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| Korean J Adult Nurs. 2015 Feb;27(1):83-93. Korean. Published online February 28, 2015. https://doi.org/10.7475/kjan.2015.27.1.83 | |
| © 2015 Korean Society of Adult Nursing | |
Eun Ju Han,1
and Jeong Sun Kim 2
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1Regional Cardiocerebrovascular Center, Chonnam National University Hospital, Gwangju, Korea. | |
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2College of Nursing, Chonnam National University, Gwangju, Korea. | |
| Corresponding author: Kim, Jeong Sun. College of Nursing, Chonnam National University, 160 Baekseoro, Dong-gu, Gwangju 501-746, Korea. Tel: +82-62-530-4957, Fax: +82-62-227-4009,
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| Received November 24, 2014; Revised February 05, 2015; Accepted February 10, 2015. | |
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Abstract
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Purpose
This study was to investigate the relationship among the symptom recognition, health behavior compliance, and the hospital arrival time to identify factors influencing the hospital arrival time in patient with acute myocardial infarction (AMI).
Methods
The subjects of this study were 200 patients with AMI in C hospital in D city. Data were analyzed using descriptive statistics, independent t-test, One way ANOVA, Pearson's correlation coefficients, and stepwise multiple liner regression tests.
Results
Level of symptom recognition and health behavior compliance was low. The median value of hospital arrival time was 4.48 hours (ST-segment Elevation Ml was 2.43 hours and Non ST-segment Elevation MI was 7.83 hours). Among the studied factors, only symptom recognition had a statistically significant positive correlation with health behavior compliance (r=0.38, p<.001). Factors influencing the hospital arrival time were MI classification, diabetes mellitus (DM) and transport vehicle to the 1st hospital, and they accounted for 13% of the variance for hospital arrival time in AMI patients.
Conclusion
To prevent the delay of hospital arrival time in MI patients, a more robust nursing strategic intervention according to MI classification and DM is necessary; further education on the importance of transportation utilization is also mandated. |
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Keywords: Myocardial infarction; Time; Symptoms; Recognition; Health behavior |
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Notes
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This manuscript is a revision of part of the first's author master's thesis from Chonnam National University.
This study was supported by Health Fellowship Foundation, 2013.
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References
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| 1. | Thygesen K, Alpert JS, Jaffe AS, Simoons ML, Chaitman BR, White HD. Third universal definition of myocardial infarction. Circulation 2012;126:2020–2035. [doi: 10.1161/CIR.0b013e31826e1058] 
|
| 2. | Statistics Korea. 2013 Annual report on the cause of death statistics [Internet]. Seoul: Statistics Korea; 2014 [cited 2014 September 23]. Available from: http//kostat.go.kr/portal/korea/kor_
|
| 3. | Le May MR, Davies RF, Dionne R, Maloney J, Trickett J, So D, et al. Comparison of early mortality of paramedic-diagnosed ST-segment elevation myocardial infarction with immediate transport to a designated primary percutaneous coronary intervention center to that of similar patients transported to the nearest hospital. The American Journal of Cardiology 2006;98:1329–1333. [doi: 10.1016/j.amjcard.2006.06.019]
|
| 4. | Kim JA, Jeong JO, Ann KT, Park HS, Jang WI, Kim MS, et al. Causative factors for time delays in patients with acute ST-segment elevation myocardial infarction undergoing primary percutaneous coronary intervention. The Korean Journal of Medicine 2010;78(5):586–594. |
| 5. | Levine GN, Bates ER, Blankenship JC, Bailey SR, Bittl JA, Cercek B, et al. 2011 ACCF/AHA/SCAI Guideline for percutaneous coronary intervention: a report of the American College of Cardiology Foundation/American Heart Association task force on practice guidelines and the society for cardiovascular angiography and interventions. Circulation 2011;124:e574–e651. [doi: 10.1161/CIR.0b013e31823ba622]
|
| 6. | Korean Health Insurance Review & Assessment Service. 2013 Evaluation result of acute myocardial infarction [Internet]. Seoul: Korean Health Insurance Review & Assessment Service; 2013 [cited 2013 December 12]. Available from: http://www.hia.or.kr/dummy.do?pgmid=HIRAA020041000000&cmsurl=/cms/notice/02/1322009_
|
| 7. | Jeong JO. Editorial: Regional cardiocerebrovascular center project in the treatment of acute myocardial infarction. The Korean Journal of Medicine 2013;85(3):272–274. [doi: 10.3904/kjm.2013.85.3.272]
|
| 8. | McKinley S, Dracup K, Moser DK, Ball C, Yamasaki K, Kim CJ, et al. International comparison of factors associated with delay in presentation for AMI treatment. European Journal of Cardiovascular Nursing 2004;3(3):225–230. [doi: 10.1016/j.ejcnurse.2004.06.004]
|
| 9. | Jeong MH. Editorial: Can time delay be shortened in the treatment of acute myocardial infarction?-experience from Korea acute myocardial infarction registry. The Korean Journal of Medicine 2010;78(5):582–585. |
| 10. | DeVon HA, Ryan CJ. Chest pain and associated symptoms of acute coronary syndromes. The Journal of Cardiovascular Nursing 2005;20(4):232–238. [doi: 10.1097/00005082-200507000-00006]
|
| 11. | Ledwich JR, Mondragon GA. Chest pain duration in myocardial infarction. The Journal of the American Medical Association 1980;244(19):2172–2174. [doi: 10.1001/jama.1980.03310190024015]
|
| 12. | Kim KL. In: Restenosis according to family support and compliance of health behavior after a coronary intervention. [master's thesis]. Seoul: Ewha Womans University; 2009. pp. 31-32. |
| 13. | Chew CK, Jolly S, Rao-Melacini P, Fox KAA, Anand SS, Yusuf S. Association of diet, exercise, and smoking modification with risk of early cardiovascular events after acute coronary syndromes. Circulation 2010;121:750–758. [doi: 10.1161/CIRCULATIONAHA.109.891523]
|
| 14. | Lee SO, Oh SE, Jeong MH, Kim HK, Jeon HJ, Choi YJ, et al. Clinical impact of symptom to door time on 1-year mortality in patients with non-ST segment elevation acute myocardial infarction. The Korean Journal of Medicine 2010;78(6):717–724. |
| 15. | McKee G, Mooney M, O'Donnell S, O'Brien F, Biddle MJ, Moser DK. Multivariate analysis of predictors of pre-hospital delay in acute coronary syndrome. International Journal of Cardiology 2013;168(3):2706–2713. [doi: 10.1016/j.ijcard.2013.03.022]
|
| 16. | Armstrong PW, Westerhout CM, Welsh RC. Duration of symptoms is the key modulator of the choice of reperfusion for ST-elevation myocardial infarction. Circulation 2009;119:1293–1303. [doi: 10.1161/CIRCULATIONAHA.108.796383]
|
| 17. | Hwang SY, Kweon YR, Kim AL. Perceptions of barriers to cardiovascular risk factors and decision to seek treatment among middle-aged men with acute myocardial infarction. Journal of Korean Academy of Adult Nursing 2010;22(5):537–551. 
|
| 18. | Centers for Disease Control and Prevention USA. 2009 Behavioral risk factor surveillance system questionnaire [Internet]. Atlanta: 2008 [cited 2008 December 30]. Available from: http://www.cdc.gov/brfss/annual_
|
| 19. | Regional Cardio-Cerebro-Vascular Center. Report of open survey about myocardial infarction and stroke 2012. Seoul: Korean Ministry of Health and Welfare; 2012. |
| 20. | Choi YO. In: A comparison of factors influencing health behavior compliance by type D personality in the patients with coronary artery disease. [master's thesis]. Gwangju: Chonnam National University; 2013. pp. 62-63. |
| 21. | Kang KJ, Yu SJ. Health behavior and influencing factors in patients with coronary artery disease admitted to hospital. Journal of Korean Academy of Fundamentals of Nursing 2010;17(1):16–25.
|
| 22. | Kim KJ, Yi MS. A study of motivational factors and health behaviors in patients with coronary artery disease. The Korean Journal of Rehabilitation Nursing 2007;10(2):125–133.
|
| 23. | Ahn NY, Kim KJ. Effects of regular exercise on endothelial function in cardiovascular disease. The Korean Journal of Obesity 2008;17(1):1–9.
|
| 24. | Ting HH, Chen AY, Roe MT, Chan PS, Spertus JA, Nallamothu BK, et al. Delay from symptom onset to hospital presentation for patients with non-ST-segment elevation myocardial infarction. Archives of internal medicine 2010;170(20):1834–1841. [doi: 10.1001/archinternmed.2010.385]
|
| 25. | Lee JH, Sohn JD, Kim SW, Chung TN, Park YS, Park YC. The effect of symptom recognition on pre-hospital delay in patients with acute coronary syndrome. Journal of the Korean Society of Emergency Medicine 2010;21(1):9–18.
|
| 26. | Jung DH, Jeong MH, Kim KH, Lee WS, Lee KH, Yoon HJ, et al. Predictors of total occlusion of the infarct-related artery in patients with acute Non-ST elevation myocardial infarction. The Korean Journal of Medicine 2008;74(3):271–280. |
| 27. | DeVon HA, Penckofer S, Larimer K. The association of diabetes and older age with the absence of chest pain during acute coronary syndromes. Western Journal of Nursing Research 2008;30(1):130–144. [doi: 10.1177/0193945907310241]
|