The Influences of Anxiety, Attitudes, Beliefs, and Knowledge about Symptoms on Decision-Making Time in Seeking Treatment in Patients with Acute Coronary Syndrome
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Abstract
Purpose: This study aimed to study the influences of anxiety, attitudes, beliefs and knowledge about symptoms on decision-making time in seeking treatment in patients with acute coronary syndrome (ACS).
Design: Predictive correlation research design.
Methods: The study samples included 179 patients with ACS who received treatment at two tertiary hospitals in Bangkok metropolitan area. Data were collected using questionnaires on demographic, health status, pre-hospital time, Visual Analogue Scale of Anxiety and Acute Coronary Syndrome Response Index. Data were analyzed using descriptive statistics and logistic regression analysis.
Main findings: Median decision-making time in seeking treatment of patients with ACS was 66 minutes from onset. Anxiety, attitudes, beliefs, and knowledge about symptoms were 38.7% accounted for the variance in decision-making time in seeking treatment. Very high knowledge about symptoms (OR = 26.26, 95%CI = 2.60, 264.97), appropriated beliefs about symptoms (OR = 4.97, 95%CI = 1.09, 22.72), appropriated attitudes about symptoms (OR = 2.42, 95%CI = 1.05, 5.59), and low anxiety (OR = .12, 95%CI = .03, .47) were statistically significant predictors of decision-making time in seeking treatment.
Conclusion and recommendations: All variables influence decision-making time in seeking treatment. Hence, nurses should advise typical, atypical, and related symptoms of ACS to patients and people who are at risks for ACS in order to improve their knowledge, appropriated attitudes and beliefs about symptoms. Therefore, these will promote rapid decision-making time in seeking treatment of patients with ACS.
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