Turkish patients' decision-making process in seeking treatment for myocardial infarction.
OBJECTIVE
The purpose of this study was to reveal how Turkish patients experiencing acute myocardial infarction (AMI) for the first time decide to seek medical treatment following the initiation of the symptoms.


METHODS
This qualitative study was carried out by using the grounded theory. Data were collected in a university hospital cardiology clinic in Turkey between March 2009 and March 2010. The sample comprised 30 patients having experienced AMI for the first time. The data were collected by an in-depth interview technique via a semistructured interview form. All of the interviews were recorded using a tape-recorder.


RESULTS
The median decision-making time was 90 min. Two main themes emerged at the end of the study: "feeling of abnormality" and "thinking the situation is critical". Deciding to seek medical help was found to be a process which emerges with the severity of symptoms, an inability to manage symptoms, fear, and extrinsic factors.


CONCLUSIONS
The results of this study show the importance of being aware of the symptoms when deciding to seek treatment. It is recommended to develop training programs about AMI symptoms and the importance of receiving early medical help by targeting society in general and the individuals with a diagnosis of coronary artery disease and their relatives in particular, and to organize awareness-raising campaigns supported by the media.
Institute of Health Sciences, Internal Medicine Nursing, Dokuz Eylul University, Izmir, Turkey.
Tuğba
T
Yardimci
Hatice
H
Mert
D003657:Decision Making; D005260:Female; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000628:therapy*; D010342:Patient Acceptance of Health Care; D010361:Patients / Q000523:psychology*; D014421:Turkey
decision-making; myocardial infarction; nursing; pre-hospital delay; qualitative research