Gender differences in delay seeking treatment and related experiences in patients with acute myocardial infarction
- Authors
- Won, M.-S.; Shin, N.-M.; Kim, E.
- Issue Date
- 2016
- Publisher
- Korean Society of Adult Nursing
- Keywords
- Acute myocardial infarction; Gender; Men; Symptoms; Women
- Citation
- Korean Journal of Adult Nursing, v.28, no.4, pp.459 - 469
- Indexed
- SCOPUS
KCI
- Journal Title
- Korean Journal of Adult Nursing
- Volume
- 28
- Number
- 4
- Start Page
- 459
- End Page
- 469
- URI
- https://scholar.korea.ac.kr/handle/2021.sw.korea/91372
- DOI
- 10.7475/kjan.2016.28.4.459
- ISSN
- 1225-4886
- Abstract
- Purpose: This comparative descriptive study was to identify gender differences in delay seeking treatment and related experiences in patients with acute myocardial infarction (AMI). Methods: Ninety-seven participants were recruited from a tertiary hospital. Results: Mean age of 47 women was 71.5±13.3 while that of men was 55.0±10.9 (p < .001). More women lived alone and were jobless, less educated, and poorer than men. Men were likely to be 'current smokers' and drink alcohol, however viewed themselves healthier than women (p = .030). Women's hospital stay was 9.23±21.04 days while men's was 4.86±2.72 days (p = .014). More women had been diagnosed with hypertension (p = .040). Women appeared to report significantly less pain (6.46±3.1) than men (8.44±1.8). More men described their pain as sudden onset (p = .015) and chest pain as major symptom (p = .034) than women. More women were found alone upon onset of symptoms (p = .023) and had important reasons for delay seeking treatment (p = .021) than men. Median time from onset of symptoms to seeking medical service was 1.5 hours for men and 5.1 hours for women (p = .003). Median time taken from onset of symptoms to hospital for therapy was 3.5 hours for men and 9.1 hours for women (p = .019). Conclusion: This study findings that women reported less pain and delayed in seeking treatment, suggest needs for strategies targeting women at risk of AMI. © 2016 Korean Journal of Adult Nursing.
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