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Health-Seeking Behavior of Patients with Acute Coronary Syndrome and Their Family Caregivers

Published online by Cambridge University Press:  05 November 2018

Kumboyono Kumboyono Open the ORCID record for Kumboyono Kumboyono [Opens in a new window] ,
Jeki Refialdinata ,
Titin A Wihastuti ,
Septi D Rachmawati  and
Aditya N Aziz
Kumboyono Kumboyono*
Affiliation:
School of Nursing, Brawijaya University, Malang, Indonesia
Jeki Refialdinata
Affiliation:
School of Nursing, Brawijaya University, Malang, Indonesia
Titin A Wihastuti
Affiliation:
School of Nursing, Brawijaya University, Malang, Indonesia
Septi D Rachmawati
Affiliation:
School of Nursing, Brawijaya University, Malang, Indonesia
Aditya N Aziz
Affiliation:
School of Nursing, Brawijaya University, Malang, Indonesia
*
Correspondence: Kumboyono Kumboyono, MN Department of Community Health Nursing Faculty of Medicine Universitas Brawijaya, Malang, Indonesia E-mail: [email protected]/[email protected]
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Abstract

Introduction

Acute Coronary Syndrome (ACS) is a life-threatening condition. Immediate and proper treatment will decrease mortality rate. Patient awareness on ACS is still lacking and as the consequence, ACS patients do not seek immediate help.

Problem

The patients’ efforts to get rid of ACS symptoms.

Methods

The study was a descriptive, qualitative study in which a semi-structured, in-depth interview became the instrument. The respondents were 34 participants (including 17 ACS patients and 17 family caregivers). Data analysis was done by triangulation of data sources.

Results

Three themes were obtained, namely: (1) prefer traditional and self-treatment, for example (a) traditional medicine, (b) taking non-prescription drugs to overcome ACS symptoms, and (c) spontaneous action; (2) using available health resources and facilities that consisted of (a) getting initial treatment at home by nurses, (b) visiting a health center to take care of the symptoms, and (c) using non-ambulance service to visit the health centers; and (3) expectations on health care services to patients composed by sub-themes such as (a) the expectation to get information that supports the healing, and (b) the caring attitude of the heath professional.

Conclusions:

The results showed that in the prehospital setting when experiencing ACS symptoms, the patients try to overcome the symptoms independently. However, as the symptoms get worse, they utilize health facilities in different ways. At the time of obtaining health services, patients are satisfied with health professionals who show caring attitudes, explain the results of the examination, and provide health education on health care efforts. Thus, to prevent mortality and morbidity, it is important for a health professional to educate the public about ACS, including topics about ACS healthy lifestyles and potential threats if it is too late to get treatment. Furthermore, it is also important for the government to implement prehospital emergency services nation-wide.KumboyonoK, RefialdinataJ, WihastutiTA, RachmawatiSD, AzizAN. Health-Seeking Behavior of Patients with Acute Coronary Syndrome and Their Family Caregivers. Prehosp Disaster Med. 2018;33(6):614–620.

Keywords

acute coronary syndromehealth-seeking behaviorphenomenology
Type
Original Research
Information
Prehospital and Disaster Medicine , Volume 33 , Issue 6 , December 2018 , pp. 614 - 620
Copyright
© World Association for Disaster and Emergency Medicine 2018 

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Footnotes

Conflicts of interest: none

References

1. Jena, BN, Kadithi, A. Study of risk factors affecting the survival rate of emergency victims with “chest pain” as chief complaint. Indian J Community Med. 2009;34(4):293–298.Google Scholar
2. Rivero, F, Bastante, T, Cuesta, J, et al. Factors associated with delays in seeking medical attention in patients with ST-segment elevation acute coronary syndrome. Rev Esp Cardiol. 2016;69(3):279–285.Google Scholar
3. Silvain, J, Vignalou, J-B, Beygui, F, et al. Impact of transfer time on mortality in acute coronary syndrome with ST-segment elevation treated by angioplasty. Arch Cardiovasc Dis. 2012;105(12):639–648.Google Scholar
4. Koc, S, Durna, Z, Akin, S. Interpretation of symptoms as a cause of delays in patients with acute myocardial infarction, Istanbul, Turkey. Eastern Mediterr Health J. 2017;23(4):287–294.Google Scholar
5. Wechkunanukul, K, Grantham, H, Clark, RA. Global review of delay time in seeking medical care for chest pain: an integrative literature review. Aust Crit Care. 2016;30(1):13–20.Google Scholar
6. Dharma, S, Juzar, DA, Firdaus, I, et al. Acute myocardial infarction system of care in the third world. Neth Heart J. 2012;20(6):254–259.Google Scholar
7. Boersma, E, Maas, ACP, Deckers, JW, et al. Early thrombolytic treatment in acute myocardial infarction: reappraisal of the golden hour. Lancet. 1996;348:771–775.Google Scholar
8. Darawad, MW, Alfasfos, N, Saleh, Z, et al. Predictors of delay in seeking treatment by Jordanian patients with acute coronary syndrome. Int Emerg Nurs. 2016;26:20–25.Google Scholar
9. Lassen, JF, Bøtker, HE, Terkelsen, CJ. Timely and optimal treatment of patients with STEMI. Nat Rev Cardiol. 2012;10(1):41–48.Google Scholar
10. Rasmussen, C-H, Munck, A, Kragstrup, J, et al. Patient delay from onset of chest pain suggesting acute coronary syndrome to hospital admission. Scand Cardiovasc J. 2003;37(4):183–186.Google Scholar
11. Ottesen, MM, Dixen, U, Torp-Pedersen, C, et al. Prehospital delay in acute coronary syndrome — an analysis of the components of delay. Int J Cardiol. 2004;96:97–103.Google Scholar
12. Perkins-Porras, L, Whitehead, DL, Strike, PC, et al. Pre-hospital delay in patients with acute coronary syndrome: factors associated with patient decision time and home-to-hospital-delay. Eur J Cardiovasc Nurs. 2009;8(1):26–33.Google Scholar
13. Thuresson, M, Lindahl, B, Svensson, L, et al. Thoughts, actions, and factors associated with prehospital delay in patients with acute coronary syndrome. Heart & Lung. 2007;39(6):398–409.Google Scholar
14. Padilla-Diaz, M. Phenomenology in educational qualitative research: philosophy as science or philosophical science? Int J Educational Excellence. 2015;1(2):101–110.Google Scholar
15. Reiners, GM. Understanding the differences between Husserl’s (descriptive) and Heidegger’s (interpretive) phenomenological research. J Nurs Care. 2012;1(5):1–3.Google Scholar
16. Kumboyono, K, Lestari, YC, Wijayanti, DP. Identification of Health Service Requirements in HIV/AIDs Patients: A phenomenological study. Indian J Public Health Res Dev. 2018;9(8):260–264.Google Scholar
17. Streubert, HJ, Carpenter, DR. Qualitative Research in Nursing: Advancing the Humanistic Imperative. 5th ed. Philadelphia, Pennsylvania USA: Lippincott Williams & Wilkins; 2011.Google Scholar
18. Gentles, SJ, Charles, C, Ploeg, J, McKibbon, KA, et al. Sampling in qualitative research: insight from an overview of the methods literature. Qualitative Report. 2015;20(11):1772–1789.Google Scholar
19. Vaismoradi, M, Turunen, H, Bondas, T. Content analysis and thematic analysis: implication for conducting a qualitative descriptive study. Nurs Health Sci. 2013;15(3):398–405.Google Scholar
20. Clarke, V, Braun, V. Teaching thematic analysis: overcoming challenges and developing strategies for effective learning. Psychologist. 2013;26(2):120–123.Google Scholar
21. Cameron, P, Jelinek, G, Kelly, A-M, et al. Textbook of Adult Emergency Medicine. 4th ed. Philadelphia, Pennsylvania USA: Elsevier; 2015.Google Scholar
22. Venkatachelam, CR, Adilakshmi, B, Manohar, RT, et al. Factors affecting time to arrival in hospital among patients with acute myocardial infarction (MI). J Scientif Innovat Res. 2015;4(2):109–114.Google Scholar
23. Joob, B, Wiwanitkit, V. Acute chest pain: what about the time before visiting to the physician? J Acute Dis. 2013;2(4):330–331.Google Scholar
24. Mega, JL, Morrow, DA. “ST-elevation myocardial infarction: management.” In: Mann DL, Zipes DP, Libby P, Bonow RO, (eds). Braunwald’s Heart Disease: A Textbook of Cardiovascular Medicine. Philadelphia, Pennsylvania USA: Elsevier; 2012: 1095–1143.Google Scholar
25. Kakou-Guikahue, M, N’Guetta, R, Anzouan-Kacou, J, et al. Optimizing the management of acute coronary syndromes in sub-Saharan Africa: a statement from the AFRICARDIO 2015 consensus team. Arch Cardiovasc Dis. 2016;109:376–383.Google Scholar
26. O’Gara, PT, Kushner, FG, Ascheim, DD, et al. Guideline for the management of ST-elevation myocardial infarction: a report of the American College of Cardiology Foundation/American Heart Association task force on practice guidelines. J Am Col Cardiol. 2013;61(4):78–140.Google Scholar
27. Pusponegoro, AD, Sujudi, A. Kegawatdaruratan dan Bencana: Solusi dan Petunjuk Teknis Penaggulangan Medik dan Kesehatan. Jakarta, Indonesia: Rayyana Komunikasindo; 2016.Google Scholar
28. Mooney, M, O’Brien, F, McKee, G, et al. Ambulance use in acute coronary syndrome in Ireland: a cross-sectional study. Eur J Cardiovasc Nurs. 2016;15(5):345–354.Google Scholar
29. American Red Cross [ARC]. CPR/AED for professional rescuers and health care providers handbook. Washington, DC USA: StayWell Health & Safety Solution; 2011: 13.Google Scholar
30. O’Connor, RE, Brady, W, Brooks, SC, et al. Part 10: Acute Coronary Syndrome: 2010. American Heart Association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation. 2010;122(suppl 3):S787–S817.Google Scholar
31. Prawira, MA, Noor, I, Nurani, F. Inovasi layanan: studi kasus call center SPGDT 119 sebagai layanan gawat darurat pada Dinas Kesehatan Provinsi DKI Jakarta. Jurnal Administrasi Publik (JAP). 2014;2(4):715–721. [Indonesian].Google Scholar
32. Alligood, MR. Nursing Theorists and their Work. 8th ed. Singapore: Elsevier; 2017.Google Scholar
33. Hardisman, Darwin E. Etika Profesi Kesehatan. Yogyakarta: Deepublish; 2014.Google Scholar
34. Chan, H-S, Chu, H-Y, Yen, H , eta al. Effect of a care workshop on caring behavior as measured by patients and patient satisfaction. Open J Nurs. 2015;5:89–95.Google Scholar
35. Busby-Whitehead, DAI X Alexander, J , KP. Acute coronary syndrome in the older adults. J Geriat Cardiol. 2016;13:101–108.Google Scholar