| Learning Objective #1: The learner will be able to identify factors related to treatment seeking in women with myocardial infarction. | |||
| Learning Objective #2: The learner will explore the relationship among selected variables identified with a theory of treatment seeking in myocardial infarction. |
This research examined factors thought to influence treatment-seeking behaviors in women with Myocardial Infarction (MI). Early treatment for MI reduces morbidity and mortality but time to treatment has not decreased in the past fifteen years and remains longer for females than males. Prior research on treatment seeking in MI has occurred with males, and knowledge regarding female treatment-seeking behavior is needed for the design of effective interventions.
A descriptive correlational research design was utilized to examine the relationship among the variables relevant to females with MI utilizing the Acute Myocardial Infarction Coping Model (AMICM). One hundred and two women with MI participated in the study when they were patients in a hospital or outpatient cardiac rehabilitation. Participants completed a demographic questionnaire, the Illness Perception Questionnaire, and the Ways of Coping Checklist.
The most common symptoms experienced by the participants in this study were fatigue, followed by chest pain, chest tightness, and chest pressure. The symptoms that the participants most associated with a heart attack were chest pain, chest tightness, and chest pressure.
Structural equation modeling was utilized to test the a model derived from the AMICM. The original model was modified and a model of treatment seeking was developed that fit the data adequately. Although the basic constructs of the AMICM were supported, there were differences in the sample compared to the sequential process delineated by the AMICM. Uncertainty of the meaning of the symptoms and the use of problem and emotion-focused coping strategies increased delay in the sample.
Further research needs to be done in this area. This was the first time that the AMICM has been tested and further work is needed including further testing of the model in different samples needs to be done. Educational interventions are suggested focusing on the response to MI signs and symptoms.
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