Factors Influencing Time-to-hospital Decision in Patients with Sepsis
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Abstract
Purpose: To explore the duration of time-to-hospital decisions in patients with sepsis and its influencing factors including identity (perceived symptoms), time-line (perceived duration of the illness), consequences (expected effects and outcome), cause (perceived etiology), cure control, and emotional response.
Design: Correlational predictive design.
Methods: The subjects were 123 patients with sepsis aged 18 years and over and admitted to a tertiary care hospital in Bangkok. The instruments consisted of three questionnaires: Mini-Cog for patients aged over 60 years, Demographic Data Form, and Brief Illness Perception questionnaire. Descriptive statistics, one-way ANOVA, and multiple linear regression were used for data analysis.
Main findings: The sample had a mean age of 66.52 years, and 51.2% were males. The duration of time-to-hospital decisions was 33 hours 50 minutes. All study factors could together explain 34.9% (R2 = .35) of the variance in the duration of time-to-hospital decisions. The significant predicting factors included identity, timeline, and cause (cause-related illness and unknown cause).
Conclusion and recommendations: Identity, timeline, and cause could predict the duration of time-to-hospital decision. The results are beneficial to nurses and health team for developing an intervention or guidance for patients and relatives to be able to monitor signs and symptoms of sepsis which leads to make an appropriate decision for hospital visit.
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