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Original Article

Gender Differences in Delay Seeking Treatment and Related Experiences in Patients with Acute Myocardial Infarction

Mi-Suk Won, MSN, RN1, Nah-Mee Shin, Ph.D., APRN-ACNP, BC2, Eunsook Kim, Ph.D., APN3
Korean Journal of Adult Nursing 2016;28(4):459-469.
Published online: August 31, 2016

1Head Nurse, Korea University Ansan Hospital, Ansan, Korea.

2Associate Professor, College of Nursing, Korea University, Seoul, Korea.

3Assistant Professor, Department of Nursing, CheongJu University, Cheongju, Korea.

Corresponding author: Shin, Nah-Mee. College of Nursing, Korea University, 145 Anam-ro, Seongbuk-gu, Seoul 02841, Korea. Tel: +82-2-3290-4924, Fax: +82-2-928-9108, nshin@korea.ac.kr
• Received: June 12, 2016   • Revised: August 18, 2016   • Accepted: August 22, 2016

© 2016 Korean Society of Adult Nursing

This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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  • 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.
  • Key Words: Acute myocardial infarction; Symptoms; Gender; Women; Men

This manuscript is based on a part of the first author's master's thesis from Korea University.

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Table 1

Gender Comparison in General and Lifestyle related Characteristics (N=97)

kjan-28-459-i001.jpg
Table 2

Gender Comparison in Disease related Characteristics (N=97)

kjan-28-459-i002.jpg

hs-CRP=high sensitivity-C reactive protein; NSTEMI=non ST-elevation myocardial infarction.

Table 3

Gender Differences in Factors of Responses to Symptoms (N=97)

kjan-28-459-i003.jpg

†Analyzed by ANCOVA for age difference.

Table 4

Gender Differences in Delay Seeking Treatment (N=97)

kjan-28-459-i004.jpg

PCI=percutaneous coronary intervention; STEMI=ST-segment elevation myocardial infarction.

Figure & Data

References

    Citations

    Citations to this article as recorded by  
    • Predictors of anticipated coping behavior at myocardial infarction symptom onset among a nationwide sample of Korean adults
      Kyong Sil Park
      Epidemiology and Health.2021; 43: e2021006.     CrossRef
    • Blood Pressure Awareness and Knowledge of Cardio-Cerebrovascular Diseases in South Korean Women with Hypertension
      Yeo Won Jeong
      Healthcare.2021; 9(3): 360.     CrossRef

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    Gender Differences in Delay Seeking Treatment and Related Experiences in Patients with Acute Myocardial Infarction
    Korean J Adult Nurs. 2016;28(4):459-469.   Published online August 31, 2016
    DOI: https://doi.org/10.7475/kjan.2016.28.4.459
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    Gender Differences in Delay Seeking Treatment and Related Experiences in Patients with Acute Myocardial Infarction
    Korean J Adult Nurs. 2016;28(4):459-469.   Published online August 31, 2016
    DOI: https://doi.org/10.7475/kjan.2016.28.4.459
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    Gender Differences in Delay Seeking Treatment and Related Experiences in Patients with Acute Myocardial Infarction
    Gender Differences in Delay Seeking Treatment and Related Experiences in Patients with Acute Myocardial Infarction

    Gender Comparison in General and Lifestyle related Characteristics (N=97)

    Gender Comparison in Disease related Characteristics (N=97)

    hs-CRP=high sensitivity-C reactive protein; NSTEMI=non ST-elevation myocardial infarction.

    Gender Differences in Factors of Responses to Symptoms (N=97)

    †Analyzed by ANCOVA for age difference.

    Gender Differences in Delay Seeking Treatment (N=97)

    PCI=percutaneous coronary intervention; STEMI=ST-segment elevation myocardial infarction.
    Table 1 Gender Comparison in General and Lifestyle related Characteristics (N=97)

    Table 2 Gender Comparison in Disease related Characteristics (N=97)

    hs-CRP=high sensitivity-C reactive protein; NSTEMI=non ST-elevation myocardial infarction.

    Table 3 Gender Differences in Factors of Responses to Symptoms (N=97)

    †Analyzed by ANCOVA for age difference.

    Table 4 Gender Differences in Delay Seeking Treatment (N=97)

    PCI=percutaneous coronary intervention; STEMI=ST-segment elevation myocardial infarction.

    Table 1

    Table 2

    Table 3

    Table 4

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