Patients' and Relatives' Thoughts and Actions During and after Symptom Presentation for an Acute Myocardial Infarction

Henriksson, Catrin; Lindahl, Bertil; Larsson, Margareta

doi:10.1016/j.ejcnurse.2007.02.001

Cited by 38 publications

(52 citation statements)

References 32 publications

(70 reference statements)

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“…When chest pain occurs, the majority of the participants would not recommend waiting before seeking medical care: however, in reality this is a common phenomenon [6][7][8][9]11,13,14,[17][18][19].…”

Section: Discussionmentioning

confidence: 97%

“…The questionnaire was developed by the investigators in collaboration with experts in the area: the questions were based on a previous qualitative study [13]. It was tested in a pilot study of 20-25 persons who fulfilled the criteria for participating in the patient and relative groups.…”

Section: Instrumentmentioning

confidence: 99%

“…The majority of patients consult another person at symptom onset, before contacting any medical professional [11][12][13]. That person often has influence on the decision to seek medical care [12,13].…”

Section: Introductionmentioning

confidence: 99%

“…That person often has influence on the decision to seek medical care [12,13]. Both patients' and relatives' knowledge about possible AMI-symptoms and their attitudes toward seeking medical care affect delay time.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Knowledge and attitudes toward seeking medical care for AMI-symptoms

Henriksson

Larsson

Arnetz

et al. 2011

International Journal of Cardiology

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Section: Discussionmentioning

confidence: 97%

Section: Instrumentmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Knowledge and attitudes toward seeking medical care for AMI-symptoms

Henriksson

Larsson

Arnetz

et al. 2011

International Journal of Cardiology

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“…5 Henriksson et al found that patients' disbelief and indecisiveness accounted for the highest PHDs. 13 Some patients had problems interpreting the symptoms, reflecting their lack of knowledge. The mismatch between patients' interpretation of symptoms and the progression of disease has been reported to be as high as 58%.…”

Section: Discussionmentioning

confidence: 99%

Pre-hospital care in stable patients with acute coronary syndrome: Factors and predictors of pre-hospital delays in a tertiary public health institute

Bahall

Legall

2017

Int J Community Med Public Health

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Background: Incidences of pre-hospital delays (PHDs) remain high and affect the outcomes in acute coronary syndrome (ACS) patients. This study explored the factors associated with, and the predictors of PHD in ACS patients. Methods: Data were collected through interviews and the examination of the hospital records of 299 ACS patients admitted to a hospital between 1 December 2014 and 28 February 2015. Results: The patients were primarily female, and their mean age was 60.9±12.09 years. The mean PHD was 7.5±6.6 hours; this comprised mean delay from symptoms onset to departure, mean travel time from departure time to intermediate care facility, mean length of stay at intermediate care facility, and mean travel time from an intermediate care facility to hospital. The factors associated with delays were ignoring of symptoms (38.8%), indecisiveness and reluctance to seek treatment (16.7%), self-medication (35.5%), being unconvinced that the symptoms were serious (61.2%), and waiting for a worsening of pain (29.1%). The predictors of PHDs were ‘marital status’, ‘fear of having a heart attack’, ‘believing that the symptoms were self-limiting’, and ‘seeking intermediate care’. The predictors of hospital delays were ‘AM or PM occurrence of symptom’, ‘shortness of breath’, ‘having hypertension’, and ‘previous ischaemic heart disease’.Conclusions: Patient delays were high in the case of ACS, but utilization of an intermediate healthcare facility more than doubled the PHD. About two-thirds of the patients had a PHD that exceeded 2 hours.

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The Contribution of Symptom Incongruence to Prehospital Delay for Acute Myocardial Infarction Symptoms Among Jordanian Patients

Abed

Khalil

Moser

2015

Research in Nursing & Health

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Qualitative investigators have suggested that symptom incongruence, or a mismatch between symptoms that patients expect and those they experience in acute myocardial infarction (AMI), increases the time to hospitalization by affecting emotional, cognitive, and behavioral factors. No quantitative studies have been conducted that verify these relationships. We aimed to (a) examine the relationships among symptom incongruence, prehospital delay, anxiety level at onset of symptoms, perceived seriousness and importance of symptoms, source to which symptoms were attributed, and patients' first response at symptom onset and (b) test the independent association of symptom incongruence to prehospital delay. Jordanian patients with AMI (n = 299) were interviewed using validated questionnaires, and medical records were reviewed to collect information on patients' prehospital delay time, symptom incongruence, and response to AMI symptoms. Patients had low mean (7.5 ± 3.6) symptom incongruence scores (range 0-21 out of 24) and relatively short median prehospital delay (1.3 hours). Symptom incongruence was positively correlated with and independently predicted prehospital delay. Greater anxiety and greater perceived seriousness and importance of symptoms were associated with less incongruence and shorter prehospital delay. Patients who attributed their symptoms to a cardiac etiology had significantly shorter prehospital delay and less symptom incongruence than their counterparts. Patients who contacted the emergency medical service directly after symptom onset had shorter prehospital delay than their counterparts who did not, but did not differ on the level of symptom incongruence. Symptom incongruence may increase prehospital delay by complicating patients' efforts to label and respond to AMI symptoms.

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Patients' and Relatives' Thoughts and Actions During and after Symptom Presentation for an Acute Myocardial Infarction

Cited by 38 publications

References 32 publications

Knowledge and attitudes toward seeking medical care for AMI-symptoms

Knowledge and attitudes toward seeking medical care for AMI-symptoms

Pre-hospital care in stable patients with acute coronary syndrome: Factors and predictors of pre-hospital delays in a tertiary public health institute

The Contribution of Symptom Incongruence to Prehospital Delay for Acute Myocardial Infarction Symptoms Among Jordanian Patients

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