急性冠脉综合征患者求医延误影响因素的调查分析

Investigation of Influencing Factors of Treatment Delay in Patients with Acute Coronary Syndrome

目的了解急性冠脉综合征(acute coronary syndrome,ACS)患者求医延误的相关因素。方法通过自制问卷调查186例ACS患者发病至就诊的时间,以及患者的一般资料、起病时的周围人群、对疾病的认知及患者自认为本次就诊过程中最耽误时间的环节。结果ACS患者从出现症状至决定求医、途中、入院等环节均有不同时间的延误,其中以决定求医时间延误最长;女性、65岁以上、凌晨起病、起病时家人在场和独自1人、无相关疾病及用药史、未接受过相关宣教、起病先期经过自我处置的患者更易发生求医延误。结论ACS患者在多个环节存在求医延误现象,有必要根据求医延误的影响因素,在社区普及ACS相关知识,以最大程度地减少ACS患者救治的延误。

Objective To investigate the influencing factors ot treatment delay in patients with acute coronary syndrome （ACS）. Methods A self-designed questionnaire was used to survey 286 ACS patients; the questions included the period from ACS onset to treatment, the general data of patients, contacting population, recognition of disease by the patients, and self-deemed reasons for delay. Results Prehospital delay occurred in the decision of visiting a doctor, time spent on the trip, admission to hospital, etc; among them the decision of visiting a doctor took the longest time. Female sex, old age, activity at night, living alone, poor economic condition, and lack of health education were all common causes of delay in treatment. Conclusion Delay in treatment may occur in many steps; health education should be enhanced in ACS patients, especially on ACS-related knowledge in the community, so as to reduce the delay in treatment of ACS patients.