Respon Gejala Terhadap Keterlambatan Prehospital Pada Pasien Dengan Infark Miokard Akut
Abstract
Latar Belakang: Keterlambatan prehospital pada pasien dengan infark miokard akut terjadi karena pasien mungkin merasakan gejala yang dirasa bias. Rata-rata waktu pasien tiba ke rumah sakit setelah munculnya gejala adalah 3 jam keterlambatan.
Tujuan: Penelitian ini bertujuan untuk mengetahui hubungan respon gejala terhadap keterlambatan prehospital pada pasien dengan infark miokard akut di RSUD Ulin Banjarmasin.
Metode: Penelitian ini menggunakan pendekatan cross-sectional pada 34 pasien dan keluarga pasien di RSUD Ulin Banjarmasin. Penelitian ini dilakukan sejak 9 Desember 2017 sampai 6 Januari 2018 dengan kuesioner Response to Symptom Questionnaire.
Hasil: Hasil analisis dari 34 responden respon gejala pasien didapatkan nilai rata-rata total skor adalah 34,41 (SD 5,758). Keterlambatan prehospital didapatkan hasil dari 34 responden dengan nilai rata-rata menit adalah 825,74 atau >13 jam (SD 1213,92). Diketahui nilai signifikansi respon gejala dengan keterlambatan prehospital sebesar (p=0,366).
Simpulan: Tidak ada korelasi atau hubungan antara respon gejala terhadap keterlambatan prehospital pada pasien dengan infark miokard akut di RSUD Ulin Banjarmasin.Â
Kata kunci: Infark miokard akut, keterlambatan prehospital, respon gejala
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Background: Pre hospital delay in patients with acute myocardial infarction occurs because patients may experience symptoms that are considered biased. The average time the patient arrives to the hospital after the onset of symptoms is 3 hours of delay
Purpose: The aim this study is to determine the relation of symptomatic response to pre hospital delay in patients with acute myocardial infarction at RSUD Ulin Banjarmasin.This study used with cross-sectional design in 34 patients and patient families at Ulin Hospital Banjarmasin. This study was conducted from 9 December 2017 to 6 January 2018 with a Response to Symptom Questionnaire.
Result: From 34 respondent patient symptom response got average score total score is 34,41 (SD 5,758). Pre hospital delay was obtained from 34 respondents with mean value of minutes was 825,74 or> 13 hours (SD 1213,92). Known significance of symptom response with pre hospital delay (p = 0.366).
Conclusion: There was no correlation or association between symptomatic response to pre hospital delay in patients with acute myocardial infarction at Ulin Hospital Banjarmasin.Â
Keywords: acute myocardial infarction, pre hospital delay, symptomatic response
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UntitledReferences
Ghazawy, E. R 2015. Predictors of delay in seeking health care among myocardial infarction patients, Minia District, Egypt. Hindawi Publishing Corporation Advances in Preventive Medicine.
WHO n.d. Retrieved November 25, 2017, from The top 10 causes of death: http://www.who.int/mediacentre/factsheets/fs310/en/
Mussi, F. C 2014. Pre-hospital delay in acute myocardial infarction: judgement of symptoms and resistance to pain. Rev Assoc Med Bras, 60(1):63-69
Koc, S 2017. Interpretation of symptoms as a cause of delays in patients with acute myocardial infarction, Istanbul, Turkey . Eastern Mediterranean Health Journal .
Douglas, M. L 2015. Braunwald's heart disease : a textbook of cardiovascular medicine, 10 th Edition, Volume 2. Elsevier Saunders.
Horne, R., James, D., Patrie, K., Wienman, J., & Vincent, R. 2000. Patients' interpretation of symptos as a cause of delay in reaching hospital during acute myocardial infraction. 388.
Gonzales, M. A 2016. Factor associated with delay to reperfusion therapy in patients with STEMI in a hospital in the Southest of Mexico . Gac Med Mex, 2.
Jia, E.-Z., & Xu, Z.-X 2012. Time distribution of the onset of chest pain in subject with acute ST-elevation myocardial infarction: an eight-year, single-center study in China. Plos One, 7(3).
Gao, Y., & Zhang, H 2013. The effect of symptoms on prehospital delay time in patients with acute myocardial infarction. Journal of International medical research, 41(5). pp. 1724.
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