Yardimci Tuğba, Mert Hatice
Institute of Health Sciences, Internal Medicine Nursing, Dokuz Eylul University, Izmir, Turkey.
Jpn J Nurs Sci. 2014 Apr;11(2):102-11. doi: 10.1111/jjns.12011. Epub 2013 Mar 26.
The purpose of this study was to reveal how Turkish patients experiencing acute myocardial infarction (AMI) for the first time decide to seek medical treatment following the initiation of the symptoms.
This qualitative study was carried out by using the grounded theory. Data were collected in a university hospital cardiology clinic in Turkey between March 2009 and March 2010. The sample comprised 30 patients having experienced AMI for the first time. The data were collected by an in-depth interview technique via a semistructured interview form. All of the interviews were recorded using a tape-recorder.
The median decision-making time was 90 min. Two main themes emerged at the end of the study: "feeling of abnormality" and "thinking the situation is critical". Deciding to seek medical help was found to be a process which emerges with the severity of symptoms, an inability to manage symptoms, fear, and extrinsic factors.
The results of this study show the importance of being aware of the symptoms when deciding to seek treatment. It is recommended to develop training programs about AMI symptoms and the importance of receiving early medical help by targeting society in general and the individuals with a diagnosis of coronary artery disease and their relatives in particular, and to organize awareness-raising campaigns supported by the media.
本研究旨在揭示首次经历急性心肌梗死（AMI）的土耳其患者在症状出现后如何决定寻求医疗救治。
本定性研究采用扎根理论进行。2009年3月至2010年3月期间，在土耳其一家大学医院心内科门诊收集数据。样本包括30例首次经历AMI的患者。通过半结构化访谈形式，采用深入访谈技术收集数据。所有访谈均使用录音机进行记录。
决策时间中位数为90分钟。研究结束时出现了两个主要主题：“异常感”和“认为情况危急”。决定寻求医疗帮助是一个随着症状严重程度、无法控制症状、恐惧和外部因素而出现的过程。
本研究结果表明，在决定寻求治疗时了解症状的重要性。建议针对普通人群，特别是针对已诊断为冠状动脉疾病的个体及其亲属，开展有关AMI症状以及接受早期医疗帮助重要性的培训项目，并组织由媒体支持的提高认识运动。
