Acute coronary syndrome: are patients and family members aware of the symptoms of attack?

• Authors: v Jeki , Kumboyono Kumboyono , Wihastuti Tititn Andri , Rachmawati Septi Dewi , Aziz Aditya Nuraminudin

Title variants

EN

Ostry zespół wieńcowy: czy pacjenci i członkowie rodzin są świadomi objawów wystąpienia objawów ostrego zespołu wieńcowego?

• Languages of publication: EN

Abstracts

EN

Background. A delay is a cause of management failure in patients with Acute Coronary Syndromes (ACS). A delay occurs because the patients and family members do not know the symptoms of ACS Objectives. The aim of the study was to explore the perception of patients and family members in recognizing the symptoms of Acute Coronary Syndrome (ACS) attack at the scene. Material and methods. This study is a qualitative with a descriptive phenomenology that was done through in-depth interviews involving sixteen participants (including, patients with ACS and family members). Data analysis was done by triangulation of data sources. Results. The theme obtained is a mistake in recognizing the symptoms of the disease. This theme is formed from the subtheme of misunderstanding of symptoms and sees the symptoms of other diseases one previously suffered from such as asthma, ulcer, and stroke. Conclusions. Participants are unaware of the incidence of ACS attacks that result in delays in finding appropriate assistance to health workers or facilities. The results show the importance of public education about the various symptoms of ACS, and on how to distinguish it from similar symptoms of other diseases, potential threats, and the impact if appropriate treatment is not immediately given.

PL

Wstęp. Opóźnienie jest przyczyną niepowodzenia w leczeniu pacjentów z ostrymi zespołami wieńcowymi (Acute Coronary Syndrome – ACS). Opóźnienie występuje, ponieważ pacjenci i członkowie ich rodzin nie znają objawów wystąpienia ostrego zespołu wieńcowego. Cel pracy. Celem badania było odkrycie sposobu postrzegania pacjentów i członków ich rodzin w rozpoznawaniu objawów ACS na miejscu zdarzenia. Materiał i metody. Badanie to ma charakter jakościowy i zawiera opisową fenomenologię, która została przeprowadzona na podstawie dogłębnych wywiadów z udziałem szesnastu uczestników (w tym pacjentów z ACS i członków ich rodzin). Analizę danych przeprowadzono metodą triangulacji źródeł danych. Wyniki. Uzyskane dane wskazują na błędy występujące w rozpoznawaniu objawów choroby. Zjawisko to powstaje w wyniku niezrozumienia objawów i błędnego postrzegania objawów innych chorób, które występowały wcześniej, jak astmy oskrzelowej, odleżyn i udaru mózgu. Wnioski. Uczestnicy badania nie są świadomi występowania objawów ostrego zespołu wieńcowego, co powoduje opóźnienia w odnalezieniu odpowiedniej pomocy od pracowników lub jednostek ochrony zdrowia. Wyniki wskazują na znaczenie edukacji publicznej w zakresie różnych objawów ACS oraz na temat tego, w jaki sposób odróżnić je od podobnych objawów innych chorób, ale także potencjalnych zagrożeń wynikających z opóźnień, jeśli odpowiednie leczenie nie jest udzielone natychmiastowo.

Keywords

EN

acute coronary syndrome; awareness; heart attack; phenomenology

PL

ostry zespół wieńcowy; świadomość; atak serca; fenomenologia

• Publisher: Wydawnictwo Continuo
• Journal: Współczesne Pielęgniarstwo i Ochrona Zdrowia
• Year: 2018
• Issue: 2
• Pages: 31-34

Dates

published

2018-05-05

Contributors

author

v Jeki

• Student of the Master of Nursing Program, Faculty of Medicine, Universitas Brawijaya, Indonesia

author

Kumboyono Kumboyono

• Lecturer of the Master of Nursing Program, Faculty of Medicine, Universitas Brawijaya, Indonesia

author

Wihastuti Tititn Andri

• Lecturer of the Master of Nursing Program, Faculty of Medicine, Universitas Brawijaya, Indonesia

author

Rachmawati Septi Dewi

• Lecturer of the Master of Nursing Program, Faculty of Medicine, Universitas Brawijaya, Indonesia

author

Aziz Aditya Nuraminudin

• Student of the Master of Nursing Program, Faculty of Medicine, Universitas Brawijaya, Indonesia

References

• 1. Amsterdam EA, Wenger NK, Brindis RG, et al. 2014 AHA/ACC guideline for the management of patients with non-st-elevation acute coronary syndromes: a report of the American college of cardiology/American heart association task force on practice guidelines. Circulation 2014; 130(25): e344-e426, doi: 10.1161/CIR.0000000000000134.
• 2. Khoshchehreh M, Groves EM, Tehrani D, et al. Changes in mortality on weekend versus weekday admissions for acute coronary syndrome in the United States over the past decade. Int J Cardiol 2016; 210: 164–172, doi: 10.1016/j.ijcard.2016.02.087.
• 3. Nofal HK, Abdulmohsen M, Khamis AH. Incidence and causes of sudden death in a university hospital in eastern Saudi Arabia. East Mediterr Health J 2011; 17(9): 665–670.
• 4. Deo R, Albert CM. Sudden cardiac death epidemiology and genetics of sudden cardiac death. Circulation 2012; 125: 620–637, doi: 10.1161/CIRCULATIONAHA.111.023838.
• 5. Mega JL, Morrow DA. ST-Elevation myocardial infarction: management. In: Mann DL, Zipes DP, Libby P, et al, eds. Braunwald’s heart disease: a textbook of cardiovascular medicine. 10th ed. Philadelphia: Elsevier; 2012: 1095–1143.
• 6. Boersma E, Maas ACP, Deckers JW, et al. Early thrombolytic treatment in acute myocardial infarction: reappraisal of the golden hour. Lancet 1996; 348: 771–775.
• 7. Lassen JF, Bøtker HE, Terkelsen CJ. Timely and optimal treatment of patients with STEMI. Nat Rev Cardiol 2012; 10(1): 41–48, doi: 10.1038/nrcardio.2012.156.
• 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: 20–25, doi: 10.1016/j.ienj.2015.09.003.
• 9. Koc S, Durna Z, Akin S. Interpretation of symptoms as a cause of delays in patients with acute myocardial infarction, Istanbul. East Mediterr Health J 2017; 23(4): 287–294.
• 10. 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): 13–20, doi: 10.1016/j.aucc.2016.04.002.
• 11. Dharma S, Juzar DA, Firdaus I, et al. Acute myocardial infarction system of care in the third world. Neth Heart J 2012; 20: 254–259, doi: 10.1007/s12471-012-0259-9.
• 12. Khan MS, Jafary FH, Faruqui AM, et al. High prevalence of lack of knowledge of symptoms of acute myocardial infarction in Pakistan and its contribution to delayed presentationto the hospital. BMC Public Health 2007; 7: 1–8, doi: 10.1186/1471-2458-7-284.
• 13. Leslie WS, Urie A, Hooper J, et al. Delay in calling for help during myocardial infarction: reasons for the delay and subsequent pattern of accessing care. Heart 2000; 84: 137–141, doi: 10.1136/heart.84.2.137.
• 14. Whitaker S, Baldwin T, Tahir M, et al. Public knowledge of the symptoms of myocardial infarction : a street survey in Birmingham, England. Fam Pract 2012; 29: 168–173, doi: 10.1093/fampra/cmr079.
• 15. O’Brien F, O’Donnell S, McKee G, et al. Knowledge, attitudes, and beliefs about acute coronary syndrome in patients diagnosed with ACS: an Irish cross-sectional study. Eur J Cardiovasc Nurs 2013; 12(2): 201–208, doi: 10.1177/1474515112446544.
• 16. 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): 398–409, doi: 10.1016/j.hrtlng.2007.02.001.
• 17. Reiners GM. Understanding the differences between Husserl’s (descriptive) and Heidegger’s (interpretive) phenomenological research. J Nurs Care 2012; 1(5): 1–3, doi: 10.4172/2167-1168.1000119.
• 18. Padilla-Diáz M. Phenomenology in educational qualitative research: philosophy as science or philosophical science? Int J Educ Excell 2015; 1(2): 101–110.
• 19. Ministry of Health of the Republic of Indonesia. Infodatin: heart health situation [Internet]. Republic of Indonesia: Data and information Center of Ministry of Health; 2014. Available from URL: http://www.depkes.go.id/download.php?file=download/pusdatin/ infodatin/infodatin-jantung.pdf.
• 20. Gentles SJ, Charles C, Ploeg J, et al. Sampling in qualitative research: insights from an overview of the methods literature. Qual Rep 2015; 20(11): 1772–1789.
• 21. Streubert HJ, Carpenter DR. Qualitative research in nursing: advancing the humanistic imperative. 5th ed. Philadephia: Lippincott Williams & Wilkins; 2011: 90.
• 22. Vaismoradi M, Turunen H, Bondas T. Content analysis and thematic analysis: Implication for conducting a qualitative descriptive study. Nurs Health Sci 2013; 15(3): 398–405, doi: 10.1111/nhs.12048.
• 23. Clarke V, Braun V. Teaching thematic analysis: overcoming challenges and developing strategies for effective learning. Psychologist 2013; 26(2): 120–123.
• 24. Ribeiro V, Melão F, Rodrigues JD, et al. Perception of illness symptoms in patients with acute coronary syndrome: a need to improve. Rev Port Cardiol 2014; 33(9): 519–523, doi: 10.1016/j.repc.2013.09.017.
• 25. 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): 26–33, doi: 10.1016/j.ejcnurse.2008.05.001.
• 26. Intas G, Tsolakoglou J, Stergiannis P, et al. Do Greek citizens have minimum knowledge about heart attack? A survey. Health Science Journal 2015; 9(55): 1–6.
• 27. Darsin Singh SK, Ahmad A, Rahmat N, et al. Nurse-led intervention on knowledge, attitude and beliefs towards acute coronary syndrome. Nurs Crit Care 2016: 1–6, doi: 10.1111/nicc.12240.
• 28. 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): 183–186.
• 29. 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: 97–103, doi: 10.1016/j.ijcard.2003.04.059.
• 30. Joob B, Wiwanitkit V. Acute chest pain: what about the time before visiting to the physician? J Acute Dis 2013; 2(4): 330–331, doi: 10.1016/S2221-6189(13)60154-7.
• 31. 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 2015; 69(3): 279–285, doi: 10.1016/j.rec.2015.07.029.

Identifiers

ISSN

2084-4212