A Survey of Knowledge, Belief, Decision Making when Expecting Acute Myocardial Infarction Occurrence among Community-Dwelling Older Adults in ROI-ET Province
Keywords:acute myocardial infarction, decision making to treatment, knowledge, belief, older adults
This cross-sectional survey study aimed to examine and compare basic demographic characteristics on knowledge, belief and decision making among older adults when expecting acute myocardial infarction (AMI) occurrence. Participants were 405 community-dwelling older adults living in urban, sub-urban, and rural areas, Roi-Et Province. Multistage random sampling method was used to recruit participants. Data were collected using a set of questionnaires modified by the researchers. Test-retest reliability and Cronbach's alpha coefficient for the questionnaires were between .78-.95. Data were analyzed using descriptive statistics, independent t-test, One-way ANOVA, and Chi-square test.
Results revealed that mean age of the participants was 70.36 years old (Standard deviation=4.32). Majority were female (66.42%), living in semi-rural area (44.94%), using universal health coverage scheme (80%), no history of AMI (92.35%) and have never seen people with AMI (88.40%). Levels of knowledge on symptoms and signs, and risk factors were low. Regarding belief, older adults perceived that they are not likely to have risks of AMI, agreed that AMI is a serious situation, agreed that calling Emergency Medical Services (EMS) is useful for them, somewhat agreed that they have enough cues to action, somewhat disagreed that they have obstacle to receiving treatment. In managing of symptoms, approximately half of them will call EMS (1669) when they suspected having AMI. When comparing between different demographic data, levels of knowledge about symptoms and signs and risk factors were different based on marital status, livelihood, living area, occupational status, health care right, and AMI history. Belief of AMI was different based on gender, livelihood, living area, family annual income, occupational status, health care right, health status, AMI history, experiences of seeing people with AMI, and educational level. Moreover, decision making when expecting AMI occurrence was different based on family annual income and living area.
According to results of the study, health education to promote knowledge of signs, symptoms and risk factors of AMI and perception enhancement of AMI should be improved. Moreover, strategies to raise awareness of calling EMS, especially in case of AMI occurrence, is important for older adults to receive proper treatment on time.
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