317905VIA University College, Viborg, Denmark.
Centre for Research in Clinical Nursing, Viborg, Denmark.
Qual Health Res. 2022 Jan;32(2):307-316. doi: 10.1177/10497323211050911. Epub 2021 Dec 4.
Within cardiac research, an overwhelming number of studies have explored factors related to pre-hospital delay. However, there is a knowledge gap in studies that explore the bystander's experiences or significance when an individual is affected by acute coronary syndrome (ACS). We conducted an interview study with 17 individuals affected by ACS and the bystander(s) involved and performed a qualitative thematic analysis. In the pre-hospital phase, the bystander moved from suspicion of illness to recognition of illness while trying to convince the individual affected by ACS (p-ACS) to respond to bodily sensations. This led to conflicts and dilemmas which affected the bystander both before and after the p-ACS was hospitalized. Bystanders may influence pre-hospital delay in both positive and negative direction depending on their own knowledge, convictions, and the nature of their interaction with the p-ACSs. The bystander's influence during the pre-hospital delay is more extensive than previously recognized.
在心脏研究领域，大量研究探讨了与院前延迟相关的因素。然而，在研究中存在一个知识空白，即当个体受到急性冠状动脉综合征（ACS）影响时，旁观者的经历或意义。我们对 17 名受 ACS 影响的个体及其旁观者进行了访谈研究，并进行了定性主题分析。在院前阶段，旁观者从怀疑疾病到识别疾病，同时试图说服受 ACS 影响的个体（p-ACS）对身体感觉做出反应。这导致了冲突和困境，这些冲突和困境在 p-ACS 住院前后都影响了旁观者。旁观者根据自己的知识、信念以及与 p-ACS 的互动性质，可能会对院前延迟产生积极或消极的影响。旁观者在院前延迟期间的影响比以前认识到的更为广泛。
