Department of Cardiac and Vascular Diseases, Institute of Cardiology, Jagiellonian University Medical College in John Paul II Hospital in Cracow, Cracow, Poland.
Eur J Public Health. 2011 Oct;21(5):603-8. doi: 10.1093/eurpub/ckq110. Epub 2010 Aug 13.
Effective management of acute myocardial infarction (AMI) is limited by patient delay in calling an ambulance. We aimed to assess knowledge related to a patient-dependant phase of AMI and its determinants in adults.
Questionnaire survey was conducted among a random sample of 942 men (48%) and women (52%) aged 63.50 ± 6.50 selected from population registers in Cracow (Poland). Questions from the Behavioral Risk Factor Surveillance System were used to assess knowledge of AMI symptoms. The respondents were further asked about the first thing they would do in response to AMI symptoms, the emergency phone number and whether a doctor advised them about AMI.
All suggested AMI symptoms were recognized by 51 (5.4%) respondents. More persons would call an ambulance in response to AMI symptoms in another person than if they appear in themselves (87.4% vs. 74.4%, P = 0.02). Only 644 (68%) participants knew the emergency phone number and 104 (11%) were advised about AMI by their doctors. Such advice was associated with higher rates of knowledge of AMI symptoms and the emergency phone number but not with a declaration of the appropriate reaction to AMI symptoms. Participants after AMI did not represent better knowledge of a patient-dependant phase of AMI but paradoxically less frequently than other persons declared calling an ambulance in response to AMI symptoms.
Improvement in knowledge and attitudes related to a patient-dependant phase of AMI is needed in adults even if they experienced AMI before. A routine advice from a doctor may contribute significantly to this improvement.
急性心肌梗死（AMI）的有效管理受到患者呼叫救护车的延迟的限制。我们旨在评估与 AMI 患者相关阶段及其决定因素相关的知识在成年人中的情况。
在克拉科夫（波兰）的人口登记册中随机选择了 942 名男性（48%）和女性（52%），年龄为 63.50±6.50 岁，对他们进行了问卷调查。使用行为风险因素监测系统的问题来评估 AMI 症状的知识。还询问了受访者在出现 AMI 症状时的第一反应、紧急电话号码以及医生是否就 AMI 向他们提供了建议。
有 51 名（5.4%）受访者识别出所有提示 AMI 的症状。如果症状出现在别人身上，而不是自己身上，更多的人会因为 AMI 症状而呼叫救护车（87.4%比 74.4%，P=0.02）。只有 644 名（68%）参与者知道紧急电话号码，有 104 名（11%）受访者接受过医生关于 AMI 的建议。这种建议与更高的 AMI 症状和紧急电话号码的知晓率相关，但与适当反应 AMI 症状的声明无关。患有 AMI 的参与者并未表现出对 AMI 患者相关阶段的知识更好，但矛盾的是，他们比其他人更频繁地声明在出现 AMI 症状时呼叫救护车。
即使成年人以前经历过 AMI，也需要提高与 AMI 患者相关阶段相关的知识和态度。医生的常规建议可能对此有重大贡献。
