Myocardial Infarction

Pre-hospital Delay in Treatment after Acute Myocardial Infarction

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

Factors associated with needlestick and sharp injuries among hospital nurses: A cross-sectional questionnaire survey

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