Department of Cardiology, Skåne University Hospital, 20502 Malmö, Sweden.
BMC Cardiovasc Disord. 2011 May 19;11:21. doi: 10.1186/1471-2261-11-21.
Early hospital arrival and rapid intervention for acute myocardial infarction is essential for a successful outcome. Several studies have been unable to identify explanatory factors that slowed decision time. The present study examines whether personality, psychosocial factors, and coping strategies might explain differences in time delay from onset of symptoms of acute myocardial infarction to arrival at a hospital emergency room.
Questionnaires on coping strategies, personality dimensions, and depression were completed by 323 patients ages 26 to 70 who had suffered an acute myocardial infarction. Tests measuring stress adaptation were completed by 180 of them. The patients were then categorised into three groups, based on time from onset of symptoms until arrival at hospital, and compared using logistic regression analysis and general linear models.
No correlation could be established between personality factors (i.e., extraversion, neuroticism, openness, agreeableness, conscientiousness) or depressive symptoms and time between onset of symptoms and arrival at hospital. Nor was there any significant relationship between self-reported patient coping strategies and time delay.
We found no significant relationship between personality factors, coping strategies, or depression and time delays in seeking hospital after an acute myocardial infraction.
对于急性心肌梗死患者，尽早到医院并接受快速干预对于获得良好的治疗效果至关重要。然而，有一些研究无法确定导致决策时间延长的原因。本研究旨在探讨人格特质、心理社会因素和应对策略是否可以解释从急性心肌梗死症状发作到到达医院急诊室之间的时间延迟差异。
本研究共纳入了 323 名年龄在 26 至 70 岁之间的急性心肌梗死患者，他们完成了有关应对策略、人格维度和抑郁的问卷。其中 180 名患者完成了测量压力适应能力的测试。然后，根据症状发作到到达医院的时间，将患者分为三组，并使用逻辑回归分析和一般线性模型进行比较。
在症状发作到到达医院的时间方面，人格因素（即外向性、神经质、开放性、宜人性、尽责性）或抑郁症状与时间之间没有相关性。患者报告的应对策略与时间延迟之间也没有显著关系。
本研究未发现人格特质、应对策略或抑郁与急性心肌梗死后寻求医院治疗的时间延迟之间存在显著关系。
