急诊胸痛患者院前延迟行为意向现状及影响因素分析

目的探讨急诊胸痛患者院前延迟行为意向现状及其影响因素。方法选取2017年4月至2018年9月在我院救治的急诊胸痛患者273例为研究对象,采用我院自制的急诊胸痛患者院前延迟行为意向测评表评估急诊胸痛患者院前延迟行为意向现状及影响因素。结果273例急诊胸痛患者院前延迟行为意向得分(59.85±14.35)分。单因素分析显示,年龄、学历、医疗费用承担情况、家庭人均月收入、居住情况、家庭住地、体检情况、患病史/家族史、自己或家人是否接受过急救培训、转运方式、进院前是否寻求帮助是影响急诊胸痛患者院前延迟行为意向的相关因素(P<0.05)。多元逐步回归分析显示,年龄、家庭人均月收入、体检情况、患病史/家族史、自己或家人是否接受过急救培训是影响急诊胸痛患者院前延迟行为意向的独立危险因素(P<0.05)。结论急诊胸痛患者院前延迟行为意向呈现中等水平,医护人员需要重视急诊胸痛患者对症状的习惯反应,加强教育和急救系统的运用,督促相关患者定期体检。

Analysis on current status of pre-hospital delayed behavior intention and its influencing factors in patients with chest pain in emergency department

Objective To investigate the current status of pre-hospital delayed behavior intention and its influencing factors in patients with chest pain in emergency department.Methods To select 273 cases of patients with emergency chest pain treated in our hospital from April 2017 to September 2018 as the study subjects.The self–made assessment form of pre-hospital delayed behavior intention for emergency chest pain patients in our hospital was used to evaluate the current status of pre-hospital delayed behavior intention and its influencing factors in patients with chest pain in emergency department.Results The 273 cases of patients with chest pain in emergency department had a pre-hospital delayed behavior intention score of(59.85±14.35)points.Univariate analysis showed that the age,education background,undertaking of medical expenses,family income per capita,living conditions,family residence,physical examination,medical history/family history,whether they or their family members have received first aid training,transfer methods,whether to seek help before admission were all the related factors of pre-hospital delayed behavior intention in patients with chest pain in emergency department(P<0.05).Multiple stepwise regression analysis showed that the age,family income per capita,physical examination,medical history/family history,and whether they or their family members have received first aid training were all the independent risk factors of pre-hospital delayed behavior intention in patients with chest pain in emergency department(P<0.05).Conclusion The pre-hospital delayed behavior intention of patients with chest pain in emergency department was moderate.Medical staff need to pay attention to the habitual response to symptoms in patients with chest pain in emergency department,strengthen the use of education and emergency system,and urge related patients to undergo regular physical examination.