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首页> 外文期刊>Nursing research >Treatment seeking for acute myocardial infarction symptoms: differences in delay across sex and race.
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Treatment seeking for acute myocardial infarction symptoms: differences in delay across sex and race.

机译：寻找急性心肌梗塞症状的治疗：性别和种族延迟的差异。

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BACKGROUND: Patients experiencing an acute myocardial infarction are known to delay seeking treatment between 2 and 4 hours. This delay is problematic because individuals who receive treatment 2 or more hours after the onset of symptoms are less likely to benefit from emergent reperfusion techniques. Persons most likely to delay seeking treatment for an acute myocardial infarction and their reasons have not been clearly identified. OBJECTIVE: The purpose of this study was to identify the effect of selected demographic, clinical, cognitive, and environmental variables on the length of the time of delay. In addition, the study was designed to identify whether women delayed longer than men, and whether African Americans delayed longer than non-Hispanic Whites during an acute myocardial infarction. METHOD: A structured interview was conducted in a convenience sample (N eq> 212) of African American and non-Hispanic White patients hospitalized after acute myocardial infarction. Patients were asked detailed information about the sequence of events prior to the acute myocardial infarction, and the symptoms experienced. Medical records were examined for clinical information. RESULTS: Women did not delay significantly longer than men (2.0 vs. 2.5 median hours). African Americans delayed significantly longer than non-Hispanic Whites (3.25 hours vs. 2.0 median hours). Race did not contribute unique variance to delay time in a simultaneous multiple regression analysis; however, race was a significant predictor variable in whether or not participants sought treatment within the first hour after the onset of symptoms. The variance in delay time for African American and Non-Hispanic White men and women that could be explained by the predictor variables ranged from 23-47%. CONCLUSIONS: The reasons for delay differed in part by sex and race.
机译：背景：已知患有急性心肌梗塞的患者延迟寻求治疗2至4小时。这种延迟是有问题的，因为在症状发作后2小时或更长时间接受治疗的人不太可能从紧急再灌注技术中受益。尚未明确发现因急性心肌梗死而延误就医的人员及其原因。目的：本研究的目的是确定人口统计学，临床，认知和环境变量对延迟时间长度的影响。此外，该研究旨在确定在急性心肌梗塞中女性延迟时间是否比男性长，以及非裔美国人延迟时间是否长于非西班牙裔白人。方法：对在急性心肌梗塞后住院的非洲裔美国人和非西班牙裔白人患者的便利性样本（Neq> 212）进行结构化访谈。向患者询问有关急性心肌梗塞之前的事件顺序以及所经历症状的详细信息。检查医疗记录以获取临床信息。结果：女性的延迟时间没有比男性长得多（中位小时数为2.0比2.5）。非裔美国人的延迟时间明显长于非西班牙裔白人（3.25小时vs. 2.0中位数小时）。在同时进行的多元回归分析中，种族没有为延迟时间贡献唯一的方差。但是，种族是参与者出现症状后第一小时内是否需要治疗的重要预测变量。非洲裔美国人和非西班牙裔白人男性和女性的延迟时间差异可以通过预测变量解释，范围为23-47％。结论：延迟的原因部分因性别和种族而异。

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