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Patients' and relatives' thoughts and actions during and after symptom presentation for an acute myocardial infarction
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Medicinska och farmaceutiska vetenskapsområdet, centrumbildningar mm, UCR-Uppsala Clinical Research Center.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Medicinska och farmaceutiska vetenskapsområdet, centrumbildningar mm, UCR-Uppsala Clinical Research Center.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health. (Internationell kvinno- & mödrahälsovård/Essén)
2007 (English)In: European Journal of Cardiovascular Nursing, ISSN 1474-5151, E-ISSN 1873-1953, Vol. 6, no 4, 280-286 p.Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Relatives play an important role in deciding to seek medical care after the onset of symptoms of an acute myocardial infarction (AMI). OBJECTIVE: The aim of this study was to gain deeper understanding of how AMI patients and their relatives think and act during and after onset of symptoms. METHODS: Six focus group interviews were conducted with AMI patients (N=13) and relatives (N=14). Manifest content analysis was used to analyse the transcribed data. RESULTS: The AMI patients experienced a variety of symptoms and both patients and relatives often felt uncertain about the origin of the symptoms, interpreted them as less serious conditions and tried to alleviate the discomfort in various ways. When symptoms continued the patients consulted a relative, who often decided to seek care. Many considered waiting for an ambulance was too long and the relative often drove the patients to the hospital. CONCLUSION: Patients as well as relatives were insecure about AMI symptoms and how to act. All patients contacted a relative, who was more eager than the patient to seek help. Many preferred to go in their own car to the hospital, believing it to be faster than an ambulance. Information about AMI symptoms and recommended action should be given to the public and to AMI patients and their relatives.

Place, publisher, year, edition, pages
2007. Vol. 6, no 4, 280-286 p.
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:uu:diva-129810DOI: 10.1016/j.ejcnurse.2007.02.001PubMedID: 17478122OAI: oai:DiVA.org:uu-129810DiVA: diva2:345353
Available from: 2010-08-24 Created: 2010-08-24 Last updated: 2017-12-12Bibliographically approved
In thesis
1. Coronary Heart Disease and Early Decision Making, from Symptoms to Seeking Care: Studies with Focus on Pre-hospital Delay in Acute Myocardial Infarction Patients
Open this publication in new window or tab >>Coronary Heart Disease and Early Decision Making, from Symptoms to Seeking Care: Studies with Focus on Pre-hospital Delay in Acute Myocardial Infarction Patients
2011 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Despite several investigations and interventions aimed at decreasing the time from symptom onset to medical care seeking in acute myocardial infarction patients, the delay time is still too long for best treatment outcomes. In this thesis, investigations aimed at improving our understanding of the factors influencing delay time are evaluated, as well as attitudes to medical care seeking in patients, relatives and the general public. Additionally, an evaluation was performed to examine whether health-related quality of life had any influence on delay time and re-admissions.

Participating patients, relatives and representatives of the general public were generally knowledgeable about acute myocardial infarction (AMI) and its symptomatology. The majority of participants knew about the importance of receiving fast treatment when an AMI occurs. Despite people’s knowledge, several patients and relatives felt uncertain of symptom origin and how to act at symptom onset. Patients commonly consulted an additional person when symptoms did not disappear. However, people appeared to act more appropriately if someone else had chest pain compared to self-experienced symptoms.

In patients who had suffered from more than one AMI, poor total health status increased the risk of delaying for more than two hours, but no independent association was found between total health status and re-admissions within the first year post-AMI.

Place, publisher, year, edition, pages
Uppsala: Acta Universitetis Upsaliensis, 2011. 71 p.
Series
Digital Comprehensive Summaries of Uppsala Dissertations from the Faculty of Medicine, ISSN 1651-6206 ; 685
Keyword
Acute Myocardial Infarction, Pre-Hospital Delay, Knowledge, Attitudes, Decision Making, Quality of Life, Re-admission
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:uu:diva-156636 (URN)978-91-554-8114-8 (ISBN)
Public defence
2011-09-16, Enghoffsalen, Akademiska sjukhuset, Uppsala, 13:00 (Swedish)
Opponent
Supervisors
Available from: 2011-08-25 Created: 2011-08-04 Last updated: 2011-09-08

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Henriksson, CatrinLindahl, Bertil

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