Delay in seeking care for symptoms of acute myocardial infarction: Applying a theoretical model

Authors

  • Jill R. Quinn

    Corresponding author
    1. University of Rochester School of Nursing, 601 Elmwood Avenue, Box SON, Rochester, NY 14642
    • University of Rochester School of Nursing, 601 Elmwood Avenue, Box SON, Rochester, NY 14642.
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    • Assistant Professor


  • This research is the author's dissertation study at the University of Rochester School of Nursing. The author acknowledge her advisor, Dr. Kathleen B. King, for her support and review of this manuscript.

Abstract

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. © Wiley Periodicals, Inc. Res Nurs Health 28:283–294, 2005

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