Predictors of anticipated coping behavior at myocardial infarction symptom onset among a nationwide sample of Korean adults

Abstract

OBJECTIVES This cross-sectional study based on the health belief model investigated predictors of anticipated coping behavior at myocardial infarction (MI) symptom onset using secondary data from the 2017 Korea Community Health Survey. METHODS Modifying variables (socioeconomic, health knowledge, perceived threat) were selected as independent variables and anticipated coping behavior at MI symptom onset as the dependent variable. Calling 911 was classified as the correct anticipated coping behavior, while visiting a hospital or an oriental hospital, calling family, and others were classified as incorrect. RESULTS Of 227,740 participants, 83.2% reported correct anticipated coping behaviors. The likelihood of calling 911 was low if participants experienced atypical symptoms (jaw, neck, back, arm, and shoulder pain), even if they were aware of those symptoms. However, 69.9% of participants who were aware of typical symptoms (chest pain) stated that they would call-911. Sex, age, hypertension, dyslipidemia, obesity, and awareness of MI symptoms affected the correct anticipated coping behavior. CONCLUSIONS Correct coping abilities among the general public are vitally important for early treatment of MI patients and reduction of hospitalization time. Members of the general public in their 20s and 30s, 60 years of age or older, with cardiovascular risk factors (male sex, hypertension, dyslipidemia, and obesity), and who are not aware of MI symptoms should be educated about the typical and atypical symptoms of MI. Emergency medical services should be called without delay if needed, and public relations activities should be carried out to raise awareness that anyone can use emergency medical services.

Application of intensive management of risk awareness combined with cardiac rehabilitation nursing in elderly patients with acute myocardial infarction and heart failure

“…This allowed patients to become more aware of their existing management shortcomings and negligence, which could be targeted and corrected in later disease knowledge education. [ 29 , 30 ] Moreover, the risk assessment team provided comprehensive intervention measures based on the patients’ potential risks, and also cultivated patients’ self-risk assessment abilities so that they could report or handle situations promptly in case they occur. Furthermore, risk awareness strengthening management combined with cardiac rehabilitation nursing also provided standardized guidelines for patients’ diet and exercise, helping them develop healthy lifestyles and improving their quality-of-life.…”