Testing a Model of Delayed Care-Seeking for Acute Myocardial Infarction

A theory-testing approach to the study of delay in seeking treatment for acute myocardial infarction (AMI) was performed using a descriptive design with 135 AMI patients. Participants provided information pertaining to history of AMI, symptom congruence, responses to symptoms, cardiac symptom attrib...

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Bibliographic Details
Published in:Clinical nursing research 2010-02, Vol.19 (1), p.38-54
Main Authors: Fox-Wasylyshyn, Susan M., El-Masri, Maher, Artinian, Nancy T.
Format: Article
Language:English
Subjects:
Adaptation, Psychological
Attribution
Attributions
Congruence
Coping
Cross-Sectional Studies
Delayed
Heart attacks
Help seeking behavior
Helpseeking
Humans
Models, Psychological
Myocardial infarction
Myocardial Infarction - therapy
Nursing
Patient Acceptance of Health Care
Retrospective Studies
Structural equation modeling
Symptoms
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Summary:A theory-testing approach to the study of delay in seeking treatment for acute myocardial infarction (AMI) was performed using a descriptive design with 135 AMI patients. Participants provided information pertaining to history of AMI, symptom congruence, responses to symptoms, cardiac symptom attribution, and AMI care-seeking delay. Structural equation modeling fit indices suggested that the independent predictors of AMI care-seeking delay were cardiac symptom attribution and emotion-focused coping. History of AMI had a direct relationship with AMI care-seeking delay, but its total effect through symptom attribution and symptom congruence was not significant. The total effect of symptom congruence on AMI care-seeking delay was significant. In conclusion, the study findings highlight the importance of targeting cardiac symptom attribution and emotion-focused coping in interventions that are aimed at reducing AMI care-seeking delay.
ISSN:1054-7738
1552-3799
DOI:10.1177/1054773809353163