Author : Mohammad Abbasi, Reza Negarandeh, Reza Masoudi*
The related literature has shown that patients affected with acute myocardial infarction experience delays in referring to hospitals. Accordingly, delays in such referrals can lead to postponed diagnosis, treatment, and prevention of the complications of acute myocardial infarction. Thus, the purpose of this study was to explore into experiences of patients with acute myocardial infarction concerning delays in referring to hospitals. A hermeneutics-interpretive phenomenological approach was used in this qualitative study. To this end 12 participants (8 males and 4 females) were selected, using purposeful sampling method, from intensive care units of Shahid Beheshti Hospital in the city of Qom in Iran. The data were also collected via semi-structured in-depth interviews lasting between 40 and 65 minutes. To analyze the data, the Van Manens proposed six-step method was employed. The main themes emerged from the data included perceived symptoms, interpretation of symptoms, self-medication, delays in referrals, risk perception, and help-seeking behaviors. Despite the perception of the acute myocardial infarction symptoms; the study participants had interpreted the given signs, practiced self-medication, and experienced delays in referring to medical centers. Therefore, policy-makers in the domain of healthcare system could help in this regard by improving public knowledge and awareness of the symptoms of cardiovascular diseases using public media. Keywords: Delays in Referrals, Cardiac Patients, Qualitative Study.
Dr. Arend L Mapanawang, Sp.PD, FINASIM, PhD