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

Author

Listed:
  • Susan M. Fox-Wasylyshyn

    (University of Windsor, Windsor, Ontario, Canada, sfox@uwindsor.ca)

  • Maher El-Masri

    (University of Windsor, Windsor, Ontario, Canada)

  • Nancy T. Artinian

    (Wayne State University, Detroit, MI, USA)

Abstract

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.

Suggested Citation

  • Susan M. Fox-Wasylyshyn & Maher El-Masri & Nancy T. Artinian, 2010. "Testing a Model of Delayed Care-Seeking for Acute Myocardial Infarction," Clinical Nursing Research, , vol. 19(1), pages 38-54, February.
    • Handle: RePEc:sae:clnure:v:19:y:2010:i:1:p:38-54
    DOI: 10.1177/1054773809353163
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