急性心肌梗死症状患者的决策过程：定性研究
Decision making processes in people with symptoms of acute myocardial infarction: qualitative study.
作者信息
Pattenden Jill, Watt Ian, Lewin Robert J P, Stanford Neil
机构信息
Department of Health Sciences, University of York, Heslington, York YO10 5DQ.
出版信息
BMJ. 2002 Apr 27;324(7344):1006-9. doi: 10.1136/bmj.324.7344.1006.
Abstract
OBJECTIVE
To identify the themes that influence decision making processes used by patients with symptoms of acute myocardial infarction.
DESIGN
Qualitative study using semistructured interviews.
SETTING
Two district hospitals in North Yorkshire.
PARTICIPANTS
22 patients admitted to hospital with confirmed second, third, or fourth acute myocardial infarction.
MAIN OUTCOME MEASUREMENTS
Patients' perceptions of their experience between the onset of symptoms and the decision to seek medical help.
RESULTS
Six main themes that influence the decision making process were identified: appraisal of symptoms, perceived risk, previous experience, psychological and emotional factors, use of the NHS, and context of the event.
CONCLUSIONS
Knowledge of symptoms may not be enough to promote prompt action in the event of an acute myocardial infarction. Cognitive and emotional processes, individual beliefs and values, and the influence of the context of the event should also be considered in individual interventions designed to reduce delay in the event of symptoms of acute myocardial infarction.
摘要
目的
确定影响急性心肌梗死症状患者决策过程的主题。
设计
采用半结构化访谈的定性研究。
地点
北约克郡的两家区医院。
参与者
22名确诊为第二次、第三次或第四次急性心肌梗死入院的患者。
主要观察指标
患者对从症状发作到决定寻求医疗帮助期间经历的认知。
结果
确定了影响决策过程的六个主要主题：症状评估、感知风险、既往经历、心理和情感因素、国民保健制度的使用以及事件背景。
结论
在急性心肌梗死发生时，仅了解症状可能不足以促使患者迅速采取行动。在旨在减少急性心肌梗死症状出现时延误的个体干预中，还应考虑认知和情感过程、个人信念和价值观以及事件背景的影响。
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