1
|
Sancassiani F, Montisci R, Preti A, Paribello P, Meloni L, Romano F, Nardi AE, Carta MG. Surviving to Acute Myocardial Infarction: The Role of Psychological Factors and Alexithymia in Delayed Time to Searching Care: A Systematic Review. J Clin Med 2021; 10:3813. [PMID: 34501261 PMCID: PMC8432253 DOI: 10.3390/jcm10173813] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2021] [Revised: 08/18/2021] [Accepted: 08/19/2021] [Indexed: 12/16/2022] Open
Abstract
The time from symptom onset to reperfusion is a critical determinant of myocardial salvage and clinical outcomes in patients with acute myocardial infarction (AMI). This time period could be delayed if people do not seek help promptly and/or if the health system is not efficient in responding quickly and attending to these individuals. The aim of this study was to identify psychological factors associated with pre-hospital delay (PHD) or patients' decisional delay (PDD) in people with an ongoing AMI. A search in PubMed/Medline from 1990 to 2021 with the keywords "pre-hospital delay" OR "prehospital delay" OR "patient delay" OR "decisional delay" OR "care seeking behavior" AND "psychological factors" OR "alexithymia" AND "myocardial infarction" was performed. Thirty-six studies were included, involving 10.389 patients. Wrong appraisal, interpretation and causal beliefs about symptoms, denial of the severity of the symptoms and high levels of alexithymia were found related to longer PHD or PDD. Alexithymia may be an overarching construct that explains the disparate findings of the studies exploring the role of psychological factors in PHD or PDD. Further studies are needed in order to analyse the role of alexithymia in patients with risk factors for AMI to prevent delay.
Collapse
Affiliation(s)
- Federica Sancassiani
- Department of Medical Sciences and Public Health, University of Cagliari, Asse Didattico E. SS 554 Bivio Sestu, 09042 Monserrato, CA, Italy; (F.S.); (P.P.); (L.M.); (M.G.C.)
| | - Roberta Montisci
- Department of Medical Sciences and Public Health, University of Cagliari, Asse Didattico E. SS 554 Bivio Sestu, 09042 Monserrato, CA, Italy; (F.S.); (P.P.); (L.M.); (M.G.C.)
| | - Antonio Preti
- Department of Neurosciences, University of Turin, 10126 Turin, Italy;
| | - Pasquale Paribello
- Department of Medical Sciences and Public Health, University of Cagliari, Asse Didattico E. SS 554 Bivio Sestu, 09042 Monserrato, CA, Italy; (F.S.); (P.P.); (L.M.); (M.G.C.)
| | - Luigi Meloni
- Department of Medical Sciences and Public Health, University of Cagliari, Asse Didattico E. SS 554 Bivio Sestu, 09042 Monserrato, CA, Italy; (F.S.); (P.P.); (L.M.); (M.G.C.)
| | - Ferdinando Romano
- Department of Public Health and Infectious Diseases, University of Rome “La Sapienza”, 00185 Rome, Italy;
| | - Antonio E. Nardi
- Laboratory of Panic and Respiration, Institute of Psychiatry of Federal University of Rio de Janeiro (IPUB/UFRJ), Rio de Janeiro 22290-140, Brazil;
| | - Mauro Giovanni Carta
- Department of Medical Sciences and Public Health, University of Cagliari, Asse Didattico E. SS 554 Bivio Sestu, 09042 Monserrato, CA, Italy; (F.S.); (P.P.); (L.M.); (M.G.C.)
| |
Collapse
|
2
|
Psychological and cognitive factors related to prehospital delay in acute coronary syndrome: A systematic review. Int J Nurs Stud 2020; 108:103613. [PMID: 32473396 DOI: 10.1016/j.ijnurstu.2020.103613] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/03/2019] [Revised: 04/08/2020] [Accepted: 04/13/2020] [Indexed: 02/07/2023]
Abstract
BACKGROUND In acute coronary syndrome the time elapsed between the start of symptoms and the moment the patient receives treatment is an important determinant of survival and subsequent recovery. However, many patients do not receive treatment as quickly as recommended, mostly due to substantial prehospital delays such as waiting to seek medical attention after symptoms have started. OBJECTIVE To conduct a systematic review with meta-analysis of the relationship between nine frequently investigated psychological and cognitive factors and prehospital delay. DESIGN A protocol was preregistered in PROSPERO [CRD42018094198] and a systematic review was conducted following PRISMA guidelines. DATA SOURCES The following databases were searched for quantitative articles published between 1997 and 2019: Medline (PubMed), Web of Science, Scopus, Psych Info, PAIS, and Open grey. REVIEW METHODS Study risk of bias was assessed with the NIH Quality Assessment Tool for Observational, Cohort, and Cross-Sectional Studies. A best evidence synthesis was performed to summarize the findings of the included studies. RESULTS Forty-eight articles, reporting on 57 studies from 23 countries met the inclusion criteria. Studies used very diverse definitions of prehospital delay and analytical practices, which precluded meta-analysis. The best evidence synthesis indicated that there was evidence that patients who attributed their symptoms to a cardiac event (n = 37), perceived symptoms as serious (n = 24), or felt anxiety in response to symptoms (n = 15) reported shorter prehospital delay, with effect sizes indicating important clinical differences (e.g., 1.5-2 h shorter prehospital delay). In contrast, there was limited evidence for a relationship between prehospital delay and knowledge of symptoms (n = 18), concern for troubling others (n = 18), fear (n = 17), or embarrassment in asking for help (n = 14). CONCLUSIONS The current review shows that symptom attribution to cardiac events and some degree of perceived threat are fundamental to speed up help-seeking. In contrast, social concerns and barriers in seeking medical attention (embarrassment or concern for troubling others) may not be as important as initially thought. The current review also shows that the use of very diverse methodological practices strongly limits the integration of evidence into meaningful recommendations. We conclude that there is urgent need for common guidelines for prehospital delay study design and reporting.
Collapse
|
3
|
Blakeman JR, Booker KJ. Prodromal myocardial infarction symptoms experienced by women. Heart Lung 2016; 45:327-35. [DOI: 10.1016/j.hrtlng.2016.04.005] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/08/2016] [Revised: 04/27/2016] [Accepted: 04/28/2016] [Indexed: 11/30/2022]
|
4
|
Noureddine S, Adra M, Arevian M, Dumit NY, Puzantian H, Shehab D, Abchee A. Delay in Seeking Health Care for Acute Coronary Syndromes in a Lebanese Sample. J Transcult Nurs 2016; 17:341-8. [PMID: 16946116 DOI: 10.1177/1043659606291544] [Citation(s) in RCA: 47] [Impact Index Per Article: 5.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Early treatment of patients with acute coronary syndromes (ACS) is crucial to reduce morbidity and mortality. The purpose of this study was to examine delay in seeking care for ACS symptoms in a Lebanese sample and identify predictors of delay. Medical record reviews and interviews using the Response to Symptoms Questionnaire were conducted with 204 ACS patients in coronary care within 72 hours of admission. Median time from symptom onset to hospital arrival was 4.5 hours. Higher education, presence of dyspnea, intermittent symptoms, and waiting for symptoms to go away predicted longer delays, whereas intensity of symptoms and active response (going to the hospital) predicted shorter delays. The findings suggest lack of knowledge of ACS symptoms and the need for public education in this regard.
Collapse
|
5
|
Alfasfos N, Darawad MW, Nofal B, Samarkandi OA, Abdulqader B. Knowledge, Attitudes, Beliefs and Perceived Risk of Acute Coronary Syndrome among Jordanian Patients. Health (London) 2016. [DOI: 10.4236/health.2016.815175] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
|
6
|
Darawad MW, Alfasfos N, Saleh Z, Saleh AM, Hamdan-Mansour A. Predictors of delay in seeking treatment by Jordanian patients with acute coronary syndrome. Int Emerg Nurs 2015; 26:20-5. [PMID: 26459606 DOI: 10.1016/j.ienj.2015.09.003] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/11/2015] [Revised: 09/08/2015] [Accepted: 09/10/2015] [Indexed: 10/22/2022]
Abstract
BACKGROUND ACS management aims for early coronary reperfusion, which should be within one hour from symptoms onset. This time was found to be relatively long, and many patients died before hospital arrival. In Jordan, this phenomenon is not clearly understood with a discrepancy between the reported durations of delay time. AIMS To evaluate Jordanian ACS patients' delay time in seeking medical care, along with predictors of delay. METHODS A descriptive, cross-sectional design was utilized to conveniently recruit 160 Jordanian ACS patients. Data were collected using chart review and the Modified ACS Response Questionnaire. RESULTS The mean delay time was 7.8 hours (SD =3.5), with none of participants presenting within one hour. Delay time correlated negatively with ACS history, knowledge, attitudes, beliefs, and perceived risk (r = -0.448, r = -0.400, r = -0.408, r = -0.261, r = -0.411, respectively) and positively with health perception (r = 0.469). A 4-predictor model (history, beliefs, health perception, STEMI diagnosis) was revealed explaining 40% of variance in delay time (R(2)=.400, F (14,145) = 6.908, P < .001). CONCLUSION Improving ACS patients' health seeking behaviors can be achieved when all components of care are considered together.
Collapse
Affiliation(s)
| | - Nedal Alfasfos
- Faculty of Nursing, Amman Private University, Amman, Jordan
| | - Zyad Saleh
- Faculty of Nursing, The University of Jordan, Amman, Jordan
| | - Ali M Saleh
- Faculty of Nursing, The University of Jordan, Amman, Jordan
| | - Ayman Hamdan-Mansour
- Al-Farabi College for Dentistry and Nursing, Al-Farabi College, Riyadh 11514, Saudi Arabia
| |
Collapse
|
7
|
Abed MA, Khalil AA, Moser DK. The Contribution of Symptom Incongruence to Prehospital Delay for Acute Myocardial Infarction Symptoms Among Jordanian Patients. Res Nurs Health 2015; 38:213-21. [DOI: 10.1002/nur.21658] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/18/2015] [Indexed: 01/13/2023]
Affiliation(s)
- Mona A. Abed
- Assistant Professor; College of Nursing; Hashemite University; Zarqa 13115 Jordan
| | - Amani A. Khalil
- Associate Professor; Faculty of Nursing; The University of Jordan; Amman Jordan
| | - Debra K. Moser
- Professor; College of Nursing; University of Kentucky; Lexington KY
- School of Nursing; University of Ulster; Belfast Ireland
| |
Collapse
|
8
|
Mackay MH, Ratner PA, Nguyen M, Percy M, Galdas P, Grunau G. Inconsistent measurement of acute coronary syndrome patients' pre-hospital delay in research: a review of the literature. Eur J Cardiovasc Nurs 2014; 13:483-93. [PMID: 24532675 DOI: 10.1177/1474515114524866] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/22/2022]
Abstract
BACKGROUND Patients' treatment-seeking delay remains a significant barrier to timely initiation of reperfusion therapy. Measurement of treatment-seeking delay is central to the large body of research that has focused on pre-hospital delay (PHD), which is primarily patient-related. This research has aimed to quantify PHD and its effects on morbidity and mortality, identify contributing factors, and evaluate interventions to reduce such delay. A definite time of symptom onset in acute coronary syndrome (ACS) is essential for determining delay, but difficult to establish. This literature review aimed to explore the variety of operational definitions of both PHD and symptom onset in published research. METHODS AND RESULTS We reviewed the English-language literature from 1998-2013 for operational definitions of PHD and symptom onset. Of 626 papers of possible interest, 175 were deemed relevant. Ninety-seven percent reported a delay time and 84% provided an operational definition of PHD. Three definitions predominated: (a) symptom onset to decision to seek help (18%); (b) symptom onset to hospital arrival (67%), (c) total delay, incorporating two or more intervals (11%). Of those that measured delay, 8% provided a definition of which symptoms triggered the start of timing. CONCLUSION We found few and variable operational definitions of PHD, despite American College of Cardiology/American Heart Association recommendations to report specific intervals. Worryingly, definitions of symptom onset, the most elusive component of PHD to establish, are uncommon. We recommend that researchers (a) report two PHD delay intervals (onset to decision to seek care, and decision to seek care to hospital arrival), and (b) develop, validate and use a definition of symptom onset. This will increase clarity and confidence in the conclusions from, and comparisons within and between studies.
Collapse
Affiliation(s)
- Martha H Mackay
- School of Nursing, University of British Columbia, Canada St. Paul's Hospital (Providence Health Care), Vancouver, Canada
| | | | - Michelle Nguyen
- St. Paul's Hospital (Providence Health Care), Vancouver, Canada
| | | | | | - Gilat Grunau
- School of Nursing, University of British Columbia, Canada
| |
Collapse
|
9
|
Li PWC, Lee DTF, Yu DSF. Psychometric evaluation of the Perceived Barriers to Health Care-seeking Decision in Chinese patients with acute coronary syndromes. Heart Lung 2014; 43:140-5. [PMID: 24495521 DOI: 10.1016/j.hrtlng.2014.01.001] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/28/2013] [Revised: 12/08/2013] [Accepted: 01/08/2014] [Indexed: 10/25/2022]
Abstract
OBJECTIVES This study aimed to develop the Chinese version of the Perceived Barriers to Health Care-seeking Decision (PBHSD-C) and evaluate its psychometric properties in Chinese patients with acute coronary syndromes (ACS). BACKGROUND The assessment of the level of perceived barriers in the care-seeking trajectory of ACS patients is important for the understanding of its impact on pre-hospital delay in seeking care. METHODS The psychometric properties of PBHSD-C were evaluated among 114 ACS patients in the cardiac unit of two major hospitals in Hong Kong. RESULTS The Content Validity Indexes were ranged from .88 to 1. The Cronbach's alpha of the PBHSD-C was .74. The intraclass correlation coefficients of all items were above .80. The convergent validity of the PBHSD-C was also supported. CONCLUSION The PBHSD-C is reliable and valid to be used to assess the level of perceived barriers in the care-seeking of Chinese patients with ACS.
Collapse
Affiliation(s)
- Polly W C Li
- The Nethersole School of Nursing, The Chinese University of Hong Kong, Rm 801, Esther Lee Building, Shatin, N.T., Hong Kong.
| | - Diana T F Lee
- The Nethersole School of Nursing, The Chinese University of Hong Kong, Rm 725C, Esther Lee Building, Shatin, N.T., Hong Kong
| | - Doris S F Yu
- The Nethersole School of Nursing, The Chinese University of Hong Kong, Rm 729, Esther Lee Building, Shatin, N.T., Hong Kong
| |
Collapse
|
10
|
Al-Hassan MA. Cognitive representations of symptoms of acute coronary syndrome and coping responses to the symptoms as correlates to pre-hospital delay in Omani women and men patients. J Res Nurs 2014. [DOI: 10.1177/1744987113519634] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
The major purpose of this study was to describe gender-related cognitive representations of symptoms of acute coronary syndrome and coping responses to the symptoms as correlates to pre-hospital delay. Data were collected from 131 hospitalised Omani patients for acute coronary syndrome (81 men and 50 women) using a structured interview. Statistical analyses indicated that women perceived themselves as less susceptible to acute coronary syndrome than men. They reported the symptoms, shortness of breath and nausea/vomiting, more frequently than did men. Men who reported shorter pre-hospital delay were more likely to be free from diabetes, report neck pain, not experience left arm pain, attribute the symptoms to cardiac origin and not use the coping responses, ‘wait and see’ and ‘attempted to relax’. Whereas, women with shorter pre-hospital delay were more likely to experience sweating, perceive greater overall intensity of the symptoms and not report fear of diagnostic procedures as a barrier to seek healthcare early. The findings of this study suggest that, in women, the emotional aspect of the symptoms dominates the cognitive appraisal process, whereas the pathological aspect of the symptoms dominates the appraisal process in men.
Collapse
Affiliation(s)
- Mousa A Al-Hassan
- Department of Adult Health Nursing, Faculty of Nursing, Jordan University of Science and Technology, Irbid, Jordan
| |
Collapse
|
11
|
Noureddine S, Massouh A, Froelicher ES. Perceptions of heart disease in community-dwelling Lebanese. Eur J Cardiovasc Nurs 2012; 12:56-63. [DOI: 10.1177/1474515111430899] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Affiliation(s)
- Samar Noureddine
- Hariri School of Nursing, American University of Beirut, Lebanon
| | - Angela Massouh
- Hariri School of Nursing, American University of Beirut, Lebanon
| | - Erika Sivarajan Froelicher
- Department of Physiological Nursing, School of Nursing and Department of Epidemiology and Biostatistics, School of Medicine, UCSF, San Francisco, USA
| |
Collapse
|
12
|
Fischer P, Ai AL, Aydin N, Frey D, Haslam SA. The Relationship between Religious Identity and Preferred Coping Strategies: An Examination of the Relative Importance of Interpersonal and Intrapersonal Coping in Muslim and Christian Faiths. REVIEW OF GENERAL PSYCHOLOGY 2010. [DOI: 10.1037/a0021624] [Citation(s) in RCA: 43] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
Religious affiliation has consistently been shown to help individuals cope with adversity and stressful events. The present paper argues that this proposition is valid for both Christians and Muslims, but that these religious identities foster different types of coping. In accordance with historical, cultural, and psychological accounts, it is proposed that the Christian core self is relatively individualistic, whereas the Muslim core self is oriented more toward the collective. As a consequence, it is hypothesized that when confronted with a stressful life event, Muslims are more likely to adopt interpersonal (collective) coping strategies (such as seeking social support or turning to family members), while Christians are more likely to engage intrapersonal (individualistic) coping mechanisms, such as cognitive restructuring or reframing the event. Evidence from the literature on coping strategies is reviewed and systematized. Evidence lend support to the analysis by indicating that Muslims indeed tend to use an interpersonally oriented (collective) coping style when dealing with adversity, whereas Christians are more likely to employ intrapersonally oriented (individualistic) strategies when facing comparable scenarios. Implications for theory and practice are discussed.
Collapse
Affiliation(s)
| | - Amy L. Ai
- School of Social Work, University of Pittsburgh
| | - Nilüfer Aydin
- Department of Psychology, Ludwig-Maximilians-University Munich
| | - Dieter Frey
- Department of Psychology, Ludwig-Maximilians-University Munich
| | | |
Collapse
|
13
|
Abstract
BACKGROUND Colorectal cancer is a significant health problem; it is the most common malignancy of the gastrointestinal tract. Colorectal cancer is closely related to the clinical and pathological stage of the disease at diagnosis, which can be detected early through screening tests. OBJECTIVE This descriptive cross-sectional study was conducted to investigate the knowledge and beliefs of Jordanians toward colorectal cancer (CRC) screening using the Health Belief Model. METHODS One hundred sixty participants, 50 years and older, were identified in the outpatient clinics at the 2 largest Jordanian hospitals located in the north of the country; the King Abdullah University Hospital and the Princess Basma Hospital. RESULTS Data analyses revealed that most participants are not well informed about CRC and screening. Less than half perceived themselves as susceptible to developing CRC. Half comprehended the seriousness of CRC, the majority understood the benefits of CRC screening, and one-third realized the barriers of CRC screening. Moreover, most understood the importance of preventative medicine and was highly motivated. CONCLUSION Most Jordanians treated at outpatient clinics comprehend the benefits from CRC screening, understand the seriousness of CRC, and perceive barriers, and more than half of the patients perceive the general health motivation beliefs and outcomes. IMPLICATION FOR PRACTICE The healthcare system and the decision makers must develop strategies to increase the general population's awareness about CRC and the accompanying screening tests.
Collapse
|
14
|
Yousefi H, Abedi HA, Yarmohammadian MH, Elliott D. Comfort as a basic need in hospitalized patients in Iran: a hermeneutic phenomenology study. J Adv Nurs 2009; 65:1891-8. [PMID: 19694852 DOI: 10.1111/j.1365-2648.2009.05026.x] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
AIM This paper is a report of a study conducted to explore the comfort experiences of hospitalized patients during their admission to medical-surgical wards in an Iranian hospital. BACKGROUND Comfort has various definitions, ranging from a basic human need, to a process, function or an outcome of nursing. As comfort is a substantive need throughout life in health and illness, providing comfort is a major function and challenge for holistic nursing care. METHOD This hermeneutic phenomenological study was conducted between July 2006 and April 2007 in six medical-surgical wards of one of a university hospital in Iran. Data were generated with 22 participants (16 hospitalized patients and six nurses), using in-depth interviews to capture their detailed experiences of comfort. Analysis based on the framework of Diekelmann enabled data interpretation and elaboration of shared themes. FINDINGS One constitutive pattern, 'Comfort: a need of hospitalized patients' and four related themes - A friend in hospital, Relief of suffering within a calm environment, Seeking God, and Presence among family - were identified in the data. CONCLUSION These findings offer unique insight for planning and implementing appropriate clinical practices in Iran, especially in caring for Muslim patients. Two major implications are to: (1) consider comfort criteria during nursing assessment and planning of care during a patient's hospitalization and (2) note that Shiite people in particular are more comfortable and feel better when they are able to follow their religious principles.
Collapse
Affiliation(s)
- Hojatollah Yousefi
- School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
| | | | | | | |
Collapse
|
15
|
Nguyen HL, Saczynski JS, Gore JM, Goldberg RJ. Age and sex differences in duration of prehospital delay in patients with acute myocardial infarction: a systematic review. Circ Cardiovasc Qual Outcomes 2009; 3:82-92. [PMID: 20123674 DOI: 10.1161/circoutcomes.109.884361] [Citation(s) in RCA: 161] [Impact Index Per Article: 10.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
Abstract
BACKGROUND Coronary heart disease is the leading cause of morbidity and mortality in American men and women. Although there have been dramatic changes in the management of patients hospitalized with acute myocardial infarction (AMI) over the past several decades, a considerable proportion of patients with AMI continue to delay seeking medical care in a timely manner. This review provides an overview of the published literature that has examined age and sex differences in extent of prehospital delay in patients hospitalized with AMI. METHODS AND RESULTS A systematic review of the literature from 1960 to 2008, including publications that provided data on duration of prehospital delay in patients hospitalized with AMI, was conducted. A total of 44 articles (42 studies) were included in the present analysis. The majority of studies showed that in patients hospitalized with AMI, women and older persons were more likely to arrive at the hospital later than men and younger persons. Several factors associated with duration of prehospital delay, including sociodemographic, medical history, clinical, and contextual characteristics differed according to sex. CONCLUSIONS The elderly and women were more likely to exhibit longer delays in seeking medical care after the development of symptoms suggestive of AMI compared with other groups. Further research is needed to more fully understand the reasons for delay in these vulnerable groups.
Collapse
Affiliation(s)
- Hoa L Nguyen
- Department of Medicine, Division of Cardiovascular Medicine, University of Massachusetts Medical School, Worcester, MA 01605, USA
| | | | | | | |
Collapse
|
16
|
Abstract
Previous studies have supported the fact that delaying medical attention when suffering an acute myocardial infarction may lead to complications such as cardiac dysrhythmias, congestive heart failure, pericarditis, and rupture of heart structures. Gender and culture are often associated with delayed treatment times, with socioeconomic status as a silent interwoven barrier in seeking treatment. Delaying treatment times for clients suffering an acute myocardial infarction potentially poses a disadvantage for receiving occlusion-eliminating therapies. The purpose of this article is to begin discussion of the effects of delayed treatment outcomes regarding gender, culture, and occlusion-eliminating therapies.
Collapse
|
17
|
Johansson I, Swahn E, Strömberg A. Spouses' Conceptions of the Pre-Hospital Phase When Their Partners Suffered an Acute Myocardial Infarction — A Qualitative Analysis. Eur J Cardiovasc Nurs 2008; 7:182-8. [DOI: 10.1016/j.ejcnurse.2007.11.002] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/29/2007] [Revised: 10/12/2007] [Accepted: 11/15/2007] [Indexed: 10/22/2022]
Affiliation(s)
- Ingela Johansson
- Department of Cardiology, University Hospital, Linköping, Sweden
- Department of Medicine and Health, Linköping University, Linköping, Sweden
| | - Eva Swahn
- Department of Cardiology, University Hospital, Linköping, Sweden
- Department of Medicine and Health, Linköping University, Linköping, Sweden
| | - Anna Strömberg
- Department of Cardiology, University Hospital, Linköping, Sweden
- Department of Medicine and Health, Linköping University, Linköping, Sweden
| |
Collapse
|
18
|
Chibber K, Kaplan R, Padian N, Anderson S, Ling P, Acharya N, Van Dyke C, Krishnan S. A common pathway toward women's health. Glob Public Health 2008; 3:26-38. [DOI: 10.1080/17441690701523226] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
|