Mussi Fernanda Carneiro, Mendes Andreia Santos, Queiroz Tassia Lacerda de, Costa Ana Lúcia Siqueira, Pereira Álvaro, Caramelli Bruno
PhD in Nursing Associate Professor II, Federal University of Bahia, Salvador, BA, Brazil.
Nurse, Graduate Student in the Nursing Graduate Program, EEUFBA, Salvador, BA, Brazil.
Rev Assoc Med Bras (1992). 2014 Jan-Feb;60(1):63-9. doi: 10.1590/1806-9282.60.01.014.
To estimate the time of decision (TD) to look for medical care and the time of arrival (TA) at the health service for men (M) and women (W) suffering from acute myocardial infarction and to analyze the influence of the interpretation of pain and pain resistance behaviors during these times.
This is an exploratory research, performed at the university hospital in Salvador/Bahia. 43 W and 54 M were interviewed. To study the dependence among sociodemographic and gender variables, the Fisher Exact Test was used. To analyze times, a geometric mean (GM) was used. In order to verify the association between the GM of TD and TA and the judgment of pain, and between the GM of TD and TA and the behavior of resistance to pain, as well as to test the time of interaction between the gender variable and other variables of interest, the robust regression model was used. The statistical significance adopted was 5%.
The GM of the TD for M was 1.13 h; for W, 0.74 h. The GM of the TA was 1.74 h for M and 1.47 h for W. Those who did not recognize the symptoms of AMI and presented behavior of resistance to pain had higher TD and TA, being the associations significant. Gender did not change the associations of interest.
The findings demonstrate the importance of health education aiming at the benefits of early treatment.
评估急性心肌梗死男性（M）和女性（W）寻求医疗护理的决策时间（TD）和到达医疗服务机构的时间（TA），并分析在这些时间段内疼痛认知及疼痛耐受行为的影响。
这是一项在萨尔瓦多/巴伊亚州大学医院开展的探索性研究。对43名女性和54名男性进行了访谈。采用Fisher精确检验研究社会人口统计学和性别变量之间的相关性。分析时间时使用几何平均数（GM）。为验证TD和TA的GM与疼痛判断之间的关联，以及TD和TA的GM与疼痛耐受行为之间的关联，同时检验性别变量与其他相关变量之间的相互作用时间，使用了稳健回归模型。采用的统计学显著性水平为5%。
男性的TD的GM为1.13小时；女性为0.74小时。男性的TA的GM为1.74小时，女性为1.47小时。那些未识别出急性心肌梗死症状且表现出疼痛耐受行为的人，其TD和TA更高，这些关联具有显著性。性别并未改变相关关联。
研究结果表明了旨在实现早期治疗益处的健康教育的重要性。
