Experiences and Actions During the Decision Making Process Among Men With a First Acute Myocardial Infarction

Nielsen, Susanne; Falk, Karl-Erik; Gyberg, Anna; Määttä, Sylvia; Björck, Lena

doi:10.1097/jcn.0000000000000137

Cited by 6 publications

(9 citation statements)

References 29 publications

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“…The participants in these studies also performed different self-care activities to manage the symptoms before care-seeking. 42 , 43 Many of the findings in our study are similar with these results and with results from several other studies on care-seeking processes in MI patients. 10 – 15 , 17 – 21 We can therefore assume that the process of care-seeking for MI in people with diabetes is similar to that for those without diabetes.…”

Section: Discussionsupporting

confidence: 92%

The Process of Care-seeking for Myocardial Infarction Among Patients With Diabetes

Ängerud

Brulin

Eliasson

et al. 2015

Journal of Cardiovascular Nursing

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Background:People with diabetes have a higher risk for myocardial infarction (MI) than do people without diabetes. It is extremely important that patients with MI seek medical care as soon as possible after symptom onset because the shorter the time from symptom onset to treatment, the better the prognosis.Objective:The aim of this study was to explore how people with diabetes experience the onset of MI and how they decide to seek care.Methods:We interviewed 15 patients with diabetes, 7 men and 8 women, seeking care for MI. They were interviewed 1 to 5 days after their admission to hospital. Five of the participants had had a previous MI; 5 were being treated with insulin; 5, with a combination of insulin and oral antidiabetic agents; and 5, with oral agents only. Data were analyzed according to grounded theory.Results:The core category that emerged, “becoming ready to act,” incorporated the related categories of perceiving symptoms, becoming aware of illness, feeling endangered, and acting on illness experience. Our results suggest that responses in each of the categories affect the care-seeking process and could be barriers or facilitators in timely care-seeking. Many participants did not see themselves as susceptible to MI and MI was not expressed as a complication of diabetes.Conclusions:Patients with diabetes engaged in a complex care-seeking process, including several delaying barriers, when they experienced symptoms of an MI. Education for patients with diabetes should include discussions about their increased risk of MI, the range of individual variation in symptoms and onset of MI, and the best course of action when possible symptoms of MI occur.

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Section: Discussionsupporting

confidence: 92%

The Process of Care-seeking for Myocardial Infarction Among Patients With Diabetes

Ängerud

Brulin

Eliasson

et al. 2015

Journal of Cardiovascular Nursing

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“…Absence of chest pain in AMI is more common in patients with a history of diabetes, in women, older patients6 7 and in patients with non ST-segment-elevation myocardial infarction (non-STEMI) 8. Patients with AMI with insidious, vague or atypical symptoms have difficulties in interpreting and acknowledging bodily symptoms 9–12. Moreover, atypical symptoms of AMI are associated with significantly higher mortality5 13–15 for reasons that are not entirely clear.…”

Section: Introductionmentioning

confidence: 99%

Absence of chest pain and long-term mortality in patients with acute myocardial infarction

et al. 2018

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ObjectiveChest pain is the predominant symptom in patients with acute myocardial infarction (AMI). A lack of chest pain in patients with AMI is associated with higher in-hospital mortality, but whether this outcome is sustained throughout the first years after onset is unknown. Therefore, we aimed to investigate long-term mortality in patients hospitalised with AMI presenting with or without chest pain.MethodsAll AMI cases registered in the SWEDEHEART registry between 1996 and 2010 were included in the study. In total, we included 172 981 patients (33.5% women) with information on symptom presentation.ResultsPatients presenting without chest pain (12.7%) were older, more often women and had more comorbidities, prior medications and complications during hospitalisation than patients with chest pain. Short-term and long-term mortality rates were higher in patients without chest pain than in patients with chest pain: 30-day mortality, 945 versus 236/1000 person-years; 5-year mortality, 83 versus 21/1000 person-years in patients <65 years. In patients ≥65 years, 30-day mortality was 2294 versus 1140/1000 person-years; 5-year mortality, 259 versus 109/1000 person-years. In multivariable analysis, presenting without chest pain was associated with an overall 5-year HR of 1.85 (95% CI 1.81 to 1.89), with a stronger effect in younger compared with older patients, as well as in patients without prior AMI, heart failure, stroke, diabetes or hypertension.ConclusionAbsence of chest pain in patients with AMI is associated with more complications and higher short-term and long-term mortality rates, particularly in younger patients, and in those without previous cardiovascular disease.

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“…Another study developed in Sweden, with 21 infarcted men, also found that the delay in seeking specialized medical care was associated with misinterpretation of symptoms, illusion of invulnerability, a belief that symptoms would disappear or attempt to relieve or treat symptoms before seeking specialized care (19) .…”

Section: Discussionmentioning

confidence: 96%

Adult's perception of health care after myocardial infarction

et al. 2020

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Objectives: to describe the Adult's perception of healthcare after Myocardium Infarction. Methods: qualitative descriptive analysis carried out with 12 adults who had myocardial infarction and conducted from February to May 2018. The research design was based on the “Consolidated Criteria for Reporting Qualitative Research”. Data collection was performed through semi-structured questionnaire, interview script and field diary. The interviews were encoded, and their content was analyzed using software support. Results: three classes were obtained: “Fear, (un) certainty and (un) awareness”; “Lifestyle and beliefs of illness” and “Health care search”. Unhealthy lifestyle habits, lack of health prevention / promotion, difficulties in accessing services and lack of knowledge about the disease generated fear and uncertainty about the future. Final Considerations: the perception of acute myocardial infarction is related to the trajectory of illness, lifestyle and the belief that the infarction only affects others.

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Experiences and Actions During the Decision Making Process Among Men With a First Acute Myocardial Infarction

Cited by 6 publications

References 29 publications

The Process of Care-seeking for Myocardial Infarction Among Patients With Diabetes

The Process of Care-seeking for Myocardial Infarction Among Patients With Diabetes

Absence of chest pain and long-term mortality in patients with acute myocardial infarction

Adult's perception of health care after myocardial infarction

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