【摘要】 [目的]了解急性心肌梗死病人就医院前延误情况,分析影响病人就医延误的因素。[方法]采用问卷调查法,对急性心肌梗死病人的就医延误状况和影响因素进行调查与分析。[结果]病人就医院前延误中位时间为2.26h,在发病1h、2h、6h内就医者分别为20.7%、39.6%、75.0%;影响延误的因素包括:将症状归因于心脏和症状加剧促使病人及早就医;而非ST段抬高心肌梗死、凌晨发病、在家中或外出时发病以及现有吸烟史使病人就医延误。[结论]急性心肌梗死病人就医延误状况不容忽视。影响延误的因素涉及认知-行为、临床特点和环境因素。更多还原

【Abstract】 Objective: To know about the delay state to see doctor of acute myocardial infarction patients and to analyze the factors influencing delay to see doctor of patients.Methods: The delay state to see doctor of acute myocardial infarction patients and its influencing factors were investigated by filling out questionnaire. Results: The median time of delay of patients was 2.26 h.The proportions of patients came to see doctor within 1 hour,2 hours,6 hours from onset of their illness were 20.7%,39.6%,and 75.0% respectively.Patients’ symptoms due to their heart problems or symptoms aggravated would make them to see doctor in early stage.However,those acute myocardial infarction cases without ST elevated, onset in early dawn, attacked at home or outside, and with history of smoking would delay them to see doctor. Conclusion: The delay state to see doctor of acute myocardial infarction patients should not be ignored. The factors influencing them to see doctor were involved with recognition behavior of patients, clinical characteristics and environment.更多还原