Fox-Wasylyshyn Susan M, El-Masri Maher, Artinian Nancy T
University of Windsor, Ontario, Canada.
Clin Nurs Res. 2010 Feb;19(1):38-54. doi: 10.1177/1054773809353163. Epub 2009 Nov 19.
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.
采用描述性设计对135例急性心肌梗死（AMI）患者进行了一项关于急性心肌梗死延迟就医研究的理论检验方法。参与者提供了与急性心肌梗死病史、症状一致性、对症状的反应、心脏症状归因以及急性心肌梗死就医延迟相关的信息。结构方程模型拟合指数表明，急性心肌梗死就医延迟的独立预测因素是心脏症状归因和以情绪为中心的应对方式。急性心肌梗死病史与急性心肌梗死就医延迟有直接关系，但其通过症状归因和症状一致性产生的总效应并不显著。症状一致性对急性心肌梗死就医延迟的总效应显著。总之，研究结果突出了在旨在减少急性心肌梗死就医延迟的干预措施中，针对心脏症状归因和以情绪为中心的应对方式的重要性。
