Factors Linked to Delayed Reference of Myocardial Infarction Patients toEmergency Department of Sabzevar Vaseii Hospital in 1390-91

Document Type : Original Article

Authors

1 Faculty Member of Nursing and Midwifery School, Sabzevar University of Medical Sciences, Sabzevar, Iran

2 BSc. in Nursing, Sabzevar University of Medical Sciences, Sabzevar, Iran

3 Phd. candidate, Faculty Member of Nursing and Midwifery School, Sabzevar University of Medical Sciences, Sabzevar, Iran

Abstract

Background and Aims:Delayed reference ofmyocardial infarction patients to Emergency Department is one of the major factors of their morbidity and mortalities or their chronic disease.Therefore, this study aimed to investigate the Factors involved indelayed referenceof myocardial infarction patients tohospital emergency department.
Materials and Methods:This cross-sectional study was done on 148 MI patients  who postponedreferingto the emergency department applyingpurposive sampling. The scale of assessment includesa  questionnairewhose  reliability and validity was confirmed.After collecting the needed data, The Spss 11.5was applied to analyze them.Thenthey were assessed as descriptive statistics and the chi-square teston a confidence interval of 95% computed.
Results: Recovering with rest, lack of familiarity with the symptoms of heart diseases and unfamiliarity with atypical symptoms of heart problems, simultaneous diseases such as diabetes and fear of hospital expenses were the important factors which madethe patientsput off goingto the emergency department. Other reasonswere thetraditional ways oftreatmentwithherbals,lack ofaccompanyand support, fear of hospitalization, chronic exhaustion and finally the musculoskeletal pains.
Conclusion:According to the findings and unfamiliarity ofmyocardial infarction Patients with the symptoms of myocardial infarction, educatingthe communityabout thedisease symptoms and the importance ofearly reference for treatment, is necessary. Furthermore, it is essential to Educatethe community and patients about the selftreatment outcomes and the need of thrombolytic therapy.

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