Social Demographic Factor on Early Detection Ability of Acute Coronary Syndrome in Blitar Regency Indonesia
DOI:
https://doi.org/10.30994/jnp.v6i2.368Keywords:
ACS, early detection, socio demographicAbstract
Background: The prevalence of ACS in Indonesia is high, at least 2 million people in Indonesia are diagnosed with ACS. It is one of the main causes of death among adults in many countries around the world, including Indonesia with prevalence of heart disease in Indonesia is estimated at 2 million ACS cases. One of the causes of the high ACS mortality rate is a prehospital delay. Decision time delay refers to the length of time the patient takes for early detection or to make a decision to seek help. This study will focus on the influence of social demographic factors on the ability of early detection of ACS.
Purpose: This study aims to explain the relationship between treatment-seeking behavior, transportation, and socio-demographic factors (age, gender, socio-economic, educational status, health insurance).
Methods: A prospective cross-sectional study was conducted in this study. The samples will be obtained in Blitar regency with 22 public health center sub-districts with sample 126 respondents. The correlation among variables was analyzed using chi-squared (?2), and for determining the dominant factors, multiple logistic regression with the enter method was used. A p value <0.05 was considered significant.
Results: The study found that the age, health insurance status, education level, and employment status of the patients were significant factors for early detection. Delay to early detection increased with the increase in age of the patients, although it was not significant by logistic regression.
Conclusions: This study reveals that several sociodemographic factors that can affect early detection abilities are education, employment status, and health insurance.
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Al Barmawi, M., Al Hadid, L. A., & Al Kharabshah, M. (2021). Reasons for delay in seeking healthcare among women with acute coronary syndrome from rural and urban areas in Jordan. Https://Doi.Org/10.1080/07399332.2021.1955889, 43(1–3), 293–308. https://doi.org/10.1080/07399332.2021.1955889.
Allana, S., Moser, D. D. K., Ali, D. T. S., & Khan, D. A. H. (2018). Sex differences in symptoms experienced, knowledge about symptoms, symptom attribution, and perceived urgency for treatment seeking among acute coronary syndrome patients in Karachi Pakistan. Heart & Lung, 47(6), 584–590. https://doi.org/10.1016/J.HRTLNG.2018.06.009.
Arrebola-Moreno, M., Petrova, D., Garcia-Retamero, R., Rivera-López, R., Jordan-Martinez, L., Arrebola, J. P., Ramírez-Hernández, J. A., & Catena, A. (2020). Psychological and cognitive factors related to prehospital delay in acute coronary syndrome: A systematic review. International Journal of Nursing Studies, 108, 103613.
Arrebola-Moreno, M., Petrova, D., Garcia-Retamero, R., Rivera-López, R., Jordan-Martínez, L., Arrebola, J. P., Ramírez-Hernández, J. A., & Catena, A. (2020). Psychological and cognitive factors related to prehospital delay in acute coronary syndrome: A systematic review. International Journal of Nursing Studies, 108, 103613. https://doi.org/10.1016/J.IJNURSTU.2020.103613.
Arrebola?Moreno, M., Petrova, D., Garrido, D., Ramírez?Hernández, J. A., Catena, A., & Garcia?Retamero, R. (2020). Psychosocial markers of pre?hospital decision delay and psychological distress in acute coronary syndrome patients. British Journal of Health Psychology, 25(2), 305–323.
Arrebola-Moreno, M., Petrova, D., Garrido, D., Ramírez-Hernández, J. A., Catena, A., & Garcia-Retamero, R. (2020). Psychosocial markers of pre-hospital decision delay and psychological distress in acute coronary syndrome patients. British Journal of Health Psychology, 25(2), 305–323. https://doi.org/10.1111/BJHP.12408.
Chau, P. H., Moe, G., Lee, S. Y., Woo, J., Leung, A. Y. M., Chow, C. M., Kong, C., Lo, W. T., Yuen, M. H., & Zerwic, J. (2018). Low level of knowledge of heart attack symptoms and inappropriate anticipated treatmentseeking behaviour among older Chinese: A crosssectional survey. Journal of Epidemiology and Community Health, 72(7), 645–652. https://doi.org/10.1136/JECH-2017-210157.
Darsin Singh, S. K., Ahmad, A., Rahmat, N., & Hmwe, N. T. T. (2018). Nurse-led intervention on knowledge, attitude and beliefs towards acute coronary syndrome. Nursing in Critical Care, 23(4), 186–191. https://doi.org/10.1111/NICC.12240.
Demisse, L., Alemayehu, B., Addissie, A., Azazh, A., & Gary, R. (2022). Knowledge, Attitudes and Beliefs About Acute Coronary Syndrome Among Patients Diagnosed With Acute Coronary Syndrome, Addis Ababa, Ethiopia. https://doi.org/10.21203/rs.3.rs-1435311/v1.
Garrido, D., Petrova, D., Catena, A., Ramírez-Hernández, J. A., & Garcia-Retamero, R. (2020). Recognizing a Heart Attack: Patients’ Knowledge of Cardiovascular Risk Factors and Its Relation to Prehospital Decision Delay in Acute Coronary Syndrome. Frontiers in Psychology, 11, 2056. https://doi.org/10.3389/FPSYG.2020.02056/BIBTEX.
Hadid, L. A. A., Al Barmawi, M., Al Hmaimat, N. A. A., & Shoqirat, N. (2020). Factors Associated with Prehospital Delay among Men and Women Newly Experiencing Acute Coronary Syndrome: A Qualitative Inquiry. Cardiology Research and Practice, 2020. https://doi.org/10.1155/2020/3916361.
Hayajneh, A. A., Rababa, M., Al-Nusour, E. A., & Alsatari, E. S. (2021). Predictors of depression amongst older adults with acute coronary syndrome seeking emergency care. International Journal of Clinical Practice, 75(7). https://doi.org/10.1111/IJCP.14203.
Hoschar, S., Albarqouni, L., & Ladwig, K.-H. (2020). A systematic review of educational interventions aiming to reduce prehospital delay in patients with acute coronary syndrome. Open Heart, 7(1), e001175.
Kemenkes, R. I. (2021). Profil Kesehatan Indonesia 2020. Kementrian Kesehatan Republik Indonesia, 139.
Khaled, M. F. I., Adhikary, D. K., Islam, M. M., Alam, M. M., Rahman, M. W., Chowdhury, M. S. I. T., Perveen, R., Ahmed, S., Ashab, E., & Shakil, S. S. (2022). Factors Responsible for Prehospital Delay in Patients with Acute Coronary Syndrome in Bangladesh. Medicina, 58(9), 1206.
Knoery, C. R., Heaton, J., Polson, R., Bond, R., Iftikhar, A., Rjoob, K., McGilligan, V., Peace, A., & Leslie, S. J. (2020). Systematic review of clinical decision support systems for prehospital acute coronary syndrome identification. Critical Pathways in Cardiology, 19(3), 119.
Mirzaei, S., Steffen, A., Vuckovic, K., Ryan, C., Bronas, U. G., Zegre-Hemsey, J., & DeVon, H. A. (2020a). The association between symptom onset characteristics and prehospital delay in women and men with acute coronary syndrome. European Journal of Cardiovascular Nursing, 19(2), 142–154.
Mirzaei, S., Steffen, A., Vuckovic, K., Ryan, C., Bronas, U. G., Zegre-Hemsey, J., & DeVon, H. A. (2020b). The association between symptom onset characteristics and prehospital delay in women and men with acute coronary syndrome. European Journal of Cardiovascular Nursing, 19(2), 142–154. https://doi.org/10.1177/1474515119871734.
Mujtaba, S. F., Sohail, H., Ram, J., Waqas, M., Hassan, M., Sial, J. A., Naseeb, K., Saghir, T., & Karim, M. (2021). Pre-hospital Delay and Its Reasons in Patients With Acute Myocardial Infarction Presenting to a Primary Percutaneous Coronary Intervention-Capable Center. Cureus, 13(1). https://doi.org/10.7759/CUREUS.12964.
Schiavone, M., Gobbi, C., Biondi-Zoccai, G., D’Ascenzo, F., Palazzuoli, A., Gasperetti, A., Mitacchione, G., Viecca, M., Galli, M., & Fedele, F. (2020). Acute coronary syndromes and Covid-19: exploring the uncertainties. Journal of Clinical Medicine, 9(6), 1683.
Stolic, S., Lin, F., & Mitchell, M. (2019). Randomized Controlled Trial of Symptom Management Patient Education for People with Acute Coronary Syndrome. Journal of Nursing Care Quality, 34(4), 340–345. https://doi.org/10.1097/NCQ.0000000000000383.
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