Women's decision to seek care for symptoms of acute myocardial infarction
| Autor: | Debra K. Moser, Susan J. Dempsey, Kathleen Dracup |
|---|---|
| Rok vydání: | 1995 |
| Předmět: |
Adult
Pulmonary and Respiratory Medicine Self-assessment Self-Assessment medicine.medical_specialty Time Factors media_common.quotation_subject Culture Decision Making Myocardial Infarction Psychological intervention Denial Psychological Critical Care and Intensive Care Medicine Grounded theory Interpersonal relationship Denial Patient Education as Topic medicine Humans Interpersonal Relations Psychiatry Internal-External Control Aged media_common Aged 80 and over Motivation business.industry Middle Aged Patient Acceptance of Health Care medicine.disease United States Self Care Nursing Theory Coronary care unit Women's Health Female Medical emergency Cardiology and Cardiovascular Medicine business Psychosocial Seriousness |
| Zdroj: | Heart & Lung. 24:444-456 |
| ISSN: | 0147-9563 |
| DOI: | 10.1016/s0147-9563(95)80022-0 |
| Popis: | Objective: To describe the psychosocial processes by which women make the decision to seek care for the symptoms of Acute Myocardial Infarction (AMI). Design: The qualitative method of grounded theory was used to study the prehospital experience of women with symptoms of AMI. Participants: Sixteen women between the ages of 42 and 82 years who were hospitalized in a coronary care unit after AMI. Results: The women delayed a median of 5.4 hours (range 1.5 to 144 hours). The psychosocial processes by which they made the decision to seek treatment after symptom onset were dynamic and multidimensional. The fundamental structure involved two core categories: (1) maintaining control, and (2) relinquishing control. Within these two core categories there were five subcategories: symptom awareness, perceived insignificance, self-treatment, perceived threat, and lay consultation. Conclusion: Although these women immediately recognized their symptoms as abnormal, they did not acknowledge their seriousness until after the use of a variety of coping mechanisms and self-treatment behaviors to reduce threat and maintain control over the situation. Interventions to reduce delay should focus on the issue of perceived loss of control during symptom onset and attempt to reduce the sense of threat by describing the benefits of seeking treatment early. |
| Databáze: | OpenAIRE |
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