Psychological and cognitive factors related to prehospital delay in acute coronary syndrome: A systematic review

Arrebola‐Moreno, Mercedes; Petrova, Dafina; García‐Retamero, Rocío; Jordán-Martínez, Laura; Arrebola, Juan Pedro; Ramírez-Hernández, J.A.; Catena, Andrés

doi:10.1016/j.ijnurstu.2020.103613

Cited by 25 publications

(22 citation statements)

References 68 publications

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“…This is underscored by the health belief model that predicts that individuals will take action to avoid or alleviate symptoms or illness when they perceive that they are susceptable to it and precived that there will be negative consequence from failing to take action i.e, the consequence may be worse ( 42 ). This finding is consistent with the result of other similar studies( 43 , 44 ). Perceived threat was significantly associated with adequate treatment seeking behavior, in which people who have an insight about the potential consequences of a disease will naturally seek treatment early.…”

Section: Discussionsupporting

confidence: 94%

Treatment seeking behaviours and associated factors among patients experiencing acute coronary syndrome using health belief model in Addis Ababa, Ethiopia

Beza

Bekele

Addissie

et al. 2022

Ethiop J Health Sci

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BACKGROUND: Acute coronary syndrome (ACS) is a lifethreatening condition. The mortality rate will be reduced if immediate treatment is provided. Patients' awareness of ACS is limited, so they do not seek help as quite often as they should. The level of treatment seeking behavior and associated factors among ACS patients admitted to three hospitals in Addis Ababa, Ethiopia, were assessed using a health belief model.METHODS: A cross-sectional study was conducted among 330 ACS patients from November 2019 to December 2020. Sociodemographic and clinical variables data were extracted using pre-tested checklist. The outcome and other variables data were collected using the checklist and structured questionnaire. The data were entered into Epi-data 3.1 and exported to STATA 17.1 for analysis. Descriptive statistics relevant to the variable wasperformed. A multivariable logistic regression was used to identify factors associated with treatment seeking behavior.RESULTS: This study revealed that the mean time from symptom onset to arrival at the emergency unit (EU) was 24 ± 19.5 hours, slightly < half of the participants (n=149, 45.1 %) had adequate treatment seeking behavior. Perceived threat (AOR=1.03,95% CI:1.01-1.06, p=0.002), perceived benefits (AOR=1.09, 95%CI: 1.02-1.0, p≤0.001), self-efficacy (AOR=1.16, 95% CI :1.01- 1.22, p≤ 0.001), education (AOR=2.2,95%CI:1.31-3.9, p≤0.01) selfautonomy (AOR=3.1,95%CI:1.82-5.4, p<.001) and no depression (AOR=1.9,95%CI:1.1-3.3, p≤0.05) were found to have significantly association with adequate treatment seeking behavior.CONCLUSION: This study indicates, less than half of ACS patients had adequate treatment seeking behavior. Thus, contextspecific behavioral interventions, along with public awareness campaigns about ACS, should be implemented.

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Section: Discussionsupporting

confidence: 94%

Treatment seeking behaviours and associated factors among patients experiencing acute coronary syndrome using health belief model in Addis Ababa, Ethiopia

Beza

Bekele

Addissie

et al. 2022

Ethiop J Health Sci

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show abstract

“…This conclusion can be corroborated by the finding that job burnout can result in the exhaustion of energy, make employees delay decisions (Roster and Ferrari, 2020 ), and be prone to have a more risky decision-making style (Michailidis and Banks, 2016 ). In addition, it is reported that burnout is a non-negligible cause and source of depression (Johansson et al, 2011 ); meanwhile, depression in patients with cardiac diseases is found associated with delay in seeking medical care (Arrebola-Moreno et al, 2020a ). In fact, job burnout is often understood as the chronic depletion of an individuals' physical, emotional, and cognitive energy resources (Nguyen et al, 2010b ; Salpigktidis et al, 2016 ).…”

Section: Discussionmentioning

confidence: 99%

Job Burnout Is Associated With Prehospital Decision Delay: An Internet-Based Survey in China

et al. 2022

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BackgroundPrehospital delay is associated with non-modifiable factors such as age, residential region, and disease severity. However, the impact of psychosocial factors especially for job burnout on prehospital decision delay is still little understood.MethodThis internet-based survey was conducted between 14 February 2021 and 5 March 2021 in China through the Wechat platform and web page. Self-designed questionnaires about the expected and actual length of prehospital decision time and the Chinese version of Maslach Burnout Inventory-General Survey, Type D Personality Scale-14, and Social Support Rating Scale were applied. A total of 1,039 general participants with a history of perceptible but tolerable body discomfort were included.ResultsThe top six reasons for prehospital decision delay were: (1) endure until self-healing (50.7%), (2) too busy to ask for leave (40.3%), (3) process for seeing a doctor too complicated (35.8%), (4) too tired after work (26.2%), (5) worry about the expenditure (16.6%), and (6) fear of being identified as with serious problem (14.5%). The univariate analyses revealed that older age (p = 0.001), type D personality (p = 0.025), job burnout (p = 0.055), and worrying about expenditure (p = 0.004) were associated with prolonged prehospital decision time, while engaged in medical-related job (p = 0.028) and with more social support (p = 0.066) would shorten the delay. The multivariate analysis using logistic regression model with forward selecting method showed that age [per 10 years, odds ratio (OR) 1.19 (1.09–1.31), p < 0.001], job burnout [per 10 points in Maslach Burnout Inventory-General Survey (MBI-GS), OR 1.17 (1.04–1.31), p = 0.007], and worrying about expenditure [OR 1.75 (1.25–2.47), p = 0.001] were the three determinants for prehospital decision delay (>7 days). Mediating effects were analyzed by using bias-corrected percentile bootstrap methods (N = 10,000). Social support was found partially mediated the relationship between the determinants and prehospital decision time. The partial mediating effect of social support accounted for 24.0% of the total effect for job burnout and 11.6% for worrying about expenditure.ConclusionPsychosocial factors have a non-negligible impact on prehospital decision delay. The crucial part of prehospital decision delay may be the lack of motivation inside. Job burnout and lack of social support, as two commonly seen features in the modern world, should be given enough consideration in disease prevention and treatment.

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“…While there is geographical variation, roughly half of patients with ACS do not directly call emergency services 3. The main reason for failing to seek immediate care is that patients do not perceive their symptoms to be related to an important health problem; this form of patient delay is more common in women, those of older age, and those with a large burden of chronic disease 345. Classically, ACS presents as a sense of pressure radiating across the chest and down the left arm.…”

Section: Why Is Acute Coronary Syndrome Missed?mentioning

confidence: 99%

Recognising acute coronary syndrome

Harskamp

Fanaroff

Zhen

et al. 2022

BMJ

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Psychological and cognitive factors related to prehospital delay in acute coronary syndrome: A systematic review

Cited by 25 publications

References 68 publications

Treatment seeking behaviours and associated factors among patients experiencing acute coronary syndrome using health belief model in Addis Ababa, Ethiopia

Treatment seeking behaviours and associated factors among patients experiencing acute coronary syndrome using health belief model in Addis Ababa, Ethiopia

Job Burnout Is Associated With Prehospital Decision Delay: An Internet-Based Survey in China

Recognising acute coronary syndrome

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