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患者对心肌梗死的认知与态度。

Patients' knowledge and attitudes about myocardial infarction.

作者信息

Noureddine Samar, Dumit Nuhad Y, Maatouk Hassan

机构信息

Hariri School of Nursing, American University of Beirut, Beirut, Lebanon.

Faculty of Nursing Sciences, Islamic University of Lebanon, Khaldeh, Lebanon.

出版信息

Nurs Health Sci. 2020 Mar;22(1):49-56. doi: 10.1111/nhs.12642. Epub 2019 Aug 14.

Abstract

Delay in seeking emergency care contributes significantly to the mortality associated with myocardial infarction. The aims of this descriptive study were to determine Lebanese patients' knowledge, attitudes, and beliefs about heart disease following their hospitalization for acute myocardial infarction, the factors associated, and to investigate the education they receive about heart disease. The study targeted 50 participants diagnosed with myocardial infarction who were interviewed about their knowledge, attitudes, and perceived control related to heart disease in their home 1 month after being discharged from hospital using the Acute Coronary Syndrome Response Index and the Control Attitude Scale-Revised. The findings showed inadequate knowledge, with only 26% scoring over 70%. Moreover, only 16% reported having received education about heart disease. The participants reported confidence in recognizing symptoms and getting assistance during a myocardial infarction. However, their beliefs regarding the importance of prompt seeking of emergency care for myocardial infarction and control over their disease were inconsistent. Patient education and counseling about recognizing and responding adequately to symptoms of myocardial infarction must be improved in both acute and primary healthcare settings.

摘要

延迟寻求紧急护理是导致心肌梗死相关死亡率的重要因素。这项描述性研究的目的是确定黎巴嫩患者在因急性心肌梗死住院后对心脏病的知识、态度和信念,相关因素,并调查他们接受的关于心脏病的教育情况。该研究针对50名被诊断为心肌梗死的参与者,在他们出院1个月后在家中使用急性冠状动脉综合征反应指数和修订后的控制态度量表,就他们对心脏病的知识、态度和感知控制进行了访谈。研究结果显示知识不足,只有26%的人得分超过70%。此外,只有16%的人报告接受过关于心脏病的教育。参与者表示有信心在心肌梗死期间识别症状并获得帮助。然而,他们对心肌梗死及时寻求紧急护理的重要性以及对疾病控制的信念并不一致。在急性和初级医疗保健环境中,关于识别和充分应对心肌梗死症状的患者教育和咨询都必须得到改善。

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