Using patient characteristics to optimise outcomes in the pre-hospital phases of acute coronary syndromes in Botswana

Abstract

The emergency treatment of patients with acute chest pain influences the immediate outcomes and the long-term prognosis. The characteristics of each individual experiencing an acute chest pain episode can influence the outcome. The purpose was to address these characteristics during health education sessions offered at schools, churches and workplaces to enhance the outcomes of acute chest pain episodes. Patient characteristics, as specified by the Synergy Model of Patient Care, (AACN, 2004), could influence the outcomes of severe chest pain episodes. Structured interviews were conducted with patients who had survived such episodes. Data were analysed according to the Synergy Model's eight patient characteristics, namely resiliency, vulnerability, complexity, resource availability, stability, predictability, participation in care and participation in decision-making. The respondents lacked knowledge about the severity of acute chest pain, taking aspirin during such episodes, changing their lifestyles and the urgency of seeking medical assistance.