PMID- 21071278
OWN - NLM
STAT- MEDLINE
DCOM- 20120216
LR  - 20151119
IS  - 1873-1953 (Electronic)
IS  - 1474-5151 (Linking)
VI  - 10
IP  - 4
DP  - 2011 Dec
TI  - Women's experiences and behaviour at onset of symptoms of ST segment elevation 
      acute myocardial infarction.
PG  - 241-7
LID - 10.1016/j.ejcnurse.2010.10.002 [doi]
AB  - BACKGROUND: Minimizing time from onset of symptoms to treatment (treatment delay) 
      is crucial for patients with ST segment elevation acute myocardial infarction 
      (STEMI), and one of the great challenges is to reduce the delay relating to the 
      prehospital behaviour of the patient (patient delay). Studies indicate that women 
      delay longer than men and insights into this area could lead to improved health 
      education programmes aimed at reducing patient delay in women with STEMI. METHOD: 
      Open interviews with 14 women with STEMI were held during their hospital stay 
      from June to September 2009. The interviews were aimed at exploring determinants 
      of treatment delay, and were carried out and analysed within a phenomenological 
      framework. FINDINGS: Three themes emerged important for the delay in seeking 
      medical assistance: (1) Knowledge and ideas of AMI symptoms and risks. (2) 
      Ambivalence whether to call for medical assistance or to cope with the situation. 
      (3) Actions and strategies taken after onset of symptoms. CONCLUSIONS: Three 
      factors determined whether women showed appropriate behaviour for reduced patient 
      delay after onset of symptoms: (1) identifying the symptoms as being of cardiac 
      origin, (2) having a prepared action plan in case of an emergency situation, and 
      (3) living with someone or contacting other persons.
CI  - Copyright (c) 2010 European Society of Cardiology. Published by Elsevier B.V. All 
      rights reserved.
FAU - Herning, Margrethe
AU  - Herning M
AD  - Department of Cardiology, post 404, Copenhagen University Hospital Gentofte, 
      Niels Andersensvej 65, 2900 Hellerup, Denmark. mahe@geh.regionh.dk
FAU - Hansen, Peter R
AU  - Hansen PR
FAU - Bygbjerg, Birgitte
AU  - Bygbjerg B
FAU - Lindhardt, Tove
AU  - Lindhardt T
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20101110
PL  - England
TA  - Eur J Cardiovasc Nurs
JT  - European journal of cardiovascular nursing
JID - 101128793
SB  - IM
MH  - Aged
MH  - Aged, 80 and over
MH  - Arrhythmias, Cardiac/complications/*diagnosis
MH  - Denmark
MH  - Emergency Service, Hospital
MH  - Female
MH  - Humans
MH  - Middle Aged
MH  - Myocardial Infarction/complications/*diagnosis
MH  - *Patient Acceptance of Health Care
MH  - Surveys and Questionnaires
MH  - Women's Health
EDAT- 2010/11/13 06:00
MHDA- 2012/02/18 06:00
CRDT- 2010/11/13 06:00
PHST- 2010/06/14 00:00 [received]
PHST- 2010/10/07 00:00 [revised]
PHST- 2010/10/08 00:00 [accepted]
PHST- 2010/11/13 06:00 [entrez]
PHST- 2010/11/13 06:00 [pubmed]
PHST- 2012/02/18 06:00 [medline]
AID - S1474-5151(10)00141-6 [pii]
AID - 10.1016/j.ejcnurse.2010.10.002 [doi]
PST - ppublish
SO  - Eur J Cardiovasc Nurs. 2011 Dec;10(4):241-7. doi: 10.1016/j.ejcnurse.2010.10.002. 
      Epub 2010 Nov 10.