Open AccessDelayed help-seeking in acute coronary syndrome — view of a problem in terms of narrative medicine
Author(s) -
О. Ю. Шайдюк,
М. А. Кудинова,
Е. О. Таратухин,
И. В. Сапунов,
К. А. Замятин
Publication year - 2019
Publication title -
rossijskij kardiologičeskij žurnal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.141
H-Index - 14
eISSN - 2618-7620
pISSN - 1560-4071
DOI - 10.15829/1560-4071-2019-9-41-43
Subject(s) - distrust , medicine , narrative , denial , narrative medicine , procrastination , population , disease , health care , coping (psychology) , social psychology , psychotherapist , psychiatry , psychology , law , pathology , linguistics , philosophy , political science , environmental health
The article suggests the reasons for the delayed help-seeking in patients with acute coronary syndrome in terms of individualization of work. For analysis, the approach of narrative medicine was used, that is, a way to conceptualize medical situations using the methods of the humanities, or rather, to understand the disease as an event in the patient’s life — his biographical narrative. These categories are important both from the standpoint of ethics and patient orientation, and from the standpoint of health improving through education of the population. A number of attitudes are shown that lead to delay in help-seeking: rigidity of thinking, unwillingness to cause discomfort, atypical manifestations, distrust of medicine and the unknown medical process. In general, the inclusion of a disease in the biographical process occurs through denial of the disease, distrust of medicine and/or healthcare, procrastination. As a solution of these problems, an assessment of the general informational background of patients as society participants and education depending on the social category, is proposed.