Uppsala Clinical Research Center, Uppsala University, Sweden.
Int J Cardiol. 2011 Mar 3;147(2):224-7. doi: 10.1016/j.ijcard.2009.08.019. Epub 2009 Oct 23.
Time is crucial when an acute myocardial infarction (AMI) occurs, but patients often wait before seeking medical care.
To investigate and compare patients' and relatives' knowledge of AMI, attitudes toward seeking medical care, and intended behaviour if AMI-symptoms occur.
The present study was a descriptive, multicentre study. Participants were AMI-patients ≤ 75 years (n = 364) and relatives to AMI-patients (n = 319). Questionnaires were used to explore the participants' knowledge of AMI and attitudes toward seeking medical care.
Both patients and relatives appeared to act more appropriate to someone else's chest pain than to their own. Patients did not have better knowledge of AMI-symptoms than relatives. Women would more often contact someone else before seeking medical care. A greater percentage of elderly (65-75 years), compared to younger individuals, reported that they would call for an ambulance if chest pain occurred.
There were only minor differences between patients and relatives, regarding both knowledge and attitudes. It seems easier to act correctly as a bystander than as a patient. Therefore, in order to decrease patients' delay time it is important to educate relatives as well as patients on how to respond to symptoms of an AMI.
急性心肌梗死(AMI)发生时时间至关重要,但患者通常会在寻求医疗护理之前等待。
调查和比较患者和亲属对 AMI 的认识、对寻求医疗护理的态度以及出现 AMI 症状时的预期行为。
本研究为描述性、多中心研究。参与者为年龄≤75 岁的 AMI 患者(n=364)和 AMI 患者的亲属(n=319)。使用问卷探讨参与者对 AMI 的认识和对寻求医疗护理的态度。
患者和亲属在他人胸痛时的行为似乎比在自己胸痛时更恰当。患者对 AMI 症状的了解并不比亲属好。女性在寻求医疗护理之前更倾向于联系他人。与年轻个体相比,更多的老年(65-75 岁)患者报告说,如果出现胸痛,他们会叫救护车。
患者和亲属在知识和态度方面仅存在微小差异。作为旁观者采取正确行动似乎比作为患者更容易。因此,为了减少患者的延迟时间,教育亲属和患者如何应对 AMI 症状非常重要。