Prehospital experiences of older men with a first myocardial infarction: a qualitative analysis within the Northern Sweden MONICA Study

Isaksson, Rose-Marie; Brulin, Christine; Eliasson, Mats; Näslund, Ulf; Zingmark, Karin

doi:10.1111/j.1471-6712.2011.00896.x

Cited by 22 publications

(41 citation statements)

References 45 publications

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“…Patients were found to cluster in groups: Self-managers versus those who relinquish the decision to others (Rosenfeld et al, 2005), with the need to maintain control contributing to delay in seeking care (Higginson, 2008;Isaksson et al, 2011;Kaur et al, 2006;Turris & Finamore, 2008). Perception of one's risk for AMI (Harralson et al, 2007;Herning et al, 2011), the role of witnesses of the attack (Herning et al, 2011;Sjöström-Strand & Fridlund, 2008), and cultural values (Galdas et al, 2007) also influenced delay.…”

Section: Research On Delaymentioning

confidence: 95%

Deciding to Seek Emergency Care for Acute Myocardial Infarction

2014

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The purpose of this qualitative descriptive study was to explore how patients who experience acute myocardial infarction (AMI) decide to seek emergency care. Fifty patients with AMI were interviewed at two hospitals in Lebanon. The perspective of 22 witnesses of the attack was also sought about the cardiac event. The themes that transpired from the data were as follows: making sense of the symptoms, waiting to see what happens, deciding to come to the hospital, and the family influenced the decision to seek care. The witnesses of the cardiac event, mostly family members, supported the decision to seek emergency care. Deciding to seek emergency care for AMI is complex. Nurses must solicit their patients' perception of the cardiac event to provide them with tailored education and counseling about heart attack symptoms and how to respond to them in case they recur. Family members must be included in the education process.

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Section: Research On Delaymentioning

confidence: 95%

Deciding to Seek Emergency Care for Acute Myocardial Infarction

2014

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“…Similar experiences are also expressed among older men and women upon having their first MI. 21,22 The participants looked for a reason why and found it strange that they experienced an OHCA-V and not someone else who they thought had a worse lifestyle. Thoughts about being a terrible person who deserved this were expressed.…”

Section: Comprehensive Understanding and Reflectionsmentioning

confidence: 98%

Meanings of People’s Lived Experiences of Surviving an Out-of-Hospital Cardiac Arrest, 1 Month After the Event

Forslund

Zingmark

Jansson

et al. 2014

Journal of Cardiovascular Nursing

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Surviving an OHCA with validated MI etiology meant waking up and realizing that one had experienced a cardiac arrest and had been resuscitated. These survivors had memory loss and a need to know what had happened during the time they were dead/unconscious. They searched for a reason why they experienced an MI and cardiac arrest and had gone from being "heart-healthy" to having a lifelong illness. They all had the experience of passing from life to death and back to life again. For the participants, these differences led to a revaluation of what is important in life.

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“…According to some studies, it is more common for men than for women to report chest pain as the primary symptom of MI, 1,2 and symptoms like fatigue, nausea, dizziness, fainting, weakness, shortness of breath, and indigestion are more common among women. 8 Women have also been reported to use different language than men do in describing their symptoms. 5 However, a majority of women do experience chest pain at the onset of MI.…”

Section: Introductionmentioning

confidence: 99%

Older Women’s Prehospital Experiences of Their First Myocardial Infarction

Isaksson

Brulin

Eliasson

et al. 2013

Journal of Cardiovascular Nursing

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Background: Few qualitative studies have been conducted on older women's experiences of myocardial infarction (MI) and, in particular, the time before they seek medical care. Objective: The aim of this study was to explore older women's prehospital experiences of their first MI. Methods: Qualitative content analysis was performed on data from individual interviews with 20 women, aged 65 to 80 years (mean, 73.0 years). The participants were interviewed 3 days after admission to a hospital for a confirmed first MI. Results: The women perceived their symptoms as a strange and unfamiliar development from indistinct physical sensations to persistent and overwhelming chest pain. Throughout the prehospital phase, they used different strategies such as downplaying and neglecting the symptoms. The symptoms were seen as intrusions in their daily lives, against which the participants defended themselves to remain in control and to maintain social responsibilities. As their symptoms evolved into constant chest pain, the women began to realize the seriousness of their symptoms. When the pain became unbearable, the women took the decision to seek medical care. Conclusion: Understanding the complex experiences of older women in the prehospital phase is essential to reducing their patient decision times. The findings of this study should be incorporated into the education of professionals involved in the care of cardiac patients, including those who answer informational and emergency telephone lines.

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Prehospital experiences of older men with a first myocardial infarction: a qualitative analysis within the Northern Sweden MONICA Study

Abstract: Understanding older men's prehospital experiences of MI is essential to reduce their patient decision times. This requires knowledge about the complexity and dynamic evolvement of symptoms, beliefs and strategies to maintain an ordinary life.

Cited by 22 publications

References 45 publications

Deciding to Seek Emergency Care for Acute Myocardial Infarction

Deciding to Seek Emergency Care for Acute Myocardial Infarction

Meanings of People’s Lived Experiences of Surviving an Out-of-Hospital Cardiac Arrest, 1 Month After the Event

Older Women’s Prehospital Experiences of Their First Myocardial Infarction

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