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Treatment seeking experiences of ACS patients in Yogyakarta, Indonesia during COVID-19 pandemic: A qualitative study

Delay in treatment seeking is recognized as a major contributor for Acute Coronary Syndrome (ACS) mortality in Indonesia. Despite the significance of timely treatment, decline in admission and delay in presentation of patients with ACS were consistently reported during the COVID-19 pandemic. These s...

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Published in:PloS one 2024-04, Vol.19 (4), p.e0302320-e0302320
Main Authors: Dewi, Pramitha Esha Nirmala, Sunantiwat, Montaya, Thavorncharoensap, Montarat, Youngkong, Sitaporn, Nathisuwan, Surakit, Rahajeng, Bangunawati
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creator Dewi, Pramitha Esha Nirmala
Sunantiwat, Montaya
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Youngkong, Sitaporn
Nathisuwan, Surakit
Rahajeng, Bangunawati
description Delay in treatment seeking is recognized as a major contributor for Acute Coronary Syndrome (ACS) mortality in Indonesia. Despite the significance of timely treatment, decline in admission and delay in presentation of patients with ACS were consistently reported during the COVID-19 pandemic. These suggested that treatment seeking performance of patients during the pandemic might be different from the previous period. This qualitative study aimed to explore treatment seeking behaviour, barriers in seeking medical treatment, and experiences of patients with ACS in Yogyakarta, Indonesia during COVID-19 pandemic. In depth-interviews were carried out with 30 patients, who were hospitalized with ACS at one of the three selected hospitals in Yogyakarta during the pandemic period. Thematic analysis was performed to create vital explanations for treatment seeking practices of patients with ACS during pandemic. Three significant themes were identified: treatment seeking decisions, barriers in seeking medical treatment during COVID-19, and experiencing both good and bad impression from entering and staying in the hospital. The intensity of ACS symptoms and fear of COVID-19 infection dominated the delay in seeking medical treatment. Strict safety measures, religious belief, and fear of ACS helped patients overcome barriers and seek medical treatment during pandemic. ACS patients also had convenient medical care during the pandemic and believed medical staff would provide excellent care to them. However, visit restriction policy could cause psychological discomfort. Increase awareness of ACS symptoms and the risk of delays ACS treatment are essential to support patients' decisions to seek medical helps in a timely manner at any situations including pandemic. Interventions aim at alleviating psychological distress should also be designed and implemented to improve treatment experiences of ACS patients, who sought medical treatment during the pandemic crisis.
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source Publicly Available Content (ProQuest); PubMed Central
subjects Acute coronary syndrome
Acute Coronary Syndrome - epidemiology
Acute Coronary Syndrome - psychology
Acute Coronary Syndrome - therapy
Adult
Aged
Biology and Life Sciences
Care and treatment
COVID-19 - epidemiology
COVID-19 - psychology
Diagnosis
Epidemics
Evaluation
Female
Health behavior
Humans
Indonesia - epidemiology
Male
Medicine and Health Sciences
Middle Aged
Pandemics
Patient Acceptance of Health Care - psychology
People and Places
Qualitative Research
Research and Analysis Methods
SARS-CoV-2 - isolation & purification
Social aspects
title Treatment seeking experiences of ACS patients in Yogyakarta, Indonesia during COVID-19 pandemic: A qualitative study
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