:: KJAN :: Korean Journal of Adult Nursing
Open Access, Peer-reviewed
eISSN 2288-338X
    Korean J Adult Nurs. 2016 Aug;28(4):459-469. Korean.
    Published online Aug 31, 2016.
    https://doi.org/10.7475/kjan.2016.28.4.459
    © 2016 Korean Society of Adult Nursing
    Original Article

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

    Mi-Suk Won, MSN, RN,1 Nah-Mee Shin, Ph.D., APRN-ACNP, BC,2 and Eunsook Kim, Ph.D., APN3
      • 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, Email: nshin@korea.ac.kr
    Received June 12, 2016; Revised August 18, 2016; Accepted August 22, 2016.

    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.

    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.

    Keywords
    Acute myocardial infarction; Symptoms; Gender; Women; Men

    Tables

    Table 1
    Gender Comparison in General and Lifestyle related Characteristics (N=97)

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

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

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

    Notes

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

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    MeSH Terms
    Chest Pain
    Female
    Humans
    Hypertension
    Length of Stay
    Male
    Myocardial Infarction*
    Tertiary Care Centers
    Metrics
    Share
    Tables
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