ACS Patients With Delayed Decision-making Factors And Correlation Between Family Functioning And Level Of Hope

Objective：Factors affecting the decision-making in patients with acute coronary syndrome delayedand decision delay time. To analyze the correlation of decision latency, hope level and familyfunctioning.Methods：The random sampling method chosen in four treatment area of cardiovascular medicinein a three-level occupancy general hospital in Changchun in2014（July to November）.Thenumber of215patients were investigated, the effective recovery is200questionnaires, theeffective rate is93.02%. Research tool for basic information questionnaire, disease-relatedinformation questionnaire, family Assessment Scale (FAD scales), desired level scale (Herthscale). Applying SPSS19.0software for statistical analysis, statistical methods, includingdescriptive statistics, X2test, t test, Wilcoxon test, nonlinear Logistic regression analysis,Spearman correlation analysis, Pearson correlation analysis.Results：1.Effective recovery of200cases in the study,126cases of delayed decision-making，the rate was63%.2.Univariate analysis rank sum test results influence the decision delay time factors:gender, history of myocardial infarction, a history of other heart disease, highcholesterol,diabetes, smoking, whether accompanied by family members,taking medicationto ease, whether consultation with others, whether to go living near the clinic, clinic visits,ACS type.3.Logistic regression analysis of nonlinear delay decision-making factors:residence (OR=0.033,95%CI:0.002~0.455), whether accompanied by family members (OR=0.077,95%CI:0.006~0.952), taking medication to alleviate (OR=42.083,95%CI:2.620~675.950), whether to live near the clinic (OR=0.004,95%CI:0.000~0.169), number of visits(OR=1036.1,95%CI:18.710~57373.105),diabetes(OR=0.017,95%CI:0.001~0.468).4.Spearman correlation analysis decision latency time and hope levels showed asignificant negative correlation (r=-0.35,P=0.000), and problem solving was positivelycorrelated (r=0.18, P=0.029), positive relationship and communication was (r=0.178, P=0.012). Pearson correlation analysis with the desired level family function score was asignificant negative correlation (r=-0.367,P=0.000).Conclusions：1.In this study, patients with acute coronary syndrome incidence of delayeddecision-making63.00%,higher incidence.2.Patients were female, no history of myocardial infarction, other heart diseasehistory,high cholesterol, diabetes, smoking, no family members accompanied medication toease,no consultation with others, not to live near clinics,making the first visit the patientdelay long, which delay the non-ST-segment elevation myocardial infarction> unstableangina> ST-segment elevation myocardial infarction.3.Live in the countryside, accompanied by non-family members,taking drugs to ease,not to live near the clinic for the first time due to ACS symptom treatment,diabetic patientsprone to delay decisions.4.Low levels of hope, problem-solving ability is poor and poor communication skills.Patient’s decision delayed for a long time.