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Knowledge and attitudes toward seeking medical care for AMI-symptoms
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Medicinska och farmaceutiska vetenskapsområdet, centrumbildningar mm, UCR-Uppsala Clinical Research Center.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, Obstetrics and Gynaecology.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Social Medicine.
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2011 (English)In: International Journal of Cardiology, ISSN 0167-5273, E-ISSN 1874-1754, Vol. 147, no 2, 224-227 p.Article in journal (Refereed) Published
Abstract [en]

Background: Time is crucial when an acute myocardial infarction (AMI) occurs, but patients often wait before seeking medical care. Aim: To investigate and compare patients' and relatives' knowledge of AMI, attitudes toward seeking medical care, and intended behaviour if AMI-symptoms occur. Methods: The present study was a descriptive, multicentre study. Participants were AMI-patients <= 75 years (n = 364) and relatives to AMI-patients (n = 319). Questionnaires were used to explore the participants' knowledge of AMI and attitudes toward seeking medical care. Results: Both patients and relatives appeared to act more appropriate to someone else's chest pain than to their own. Patients did not have better knowledge of AMI-symptoms than relatives. Women would more often contact someone else before seeking medical care. A greater percentage of elderly (65-75 years), compared to younger individuals, reported that they would call for an ambulance if chest pain occurred. Conclusions: There were only minor differences between patients and relatives, regarding both knowledge and attitudes. It seems easier to act correctly as a bystander than as a patient. Therefore, in order to decrease patients' delay time it is important to educate relatives as well as patients on how to respond to symptoms of an AMI.

Place, publisher, year, edition, pages
2011. Vol. 147, no 2, 224-227 p.
Keyword [en]
Myocardial infarction, Knowledge, Attitude, Decision making, Patient, Family
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:uu:diva-149720DOI: 10.1016/j.ijcard.2009.08.019ISI: 000287480200014PubMedID: 19853936OAI: oai:DiVA.org:uu-149720DiVA: diva2:405397
Available from: 2011-03-22 Created: 2011-03-22 Last updated: 2017-12-11Bibliographically approved
In thesis
1. Coronary Heart Disease and Early Decision Making, from Symptoms to Seeking Care: Studies with Focus on Pre-hospital Delay in Acute Myocardial Infarction Patients
Open this publication in new window or tab >>Coronary Heart Disease and Early Decision Making, from Symptoms to Seeking Care: Studies with Focus on Pre-hospital Delay in Acute Myocardial Infarction Patients
2011 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Despite several investigations and interventions aimed at decreasing the time from symptom onset to medical care seeking in acute myocardial infarction patients, the delay time is still too long for best treatment outcomes. In this thesis, investigations aimed at improving our understanding of the factors influencing delay time are evaluated, as well as attitudes to medical care seeking in patients, relatives and the general public. Additionally, an evaluation was performed to examine whether health-related quality of life had any influence on delay time and re-admissions.

Participating patients, relatives and representatives of the general public were generally knowledgeable about acute myocardial infarction (AMI) and its symptomatology. The majority of participants knew about the importance of receiving fast treatment when an AMI occurs. Despite people’s knowledge, several patients and relatives felt uncertain of symptom origin and how to act at symptom onset. Patients commonly consulted an additional person when symptoms did not disappear. However, people appeared to act more appropriately if someone else had chest pain compared to self-experienced symptoms.

In patients who had suffered from more than one AMI, poor total health status increased the risk of delaying for more than two hours, but no independent association was found between total health status and re-admissions within the first year post-AMI.

Place, publisher, year, edition, pages
Uppsala: Acta Universitetis Upsaliensis, 2011. 71 p.
Series
Digital Comprehensive Summaries of Uppsala Dissertations from the Faculty of Medicine, ISSN 1651-6206 ; 685
Keyword
Acute Myocardial Infarction, Pre-Hospital Delay, Knowledge, Attitudes, Decision Making, Quality of Life, Re-admission
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:uu:diva-156636 (URN)978-91-554-8114-8 (ISBN)
Public defence
2011-09-16, Enghoffsalen, Akademiska sjukhuset, Uppsala, 13:00 (Swedish)
Opponent
Supervisors
Available from: 2011-08-25 Created: 2011-08-04 Last updated: 2011-09-08

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Henriksson, CatrinLindahl, Bertil

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