대한간호학회지 (Journal of Korean Academy of Nursing)

한국간호과학회 (Korean Society of Nursing Science)
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급성심근경색 환자의 증상 발현 후 골든타임내 응급의료센터 도착율 및 지연에 관련된 요인

Hospital Arrival Rate within Golden Time and Factors Influencing Prehospital Delays among Patients with Acute Myocardial Infarction

  • 안혜미 (건국대학교 의학전문대학원 예방의학교실) ;
  • 김형수 (건국대학교 의학전문대학원 예방의학교실) ;
  • 이건세 (건국대학교 의학전문대학원 예방의학교실) ;
  • 이정현 (건국대학교 의학전문대학원 예방의학교실) ;
  • 정효선 (건국대학교 의학전문대학원 예방의학교실) ;
  • 장성훈 (건국대학교 의학전문대학원 예방의학교실) ;
  • 이경룡 (건국대학교 의학전문대학원 응급의학교실) ;
  • 김성해 (건국대학교 의학전문대학원 내과학교실) ;
  • 신은영 (한양여자대학교 보건행정과)
  • Ahn, Hye Mi (Department of Preventive Medicine, School of Medicine, Konkuk University) ;
  • Kim, Hyeongsu (Department of Preventive Medicine, School of Medicine, Konkuk University) ;
  • Lee, Kun Sei (Department of Preventive Medicine, School of Medicine, Konkuk University) ;
  • Lee, Jung Hyun (Department of Preventive Medicine, School of Medicine, Konkuk University) ;
  • Jeong, Hyo Seon (Department of Preventive Medicine, School of Medicine, Konkuk University) ;
  • Chang, Soung Hoon (Department of Preventive Medicine, School of Medicine, Konkuk University) ;
  • Lee, Kyeong Ryong (Department of Emergency Medicine, School of Medicine, Konkuk University) ;
  • Kim, Sung Hea (Department of Internal Medicine, School of Medicine, Konkuk University) ;
  • Shin, Eun Young (Department of Public Health Administration, Hanyang Women's University)
  • 투고 : 2016.04.13
  • 심사 : 2016.09.04
  • 발행 : 2016.12.31
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초록

Purpose: This research was done to identify the hospital arrival rate and factors related to prehospital delay in arriving at an emergency medical center within the golden time after symptom onset in patients with acute myocardial infarction (AMI). Methods: Data used in the research was from the National Emergency Department Information System of the National Emergency Medical Center which reported that in 2014, 9,611 patients went to emergency medical centers for acute myocardial infarction. Prehospital time is the time from onset to arrival at an emergency medical center and is analyzed by subdividing arrival and delay based on golden time of 2 hour. Results: After onset of acute myocardial infarction, arrival rate to emergency medical centers within the golden time was 44.0%(4,233), and factors related to prehospital delay were gender, age, region of residence, symptoms, path to hospital visit, and method of transportation. Conclusion: Results of this study show that in 2014 more than half of AMI patients arrive at emergency medical centers after the golden time for proper treatment of AMI. In order to reduce prehospital delay, new policy that reflects factors influencing prehospital delay should be developed. Especially, public campaigns and education to provide information on AMI initial symptoms and to enhance utilizing EMS to get to the emergency medical center directly should be implemented for patients and/or caregivers.

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참고문헌

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