1Clinical Demonstrator of Gerontological Nursing, Faculty of Nursing, Assiut University.
2Assistant Professor of Gerontological Nursing, Faculty of Nursing, Assiut University.
3Lecturer of Cardiovascular Medicine, Faculty of Medicine, Assiut University.
Abstract
Background: Myocardial infarction is the leading cause of global morbidity and mortality. More than 3 million individuals develop ST-segment elevation myocardial infarction yearly. Timely management of myocardial infarction is curious to improve survival and outcomes. Aim: To assess knowledge and prehospital delay for elderly patients presenting with acute myocardial infarction undergoing primary percutaneous coronary intervention. Research design: Descriptive research. Setting: The study was conducted in cardiac catheterization and coronary care unit at Assuit University Heart Hospital. Sample: A convenient sample of 208 patients. Tools, Tool I: Demographic and medical data questionnaire. Tool (II): A questionnaire for assessing patient's knowledge about myocardial infarction was collected for all patients. Results: 208 patients were included (71.6% males, age 70.1±4.4). 65.9% of patients had poor knowledge about myocardial infarction (< 50%). Also, (85.9%) of patients with poor knowledge reached hospital after more than 6hours from symptoms onset. However, 44.4% of patients with fair or good knowledge reached hospital in less than 2hours. Patients with longer prehospital delays had longer hospital stay and more complications (p-value = 0.045) compared with those who presented earlier. Conclusion: The study underscores the critical role of patient knowledge about myocardial infarction in reducing prehospital delay and its impact on hospital stay and clinical outcomes. Recommendation: Organize regular awareness programs to educate elderly people about myocardial infarction symptoms and seek prompt medical treatment.
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