Skip to main content Accessibility help
×
Home

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)...

Abstract

Introduction

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.

Problem

The patients’ efforts to get rid of ACS symptoms.

Methods

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.

Results

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.

Conclusions:

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.

Copyright

Corresponding author

Correspondence: Kumboyono Kumboyono, MN Department of Community Health Nursing Faculty of Medicine Universitas Brawijaya, Malang, Indonesia E-mail: abu_hilmi.fk@ub.ac.id/publikasikoe@gmail.com

Footnotes

Hide All

Conflicts of interest: none

Footnotes

References

Hide All
1. Jena, BN, Kadithi, A. Study of risk factors affecting the survival rate of emergency victims with “chest pain” as chief complaint. Indian J Community Med. 2009;34(4):293298.
2. Rivero, F, Bastante, T, Cuesta, J, et al. Factors associated with delays in seeking medical attention in patients with ST-segment elevation acute coronary syndrome. Rev Esp Cardiol. 2016;69(3):279285.
3. Silvain, J, Vignalou, J-B, Beygui, F, et al. Impact of transfer time on mortality in acute coronary syndrome with ST-segment elevation treated by angioplasty. Arch Cardiovasc Dis. 2012;105(12):639648.
4. Koc, S, Durna, Z, Akin, S. Interpretation of symptoms as a cause of delays in patients with acute myocardial infarction, Istanbul, Turkey. Eastern Mediterr Health J. 2017;23(4):287294.
5. Wechkunanukul, K, Grantham, H, Clark, RA. Global review of delay time in seeking medical care for chest pain: an integrative literature review. Aust Crit Care. 2016;30(1):1320.
6. Dharma, S, Juzar, DA, Firdaus, I, et al. Acute myocardial infarction system of care in the third world. Neth Heart J. 2012;20(6):254259.
7. Boersma, E, Maas, ACP, Deckers, JW, et al. Early thrombolytic treatment in acute myocardial infarction: reappraisal of the golden hour. Lancet. 1996;348:771775.
8. Darawad, MW, Alfasfos, N, Saleh, Z, et al. Predictors of delay in seeking treatment by Jordanian patients with acute coronary syndrome. Int Emerg Nurs. 2016;26:2025.
9. Lassen, JF, Bøtker, HE, Terkelsen, CJ. Timely and optimal treatment of patients with STEMI. Nat Rev Cardiol. 2012;10(1):4148.
10. Rasmussen, C-H, Munck, A, Kragstrup, J, et al. Patient delay from onset of chest pain suggesting acute coronary syndrome to hospital admission. Scand Cardiovasc J. 2003;37(4):183186.
11. Ottesen, MM, Dixen, U, Torp-Pedersen, C, et al. Prehospital delay in acute coronary syndrome — an analysis of the components of delay. Int J Cardiol. 2004;96:97103.
12. Perkins-Porras, L, Whitehead, DL, Strike, PC, et al. Pre-hospital delay in patients with acute coronary syndrome: factors associated with patient decision time and home-to-hospital-delay. Eur J Cardiovasc Nurs. 2009;8(1):2633.
13. Thuresson, M, Lindahl, B, Svensson, L, et al. Thoughts, actions, and factors associated with prehospital delay in patients with acute coronary syndrome. Heart & Lung. 2007;39(6):398409.
14. Padilla-Diaz, M. Phenomenology in educational qualitative research: philosophy as science or philosophical science? Int J Educational Excellence. 2015;1(2):101110.
15. Reiners, GM. Understanding the differences between Husserl’s (descriptive) and Heidegger’s (interpretive) phenomenological research. J Nurs Care. 2012;1(5):13.
16. Kumboyono, K, Lestari, YC, Wijayanti, DP. Identification of Health Service Requirements in HIV/AIDs Patients: A phenomenological study. Indian J Public Health Res Dev. 2018;9(8):260264.
17. Streubert, HJ, Carpenter, DR. Qualitative Research in Nursing: Advancing the Humanistic Imperative. 5th ed. Philadelphia, Pennsylvania USA: Lippincott Williams & Wilkins; 2011.
18. Gentles, SJ, Charles, C, Ploeg, J, McKibbon, KA, et al. Sampling in qualitative research: insight from an overview of the methods literature. Qualitative Report. 2015;20(11):17721789.
19. Vaismoradi, M, Turunen, H, Bondas, T. Content analysis and thematic analysis: implication for conducting a qualitative descriptive study. Nurs Health Sci. 2013;15(3):398405.
20. Clarke, V, Braun, V. Teaching thematic analysis: overcoming challenges and developing strategies for effective learning. Psychologist. 2013;26(2):120123.
21. Cameron, P, Jelinek, G, Kelly, A-M, et al. Textbook of Adult Emergency Medicine. 4th ed. Philadelphia, Pennsylvania USA: Elsevier; 2015.
22. Venkatachelam, CR, Adilakshmi, B, Manohar, RT, et al. Factors affecting time to arrival in hospital among patients with acute myocardial infarction (MI). J Scientif Innovat Res. 2015;4(2):109114.
23. Joob, B, Wiwanitkit, V. Acute chest pain: what about the time before visiting to the physician? J Acute Dis. 2013;2(4):330331.
24. Mega, JL, Morrow, DA. “ST-elevation myocardial infarction: management.” In: Mann DL, Zipes DP, Libby P, Bonow RO, (eds). Braunwald’s Heart Disease: A Textbook of Cardiovascular Medicine. Philadelphia, Pennsylvania USA: Elsevier; 2012: 10951143.
25. Kakou-Guikahue, M, N’Guetta, R, Anzouan-Kacou, J, et al. Optimizing the management of acute coronary syndromes in sub-Saharan Africa: a statement from the AFRICARDIO 2015 consensus team. Arch Cardiovasc Dis. 2016;109:376383.
26. O’Gara, PT, Kushner, FG, Ascheim, DD, et al. Guideline for the management of ST-elevation myocardial infarction: a report of the American College of Cardiology Foundation/American Heart Association task force on practice guidelines. J Am Col Cardiol. 2013;61(4):78140.
27. Pusponegoro, AD, Sujudi, A. Kegawatdaruratan dan Bencana: Solusi dan Petunjuk Teknis Penaggulangan Medik dan Kesehatan. Jakarta, Indonesia: Rayyana Komunikasindo; 2016.
28. Mooney, M, O’Brien, F, McKee, G, et al. Ambulance use in acute coronary syndrome in Ireland: a cross-sectional study. Eur J Cardiovasc Nurs. 2016;15(5):345354.
29. American Red Cross [ARC]. CPR/AED for professional rescuers and health care providers handbook. Washington, DC USA: StayWell Health & Safety Solution; 2011: 13.
30. O’Connor, RE, Brady, W, Brooks, SC, et al. Part 10: Acute Coronary Syndrome: 2010. American Heart Association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation. 2010;122(suppl 3):S787S817.
31. Prawira, MA, Noor, I, Nurani, F. Inovasi layanan: studi kasus call center SPGDT 119 sebagai layanan gawat darurat pada Dinas Kesehatan Provinsi DKI Jakarta. Jurnal Administrasi Publik (JAP). 2014;2(4):715721. [Indonesian].
32. Alligood, MR. Nursing Theorists and their Work. 8th ed. Singapore: Elsevier; 2017.
33. Hardisman, Darwin E. Etika Profesi Kesehatan. Yogyakarta: Deepublish; 2014.
34. Chan, H-S, Chu, H-Y, Yen, H , eta al. Effect of a care workshop on caring behavior as measured by patients and patient satisfaction. Open J Nurs. 2015;5:8995.
35. Busby-Whitehead, DAI X Alexander, J , KP. Acute coronary syndrome in the older adults. J Geriat Cardiol. 2016;13:101108.

Keywords

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)...

Metrics

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed