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Factors associated with the extent of care-seeking delay for patients with acute myocardial infarction in Beijing
Wu, Y1; Zhang, Y1; Li, YQ1; Hong, BL1; Huang, CX1
关键词Care-seeking Delay Acute Myocardial Infarction
刊名CHINESE MEDICAL JOURNAL
2004-12-01
117期:12页:1772-1777
收录类别SCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Medicine, General & Internal
研究领域[WOS]General & Internal Medicine
关键词[WOS]CORONARY-HEART-DISEASE ; VENTRICULAR-FUNCTION ; PRIMARY ANGIOPLASTY ; SYMPTOMS ; TIME ; REPERFUSION ; MORTALITY ; RECOVERY ; THERAPY ; ATTACK
英文摘要

Background Prehospital delay remains one of the main causes of reduced benefit of reperfusion therapy for patients with acute myocardial infarction (AMI). The largest proportion of prehospital delay involves the interval between the onset of symptoms and the decision to seek medical treatment. The purpose of this study was to examine the factors associated with the extent of care-seeking delay in Beijing for patients with AMI.

Methods A structured interview was conducted in 102 patients with AMI in eight hospitals in Beijing.

Results The mean decision time in patients with AMI was (204 43) minutes, and prehospital delay time was (311 +/- 54) minutes. Only 34% of patients sought medical care within one hour and a further 36% of patients presented to one of the eight hospitals within two hours after onset. Educational level, atypical presentation of AMI, and family members at the site where AMI occurred were associated with longer delay time in seeking medical assistance ( P < 0.05, respectively), whereas the intensity of chest pain was inversely related to patients′ delay time ( P < 0.01). Patients who perceived their family relationship as good, attributed their symptoms to AMI origin, knew the time-dependent nature of reperfusion therapy, or used emergency medical service tended to seek medical care in a more rapid manner ( P < 0.05, respectively).

Conclusions Patients with AMI in Beijing delay seeking medical care to a great extent. Health education to increase the level of awareness of the target population at increased risk of AMI, including patients and their family members, is probably beneficial to reduce patients′ care-seeking delay.

语种英语
WOS记录号WOS:000226110800003
引用统计
被引频次:20[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/52976
专题北京大学护理学院
北京大学第一临床医学院_儿科
北京大学第二临床医学院_呼吸科
作者单位1.Peking Univ, Sch Nursing, Beijing 100083, Peoples R China
2.Wuhan Univ, Peoples Hosp, Dept Cardiol, Wuhan 430060, Peoples R China
推荐引用方式
GB/T 7714
Wu, Y,Zhang, Y,Li, YQ,et al. Factors associated with the extent of care-seeking delay for patients with acute myocardial infarction in Beijing[J]. CHINESE MEDICAL JOURNAL,2004,117(12):1772-1777.
APA Wu, Y,Zhang, Y,Li, YQ,Hong, BL,&Huang, CX.(2004).Factors associated with the extent of care-seeking delay for patients with acute myocardial infarction in Beijing.CHINESE MEDICAL JOURNAL,117(12),1772-1777.
MLA Wu, Y,et al."Factors associated with the extent of care-seeking delay for patients with acute myocardial infarction in Beijing".CHINESE MEDICAL JOURNAL 117.12(2004):1772-1777.
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