期刊
RESEARCH IN NURSING & HEALTH
卷 28, 期 4, 页码 283-294出版社
WILEY
DOI: 10.1002/nur.20086
关键词
delay in seeking care; acute myocardial infarction; common sense model; illness representation; symptom recognition
类别
Thirty percent of people who experience symptoms of acute myocardial infarction (AMI) do not seek care until more than 2-6 hours after onset of symptoms, increasing their risk for morbidity and mortality. Using a model based on two frameworks, the common sense model of illness representation (CSM) and goal expectancy, variables associated with delay were examined to identify the most salient predictors of delay in seeking care for AMI. Hierarchical regression analysis revealed that the set of illness representation components from the CSM was a significant predictor of time to seek care, but individually, only recognition of symptoms as being caused by the heart was significant. Providing accurate information on symptoms of AMI may lead to early recognition, reduced delay, and reduced morbidity and mortality. (c) 2005 Wiley Periodicals, Inc.
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