Kumboyono Kumboyono, Refialdinata Jeki, Wihastuti Titin A, Rachmawati Septi D, Aziz Aditya N
School of Nursing,Brawijaya University,Malang,Indonesia.
Prehosp Disaster Med. 2018 Dec;33(6):614-620. doi: 10.1017/S1049023X18001036. Epub 2018 Nov 5.
IntroductionAcute Coronary Syndrome (ACS) is a life-threatening condition. Immediate and proper treatment will decrease mortality rate. Patient awareness on ACS is still lacking and as the consequence, ACS patients do not seek immediate help.ProblemThe patients' efforts to get rid of ACS symptoms.
The study was a descriptive, qualitative study in which a semi-structured, in-depth interview became the instrument. The respondents were 34 participants (including 17 ACS patients and 17 family caregivers). Data analysis was done by triangulation of data sources.
Three themes were obtained, namely: (1) prefer traditional and self-treatment, for example (a) traditional medicine, (b) taking non-prescription drugs to overcome ACS symptoms, and (c) spontaneous action; (2) using available health resources and facilities that consisted of (a) getting initial treatment at home by nurses, (b) visiting a health center to take care of the symptoms, and (c) using non-ambulance service to visit the health centers; and (3) expectations on health care services to patients composed by sub-themes such as (a) the expectation to get information that supports the healing, and (b) the caring attitude of the heath professional.
The results showed that in the prehospital setting when experiencing ACS symptoms, the patients try to overcome the symptoms independently. However, as the symptoms get worse, they utilize health facilities in different ways. At the time of obtaining health services, patients are satisfied with health professionals who show caring attitudes, explain the results of the examination, and provide health education on health care efforts. Thus, to prevent mortality and morbidity, it is important for a health professional to educate the public about ACS, including topics about ACS healthy lifestyles and potential threats if it is too late to get treatment. Furthermore, it is also important for the government to implement prehospital emergency services nation-wide. KumboyonoK, RefialdinataJ, WihastutiTA, RachmawatiSD, AzizAN. Health-seeking behavior of patients with Acute Coronary Syndrome and their family caregivers. Prehosp Disaster Med. 2018;33(6):614-620.
引言
急性冠状动脉综合征（ACS）是一种危及生命的疾病。及时且恰当的治疗将降低死亡率。患者对ACS的认知仍然不足，因此，ACS患者不会立即寻求帮助。
问题
患者消除ACS症状的努力。
本研究为描述性定性研究，采用半结构化深度访谈作为工具。受访者为34名参与者（包括17名ACS患者和17名家庭照顾者）。通过对数据源进行三角验证来进行数据分析。
得出三个主题，即：（1）倾向于传统和自我治疗，例如（a）传统药物，（b）服用非处方药来缓解ACS症状，以及（c）自发行为；（2）利用现有的卫生资源和设施，包括（a）由护士在家进行初步治疗，（b）前往健康中心处理症状，以及（c）使用非救护车服务前往健康中心；（3）对患者医疗服务的期望，由以下子主题组成，如（a）期望获得有助于康复的信息，以及（b）医护人员的关怀态度。
结果表明，在院前环境中，当出现ACS症状时，患者会尝试自行缓解症状。然而，随着症状加重，他们会以不同方式利用卫生设施。在获得医疗服务时，患者对表现出关怀态度、解释检查结果并提供有关医疗保健努力的健康教育的医护人员感到满意。因此，为预防死亡率和发病率，医护人员向公众普及ACS知识非常重要，包括ACS健康生活方式以及治疗不及时的潜在威胁等主题。此外，政府在全国范围内实施院前急救服务也很重要。昆博约诺K、雷菲亚尔迪纳塔J、维哈斯图蒂TA、拉克马瓦蒂SD、阿齐兹AN。急性冠状动脉综合征患者及其家庭照顾者的就医行为。《院前灾难医学》。2018年；33（6）：614 - 620。
