Department of Nursing, Faculty of Medicine and Health Sciences, Universiti Malaysia Sarawak (UNIMAS), Jalan Datuk Mohd Musa, 94300 Kota Samarahan, Sarawak Malaysia.
BMC Nurs. 2016 May 28;15:33. doi: 10.1186/s12912-016-0155-5. eCollection 2016.
Persisting delay in seeking treatment among Acute Myocardial Infarction (AMI) patients was reported in Malaysia despite intensified efforts in educating the public on symptoms of AMI and the importance of seeking prompt treatment. Studies outside Malaysia have shown that patients' personal thoughts during symptom onset could contribute to the delay. The purpose of this study is to explore the barriers of AMI patients prior to the decision of seeking treatment in Malaysia.
A qualitative descriptive research approach was chosen. Individual in-depth interviews were conducted among 18 patients with AMI. Data were analysed using thematic analysis. Recordings were transcribed and coded, codes were subsequently organized into categories. The stages of coding and identifying categories were repeated before themes were identified.
Three meaningful themes with nine sub-themes that may have influenced the delayed decision to seek treatment were identified. Some themes identified were culturally bound.
The findings of this study give insights on barriers prior to the decision of seeking treatment when patients were experiencing AMI. Findings indicates that interventions targeted at increasing knowledge about AMI symptoms and correct actions using an informative approach at the current practice may not be adequate to reduce patient delay. The findings of this study could provide basis for the development of interventions that are culturally relevant to the Malaysians setting to promote behavioural change in the population and reduce pre-hospital delay.
尽管马来西亚一直在加强公众对心肌梗死（AMI）症状和及时治疗重要性的教育，但仍有报道称 AMI 患者存在持续的治疗延迟。马来西亚以外的研究表明，患者在症状发作时的个人想法可能会导致这种延迟。本研究旨在探讨马来西亚 AMI 患者在决定寻求治疗之前的障碍。
选择定性描述性研究方法。对 18 名 AMI 患者进行了个体深入访谈。使用主题分析对数据进行分析。记录被转录并编码，然后将代码组织成类别。在确定主题之前，重复了编码和确定类别的阶段。
确定了三个有意义的主题，其中有九个亚主题可能影响了寻求治疗的延迟决策。一些确定的主题是文化约束的。
本研究的结果深入了解了患者在经历 AMI 时决定寻求治疗之前的障碍。研究结果表明，目前使用信息方法来增加对 AMI 症状和正确行动的了解的干预措施可能不足以减少患者的延迟。本研究的结果可以为制定针对马来西亚人文化背景的干预措施提供依据，以促进人群中的行为改变并减少院前延迟。
