Ryan Catherine J, Zerwic Julie Johnson
Department of Medical Surgical Nursing, University of Illinois at Chicago, Chicago, IL 60612, USA.
J Cardiovasc Nurs. 2003 Jul-Aug;18(3):184-96. doi: 10.1097/00005082-200307000-00004.
Research on acute myocardial infarction (AMI) suggests that older persons may delay significantly longer than younger persons between the first appearance of symptoms of AMI and seeking treatment and that this delay is associated with increased morbidity and mortality. The factors that potentially influence delay in older persons can be grouped into 4 categories: (a) symptom attribution to aging, (b) symptom severity and duration, (c) symptom attribution to comorbid and chronic conditions, and (d) previous experience with cardiac problems. This article explores the link between symptom interpretation and health care seeking behaviors in elderly patients with AMI as it relates to delay in seeking treatment for AMI. Potential nursing interventions are presented.
对急性心肌梗死（AMI）的研究表明，老年人在出现AMI症状到寻求治疗之间的延迟时间可能比年轻人长得多，而且这种延迟与发病率和死亡率的增加有关。可能影响老年人延迟就医的因素可分为四类：（a）将症状归因于衰老，（b）症状的严重程度和持续时间，（c）将症状归因于合并症和慢性病，以及（d）既往心脏问题的经历。本文探讨了老年AMI患者症状解读与寻求医疗行为之间的联系，因为这与AMI治疗延迟有关。文中还介绍了潜在的护理干预措施。
