Predictive Factors of Delayed Treatment-Seeking among Patients with Non-ST Elevation Myocardial Infarction (NSTEMI)
Keywords:
Delayed treatment-seeking, NSTEMI, healthcare accessibilityAbstract
This study aimed to examine the predictors of delayed hospital presentation among patients with non–ST-segment elevation acute coronary syndrome (NSTE-ACS), including access to health care services, disease-related knowledge, social support, and perceived health status. The sample consisted of 129 patients with acute coronary syndrome who attended the outpatient department of Lang Suan Hospital, Chumphon Province. Participants were selected using simple random sampling. Research instruments included a demographic questionnaire, the Health Care Access Scale, the Disease Knowledge Questionnaire, the Social Support Scale, and the Perceived Health Status Scale. Data were analysed using descriptive statistics, Pearson’s correlation analysis, and stepwise multiple regression analysis.
The results revealed that access to health care services (β=−0.34, p< .001), heart disease knowledge (β=−0.27, p=.017), social support (β=−0.23, p=.019), and perceived health status (β=0.18, p=.027) were significant predictors of delayed hospital presentation. Together, these four variables explained 37% of the variance in time to hospital presentation (Adjusted R² = 0.34, p < .001), with access to health care services identified as the strongest predictor.
The findings highlight the importance of strengthening health care service systems, enhancing disease-related knowledge, and reinforcing social support to promote timely access to treatment and reduce morbidity and mortality associated with acute ischemic heart disease.
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