Why people experiencing acute myocardial infarction delay seeking medical assistance

Eur J Cardiovasc Nurs. 2002 Dec;1(4):237-42. doi: 10.1016/s1474-5151(02)00049-x.

Abstract

Background: Delay time from onset of symptoms of myocardial infarction to seeking medical assistance can have life-threatening consequences. A number of factors have been associated with delay, but there is little evidence regarding the predictive value of these indices.

Aim: To explore potential predictors of patient delay from onset of symptoms to time medical assistance was sought in a consecutive sample of patients admitted to CCU with acute myocardial infarction.

Methods: The Cardiac Denial of Impact Scale, Health Locus of Control Scale, Health Value Scale and Pennebaker Inventory of Limbic Languidness were administered to 62 patients between 3 and 6 days after admission.

Results: Attribution of symptoms to heart disease and health locus of control had a significant predictive effect on patients seeking help within 60 min, while previous experience of heart disease did not.

Conclusion: Assisting individuals to recognise the potential for symptoms to have a cardiac origin is an important objective. Interventions should take into account the variety of cognitive and behavioural factors involved in decision making.

MeSH terms

  • Aged
  • Coronary Care Units
  • Cross-Sectional Studies
  • Decision Making
  • Denial, Psychological
  • Female
  • Health Care Surveys
  • Health Knowledge, Attitudes, Practice
  • Hospitals, Teaching
  • Humans
  • Internal-External Control
  • Logistic Models
  • Male
  • Middle Aged
  • Myocardial Infarction / psychology*
  • Myocardial Infarction / therapy
  • Northern Ireland
  • Patient Acceptance of Health Care / psychology*
  • Patient Acceptance of Health Care / statistics & numerical data
  • Predictive Value of Tests
  • Socioeconomic Factors
  • Surveys and Questionnaires
  • Time Factors