Should I stay or should I go? An exploration of the decision-making behavior of acute cardiac patients during the COVID-19 pandemic

被引:3
作者
Burton, S. [1 ]
Hayes, J. A. [1 ]
Morrell-Scott, N. [1 ,6 ]
Sanders, J. [2 ,3 ]
Walthall, H. [4 ]
Wright, D. J. [5 ,6 ]
Jones, I. D. [1 ,6 ]
机构
[1] Liverpool John Moores Univ, Fac Hlth, Sch Nursing & Allied Hlth, Tithebarn Bldg, Liverpool L2 2ER, Merseyside, England
[2] Queen Mary Univ London, Barts Hlth NHS Trust, St Bartholomews Hosp, London, England
[3] Queen Mary Univ London, William Harvey Res Inst, Tithebarn Bldg, London L2 2ER, England
[4] Oxford Univ Hosp NHS Fdn Trust, Oxford Biomed Res Ctr, Oxford, England
[5] Liverpool Heart & Chest Hosp, Liverpool, Merseyside, England
[6] Liverpool Ctr Cardiovasc Sci, Liverpool, Merseyside, England
来源
HEART & LUNG | 2022年 / 52卷
关键词
Decision making; Public health; COVID; 19; Myocardial infarction; Heart failure; Cardiac surgery; ACUTE MYOCARDIAL-INFARCTION; HEART-FAILURE; SYMPTOMS; MODEL; ADMISSIONS; KNOWLEDGE; OUTBREAK; HEALTH;
D O I
10.1016/j.hrtlng.2021.07.018
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background: During the SARS-COV-2 (COVID-19) pandemic efforts to reduce virus transmission resulted in non-emergency patients being deterred from seeking help. The number of patients presenting with acute cardiac conditions reduced, significantly Objectives: To explore the decision-making process, and influential factors in that process, of patients and their family during an acute cardiac event. Methods: A qualitative research design was employed using purposive sampling of patients who experienced an acute cardiac event during the social containment mandates. Semi-structured interviews were conducted, with thematic analysis of interview transcripts. Results: Twenty-five participants were recruited from three UK hospitals. Themes identified were reliance on informal support network, lack of awareness of cardiac symptoms leading to delayed help-seeking, and an indirect COVID-19 effect (e.g. avoiding treatment). Conclusions: These results highlight the need for informed public health messages, targeting patients and their support networks, that allow those in need of treatment to access care. (C) 2021 Elsevier Inc. All rights reserved.
引用
收藏
页码:16 / 21
页数:6
相关论文
共 50 条
[1]  
Abraham C, 2007, CAMBRIDGE HANDBOOK OF PSYCHOLOGY, HEALTH AND MEDICINE, 2ND EDITION, P97
[2]   Impact of the societal response to COVID-19 on access to healthcare for non-COVID-19 health issues in slum communities of Bangladesh, Kenya, Nigeria and Pakistan: results of pre-COVID and COVID-19 lockdown stakeholder engagements [J].
Ahmed, Syed A. K. Shifat ;
Ajisola, Motunrayo ;
Azeem, Kehkashan ;
Bakibinga, Pauline ;
Chen, Yen-Fu ;
Choudhury, Nazratun Nayeem ;
Fayehun, Olufunke ;
Griffiths, Frances ;
Harris, Bronwyn ;
Kibe, Peter ;
Lilford, Richard J. ;
Omigbodun, Akinyinka ;
Rizvi, Narjis ;
Sartori, Jo ;
Smith, Simon ;
Watson, Samuel, I ;
Wilson, Ria ;
Yeboah, Godwin ;
Aujla, Navneet ;
Azam, Syed Iqbal ;
Diggle, Peter J. ;
Gill, Paramjit ;
Iqbal, Romaina ;
Kabaria, Caroline ;
Kisia, Lyagamula ;
Kyobutungi, Catherine ;
Madan, Jason J. ;
Mberu, Blessing ;
Mohamed, Shukri F. ;
Nazish, Ahsana ;
Odubanjo, Oladoyin ;
Osuh, Mary E. ;
Owoaje, Eme ;
Oyebode, Oyinlola ;
Porto de Albuquerque, Joao ;
Rahman, Omar ;
Tabani, Komal ;
Taiwo, Olalekan John ;
Tregonning, Grant ;
Uthman, Olalekan A. ;
Yusuf, Rita .
BMJ GLOBAL HEALTH, 2020, 5 (08)
[3]   An embedded decisional model of stress and coping: implications for exploring treatment decision making by women with breast cancer [J].
Balneaves, LG ;
Long, B .
JOURNAL OF ADVANCED NURSING, 1999, 30 (04) :882-892
[4]   COVID-19: Reflections on trust, tradeoffs, and preparedness [J].
Balog-Way, Dominic H. P. ;
McComas, Katherine A. .
JOURNAL OF RISK RESEARCH, 2020, 23 (7-8) :838-848
[5]   Excess mortality: the gold standard in measuring the impact of COVID-19 worldwide? [J].
Beaney, Thomas ;
Clarke, Jonathan M. ;
Jain, Vageesh ;
Golestaneh, Amelia Kataria ;
Lyons, Gemma ;
Salman, David ;
Majeed, Azeem .
JOURNAL OF THE ROYAL SOCIETY OF MEDICINE, 2020, 113 (09) :329-334
[6]   Self-Control as Value-Based Choice [J].
Berkman, Elliot T. ;
Hutcherson, Cendri A. ;
Livingston, Jordan L. ;
Kahn, Lauren E. ;
Inzlicht, Michael .
CURRENT DIRECTIONS IN PSYCHOLOGICAL SCIENCE, 2017, 26 (05) :422-428
[7]   Value-based choice: An integrative, neuroscience-informed model of health goals [J].
Berkman, Elliot T. .
PSYCHOLOGY & HEALTH, 2018, 33 (01) :40-57
[8]   Cardiac symptom attribution and knowledge of the symptoms of acute myocardial infarction: a systematic review [J].
Birnbach, Benedikt ;
Hoepner, Jens ;
Mikolajczyk, Rafael .
BMC CARDIOVASCULAR DISORDERS, 2020, 20 (01)
[9]   "Do what you can with a happy heart": a longitudinal study of patient and family members' lived experiences of physical activity post-myocardial infarction [J].
Birtwistle, Sarah B. ;
Jones, Ian ;
Murphy, Rebecca ;
Gee, Ivan ;
Watson, Paula M. .
DISABILITY AND REHABILITATION, 2022, 44 (14) :3661-3670
[10]   Emergency hospital admissions and interventional treatments for heart failure and cardiac arrhythmias in Germany during the Covid-19 outbreak: insights from the German-wide Helios hospital network [J].
Bollmann, Andreas ;
Hohenstein, Sven ;
Meier-Hellmann, Andreas ;
Kuhlen, Ralf ;
Hindricks, Gerhard .
EUROPEAN HEART JOURNAL-QUALITY OF CARE AND CLINICAL OUTCOMES, 2020, 6 (03) :221-222