Su J, Xiong JM, Ke QQ, Yu HY, Zhao ZR, Yang QH. Experiences and perceptions of acute myocardial infarction patients with a prolonged decision-making phase of treatment seeking: A meta-synthesis.
J Clin Nurs 2023;
32:7891-7908. [PMID:
37353965 DOI:
10.1111/jocn.16802]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/16/2022] [Revised: 06/06/2023] [Accepted: 06/08/2023] [Indexed: 06/25/2023]
Abstract
AIMS
To describe the experiences and perceptions of acute myocardial infarction (AMI) patients with a prolonged decision-making phase of treatment-seeking.
BACKGROUND
Previous attempts to reduce the treatment-seeking time of AMI have been less than optimal. Due to the coronavirus disease 2019 (COVID-19) pandemic, the situation of prehospital delay is possibly worse. Decisions to seek treatment are influenced by multiple factors and need individualised interventions. Understanding patients' external and internal experiences and psychological perceptions is essential.
DESIGN
Meta-synthesis.
DATA SOURCES
We searched PubMed, Embase, Cochrane Library, Web of Science, Scopus and four Chinese databases from inception to April 2022.
METHODS
We screened the retrieved articles with predetermined inclusion and exclusion criteria, and reviewed articles using Thomas and Harden's (BMC Medical Research Methodology, 2008 8, 45) qualitative thematic synthesis approach. The Joanna Briggs Institute critical appraisal tool for qualitative research was used to assess the quality of studies.
RESULTS
Twenty-one studies were included, identifying four themes and nine sub-themes. The four primary themes were difficulty recognising and attributing symptoms, attempt to act, unwillingness to change and self-sacrifice.
CONCLUSION
Deciding to seek treatment is a complex social and psychological process, which needs comprehensive interventions considering personal and sociocultural factors and factors related to the COVID-19 pandemic.
IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE
Details of interventions for decisions to seek treatment in AMI patients need to be further designed and evaluated.
IMPACT
Results would help healthcare professionals to implement individualised management of decision-making of treatment-seeking among AMI patients, and improve medical records of patients' prehospital experiences.
REPORTING METHOD
The Preferred Reporting Items for Systematic Reviews 2020 checklist was used to report the findings.
PATIENT OR PUBLIC CONTRIBUTION
Two AMI patients contributed to the data synthesis by giving simple feedback about the final themes.
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