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Health-Seeking Behavior of Patients with Acute Coronary Syndrome and Their Family Caregivers

  • Kumboyono Kumboyono (a1), Jeki Refialdinata (a1), Titin A Wihastuti (a1), Septi D Rachmawati (a1) and Aditya N Aziz (a1)...



Acute Coronary Syndrome (ACS) is a life-threatening condition. Immediate and proper treatment will decrease mortality rate. Patient awareness on ACS is still lacking and as the consequence, ACS patients do not seek immediate help.


The patients’ efforts to get rid of ACS symptoms.


The study was a descriptive, qualitative study in which a semi-structured, in-depth interview became the instrument. The respondents were 34 participants (including 17 ACS patients and 17 family caregivers). Data analysis was done by triangulation of data sources.


Three themes were obtained, namely: (1) prefer traditional and self-treatment, for example (a) traditional medicine, (b) taking non-prescription drugs to overcome ACS symptoms, and (c) spontaneous action; (2) using available health resources and facilities that consisted of (a) getting initial treatment at home by nurses, (b) visiting a health center to take care of the symptoms, and (c) using non-ambulance service to visit the health centers; and (3) expectations on health care services to patients composed by sub-themes such as (a) the expectation to get information that supports the healing, and (b) the caring attitude of the heath professional.


The results showed that in the prehospital setting when experiencing ACS symptoms, the patients try to overcome the symptoms independently. However, as the symptoms get worse, they utilize health facilities in different ways. At the time of obtaining health services, patients are satisfied with health professionals who show caring attitudes, explain the results of the examination, and provide health education on health care efforts. Thus, to prevent mortality and morbidity, it is important for a health professional to educate the public about ACS, including topics about ACS healthy lifestyles and potential threats if it is too late to get treatment. Furthermore, it is also important for the government to implement prehospital emergency services nation-wide.KumboyonoK, RefialdinataJ, WihastutiTA, RachmawatiSD, AzizAN. Health-Seeking Behavior of Patients with Acute Coronary Syndrome and Their Family Caregivers. Prehosp Disaster Med. 2018;33(6):614620.


Corresponding author

Correspondence: Kumboyono Kumboyono, MN Department of Community Health Nursing Faculty of Medicine Universitas Brawijaya, Malang, Indonesia E-mail:


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Conflicts of interest: none



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Health-Seeking Behavior of Patients with Acute Coronary Syndrome and Their Family Caregivers

  • Kumboyono Kumboyono (a1), Jeki Refialdinata (a1), Titin A Wihastuti (a1), Septi D Rachmawati (a1) and Aditya N Aziz (a1)...


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