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Knowledge about Acute Myocardial Infarction (AMI) and attitudes to medical care seeking: a comparison between patients and the general public
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Medical Sciences. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Medicinska och farmaceutiska vetenskapsområdet, centrumbildningar mm , UCR-Uppsala Clinical Research Center.
(English)Manuscript (preprint) (Other academic)
Abstract [en]

Background: Patients with acute myocardial infarction often have long decision times beforeseeking medical care. The decision time is influenced by knowledge of AMI-symptoms,psychological factors and the response of people near the patient to the symptoms.Aim: To investigate and compare the knowledge of AMI, intended actions in response to AMIsymptomsand attitudes toward seeking medical care of patients and the general public.Method: This was a multi-centre study with descriptive and comparative design, usingquestionnaires as an instrument. The population consisted of AMI-patients and representatives ofthe general public.Results: There was good knowledge about typical AMI-symptoms among the participants. Themajority thought an AMI always starts suddenly. Patients did not know more about the timedependencyof treatment outcome than the general public. A greater proportion of the generalpublic would contact an additional person before consulting medical professionals.Conclusions: Patients had no better knowledge about AMI than the general public, but wouldmore commonly act appropriately in case of AMI-symptoms.

Keyword [en]
Acute myocardial infarction, decision making, patient, general public, knowledge and attitudes
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:uu:diva-156574OAI: oai:DiVA.org:uu-156574DiVA: diva2:432551
Available from: 2011-08-04 Created: 2011-08-04 Last updated: 2011-08-26Bibliographically 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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