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Assiut Scientific Nursing Journal
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Ahmed, S., El-dien, M., Mekkawy, M. (2014). Factors associated with pre-hospital delay among patients with Acute Myocardial Infarction attending Assiut University Hospital. Assiut Scientific Nursing Journal, 2(4), 97-110. doi: 10.21608/asnj.2014.58670
Shymaa Helmy Ahmed; Mohammed Hossam El-dien; Mimi Mohammed Mekkawy. "Factors associated with pre-hospital delay among patients with Acute Myocardial Infarction attending Assiut University Hospital". Assiut Scientific Nursing Journal, 2, 4, 2014, 97-110. doi: 10.21608/asnj.2014.58670
Ahmed, S., El-dien, M., Mekkawy, M. (2014). 'Factors associated with pre-hospital delay among patients with Acute Myocardial Infarction attending Assiut University Hospital', Assiut Scientific Nursing Journal, 2(4), pp. 97-110. doi: 10.21608/asnj.2014.58670
Ahmed, S., El-dien, M., Mekkawy, M. Factors associated with pre-hospital delay among patients with Acute Myocardial Infarction attending Assiut University Hospital. Assiut Scientific Nursing Journal, 2014; 2(4): 97-110. doi: 10.21608/asnj.2014.58670

Factors associated with pre-hospital delay among patients with Acute Myocardial Infarction attending Assiut University Hospital

Article 11, Volume 2, Issue 4, December 2014, Page 97-110  XML PDF (644.78 K)
Document Type: Original Article
DOI: 10.21608/asnj.2014.58670
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Authors
Shymaa Helmy Ahmed1; Mohammed Hossam El-dien2; Mimi Mohammed Mekkawy3
1Demonstrator in Adult of Nursing, Faculty of Nursing, Qena University.
2Professor of internal medicine, Faculty of medicine, Assiut University.
3Assistant professor of Adult of Nursing, Faculty of Nursing, Assiut University.
Abstract
Delay in seeking medical care following symptoms onset in patients with acute myocardial infarction lead to increased morbidity and mortality. Aim: to identify the factors associated with pre-hospital delay among patients with AMI. Subjects and methods: the study was conducted in the coronary care unit in the internal medicine department & emergency department. Study design: descriptive correlation design was utilized in this study. The subjects of this study consisted of 100 patients who were admitted in the mentioned settings. Tools: Tool one: Structured Interview questionnaire sheet, Tool two: The Modified Response to Symptoms Questionnaire (MRSQ).Results: the majority of the studied patients were male (83%), (84%) were married, (44%) illiterate, (47%) their age (≥ 60 years), (44%) unemployed. Conclusions: a highly statistical significant relation was found between distance, mode of transportation, nature of pain and prehospital delay. The study findings also concluded that significant relation exists between levels of anxiety, ability to control symptoms, seriousness of symptoms and prehospital delay. Significant relation was also present between symptoms attribution to the heart, indigestion and pre hospital delay. Recommendations: utilizing the mass media and health classes in different health agencies to increase awareness of people about the disease .
Keywords
Acute myocardial infarction; prehospital delay & Ischemic heart disease
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