一项关于在新冠疫情期间胸痛患者延迟就诊的与新冠病毒病相关原因的定性研究。
A qualitative study of COVID-19 related reasons for delayed presentation of patients with chest pain during the COVID-19 pandemic.
作者信息
Dreyer Hanlie, De Oliveira Katya, Lalloo Vidya, Engelbrecht Andreas
机构信息
Division of Emergency Medicine, Department of Health, Steve Biko Academic Hospital, Pretoria, South Africa.
Division of Emergency Medicine, LE Genote, Life Wilgers Hospital, Pretoria, South Africa.
出版信息
Afr J Emerg Med. 2022 Mar;12(1):34-38. doi: 10.1016/j.afjem.2021.10.002. Epub 2021 Nov 5.
INTRODUCTION
In previous pandemics such as the Ebola virus outbreak in West Africa, it has been observed that patients with non-pandemic related complaints, delay their presentation to hospital. Similarly, delayed presentation of patients with chest pain during the COVID-19 pandemic has been documented. This qualitative study identified the COVID-19 related reasons which lead to this delay.
METHODS
A qualitative study based on 10 individual patient interviews. Half of these were conducted at a public hospital emergency centre (EC) and the other half at a private EC.
RESULTS
A variety of psychosocial factors were identified as themes for delayed presentation. Interestingly, the fear of contracting COVID-19 at the hospital was not found to be an important theme in our study. Rather, confusion around hospital protocols during the pandemic was identified as a recurrent theme.
DISCUSSION
This study found that confusion about COVID-19 hospital protocols was the major pandemic related delaying factor. A number of themes unrelated to COVID-19 were also identified.
引言
在之前的大流行中，如西非的埃博拉病毒爆发，人们观察到有与大流行无关症状的患者会延迟前往医院就诊。同样，在新冠疫情期间，也有胸痛患者延迟就诊的记录。这项定性研究确定了导致这种延迟的与新冠疫情相关的原因。
方法
一项基于对10名患者进行个体访谈的定性研究。其中一半访谈在公立医院急诊科进行，另一半在私立急诊科进行。
结果
多种社会心理因素被确定为延迟就诊的主题。有趣的是，在我们的研究中，担心在医院感染新冠病毒并不是一个重要主题。相反，疫情期间对医院诊疗规程的困惑被确定为一个反复出现的主题。
讨论
本研究发现，对新冠疫情医院诊疗规程的困惑是与疫情相关的主要延迟因素。还确定了一些与新冠疫情无关的主题。
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