Predictors of Delay in Seeking Health Care among Myocardial Infarction Patients, Minia District, Egypt

Advances in Preventive Medicine
Eman Ramadan GhazawyEman Mohamed Mahfouz

Abstract

Objectives. To determine the barriers that hinder early seeking of medical care among Minia's myocardial infarction patients. Methods. The study was based on individual interviews with 207 men and women with a first confirmed myocardial infarction (MI), admitted to the coronary care units of hospitals in Minia city in the period from April 1 to August 30, 2014. Data was collected via structured questionnaire and patient medical charts. The delay was evaluated by assisting patients to triangulate time of symptom onset and time of professional health care by placing both times in context of daily activities that participants could easily remember. Results. The median (25th, 75th percentiles) delay time was 4 (2, 10) h. Only 32.8% of patients arrived within 2 hours of symptoms onset. Variables that significantly predicted prehospital delay time were patient's misinterpretation of nature of pain with OR 8.98 (95% CI) (3.97-20.32), illiteracy 7.98 (2.77-22.95), age (>65) 5.07 (1.57-16.29), and pain resistance behavior 4.61 (2.04-10.41). Conclusions. Interventions to decrease prehospital delay must focus on improving public awareness of acute myocardial infarction symptoms and increasing their knowledge on early treatment benefits.

References

Jul 22, 1998·The American Journal of Emergency Medicine·H MeischkeM S Eisenberg
Jul 19, 2000·Heart & Lung : the Journal of Critical Care·S McKinleyK Dracup
Dec 8, 2000·Italian heart journal. Supplement : official journal of the Italian Federation of Cardiology·G Bernardi
Oct 3, 2002·The American Journal of Cardiology·Sabina A MurphyC Michael Gibson
Jun 12, 2004·European Heart Journal·C Michael GibsonUNKNOWN TIMI Study Group
Jun 19, 2004·International Journal of Cardiology·Michael Mundt OttesenLars Køber
Oct 24, 2007·European Heart Journal·Kristian ThygesenUNKNOWN Joint ESC/ACCF/AHA/WHF Task Force for the Redefinition of Myocardial Infarction
Jun 13, 2008·Journal of Advanced Nursing·Mona LøvlienTorstein Hole
Jul 19, 2008·European Journal of Cardiovascular Nursing : Journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology·Linda Perkins-PorrasAndrew Steptoe
Dec 17, 2008·Critical Care Nursing Quarterly·Mark W BirdNancy A Warren
Feb 9, 2011·International Journal for Equity in Health·Tahereh DonyaviAli Montazeri
Oct 2, 2013·Iranian Red Crescent Medical Journal·Hossein FarshidiAbdoulhossain Madani
Jun 12, 2014·Revista da Associação Médica Brasileira·Fernanda Carneiro MussiBruno Caramelli

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SPSS ( Statistical Package for the Social Sciences )

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