Testing a Model of Delayed Care-Seeking for Acute Myocardial Infarction

Susan M. Fox-Wasylyshyn, Maher El-Masri and Nancy T. Artinian
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Susan M. Fox-Wasylyshyn: University of Windsor, Windsor, Ontario, Canada, sfox@uwindsor.ca
Maher El-Masri: University of Windsor, Windsor, Ontario, Canada
Nancy T. Artinian: Wayne State University, Detroit, MI, USA

Clinical Nursing Research, 2010, vol. 19, issue 1, 38-54

Abstract: 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.

Keywords: care-seeking delay; structural equation modeling; acute myocardial infarction (search for similar items in EconPapers)
Date: 2010
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Persistent link: https://EconPapers.repec.org/RePEc:sae:clnure:v:19:y:2010:i:1:p:38-54

DOI: 10.1177/1054773809353163

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