Delay Seeking Health Care Services in Patient with Acute Coronary Syndrome: An Integrative Review


  • จินตนา ทองเพชร
  • ทิพวัลย์ พราหมณ์น้อย Prachomklao College of Nursing Phetchaburi Province, Phetchaburi
  • ชนาภา สมใจ Prachomklao College of Nursing Phetchaburi Province, Phetchaburi
  • ปัทมา โมลี Head of Emergency Department Prachomklao Hospital Phetchaburi Province
  • อภิญญา อินทรรัตน์ Adult and Aging Nursing Department The Royal Thai Army Nursing College


integrative review, seeking health care services, acute coronary syndrome


This academic article aimed to review the evidence for Seeking Health care services in patient with acute coronary syndrome. This review followed an integrative review methodology. The articles were searched in 14 electronic databases in Thailand and international. 12 articles met the eligibility criteria and were included in the review. The results reveal that delays in seeking health care services in acute coronary syndrome were found in many countries. The mean of pre-hospital delay time was 5 hours and 3 minutes and all of articles have a pre-hospital delay time more than two hours and the patients who delay seeking health care services have a decision delay time more than 1 hour. In conclusion, patients’ decision time is an important for increasing the pre-hospital delay time. Thus, in order to decrease the hospital delay time. Health care workers and the healthcare system should emphasize the importantly of communication as well as enhance the patients’ knowledge and develop health literacy for patients and general public.


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How to Cite

ทองเพชร จ. ., พราหมณ์น้อย ท., สมใจ ช., โมลี ป. ., & อินทรรัตน์ อ. . (2021). Delay Seeking Health Care Services in Patient with Acute Coronary Syndrome: An Integrative Review. Hua Hin Medical Journal, 1(3), 50–63. Retrieved from



Review article