Women and pre-hospital delays associated with myocardial infarction

UNCG Author/Contributor (non-UNCG co-authors, if there are any, appear on document)
Gloria A. Walters (Creator)
The University of North Carolina at Greensboro (UNCG )
Web Site: http://library.uncg.edu/
Patricia Crane

Abstract: The purposes of this study were to: (a) describe the prodromal and acute symptoms of myocardial infarction (MI) in women and the relationship to delays in seeking treatment, (b) comprehensively examine other factors associated with delays, and (c) explore novel concepts in relation to delay, such as temporal orientation, time duration estimation, and impulsivity. The theory of unpleasant symptoms served as the framework for this investigation. A cross-sectional, correlational, non-experimental research design was used. Fifty-six women (85% White, 11% Black, and 5% Native American) were recruited that had been discharged with an MI from a hospital in the southeastern United States. The women were interviewed either in person or by telephone using the McSweeney Acute and Prodromal Myocardial Infarction Symptom Survey (MAPMISS), a demographic data tool, the Time Orientation Scale, and the Barrett Impulsivity Scale 11 (BIS-11). The mean age was 70.2 (SD+11), with a range from37-92. The majority of the sample were currently unmarried (70%), unemployed (79%), and experiencing their first MI (79%). The median delay was 60 minutes, but delays ranged from 10 -20,160 minutes. Age was negatively correlated with symptom scores, with older women reporting lower scores. There was no correlation between symptom scores and delay. Similarly, there was no correlation between the symptom scores and impulsivity. There was no difference in the symptom scores between women who were present oriented and those who were future oriented. The patient’s reported delay in seeking treatment was positively correlated with the duration recorded in the medical record, except for those women who perceived their symptoms life-threating. Thus, perceived threat affected time duration estimation retrospectively. Women who perceived their symptoms as life-threatening delayed longer than those who did not and also underestimated their delays when compared with the delays recorded in the medical record. Age was the only predictor of all symptom score (prodromal, acute and total). None of the regression models were statistically significant for symptom scores predicting delay in this study. Age, race, first-degree relative with MI, modifiable risk factors, temporal orientation, or impulsivity were also not predictors of delay. Future research should investigate factors related to delay in men and women in rural and urban settings.

Additional Information

Language: English
Date: 2015
Delay, Myocardial infarction, Symptoms, Women
Coronary heart disease $x Psychological aspects
Myocardial infarction $x Psychological aspects
Heart diseases in women
Women $x Health and hygiene
Health attitudes
Health behavior
Time perception

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