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- Henriksson, Catrin, et al.
(författare)
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An Observational Study of the Occurence of Anxiety, Depression and self-reported Quality of Life 2 Years after Myocardial Infarction
- 2018
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Ingår i: Journal of Cardiology and Cardiovascular Medicine. - Stillwater CT : Heighten sciences. - 2575-0143. ; :3, s. 052-063
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Tidskriftsartikel (refereegranskat)abstract
- Background: Patients with myocardial infarction (MI) often experience anxiety, depression and poor quality of life (QoL) compared with a normative population. Mood disturbances and QoL have been extensively investigated, but only a few studies have examined the long-term effects of MI on these complex phenomena.Aims: To examine the levels and associated predictors of anxiety, depression, and QoL in patients 2 years after MI.Methods: This was a single center, observational study of patients with MI (n=377, 22% women, median age 66 years). Two years after MI (2012-2014), the patients were asked to answer the Hospital Anxiety and Depression Scale (HADS) and EuroQol 5-dimension (EQ-5D-3L) questionnaires.Results: Most patients experienced neither anxiety (87%, 95% confidence interval [CI]: 83-90%) nor depression (94%, 95% CI: 92-97%) 2 years post-MI. Elderly patients experienced more depression than younger patients (p=0.003) and women had higher anxiety levels than men (p=0.009).Most patients had “no problems” with any of the EQ-5D-3L dimensions (72-98%), but 48% (95% CI: 43%-53%) self-reported at least “some problems” with pain/discomfort. In a multiple logistic regression model (EQ-5D-3L) higher age (p<0.001) and female sex (p<0.001) were associated with more pain/discomfort. Female sex (p=0.047) and prior MI (p=0.038) were associated with anxiety/depression. History of heart failure was associated with worse mobility (p=0.005) and problems with usual activities (p=0.006). The median total health status of the patients (EQ-VAS) was 78 (95% CI: 75-80)
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| 2. |
- Henriksson, Catrin, 1961-
(författare)
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Coronary Heart Disease and Early Decision Making, from Symptoms to Seeking Care : Studies with Focus on Pre-hospital Delay in Acute Myocardial Infarction Patients
- 2011
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Despite several investigations and interventions aimed at decreasing the time from symptom onset to medical care seeking in acute myocardial infarction patients, the delay time is still too long for best treatment outcomes. In this thesis, investigations aimed at improving our understanding of the factors influencing delay time are evaluated, as well as attitudes to medical care seeking in patients, relatives and the general public. Additionally, an evaluation was performed to examine whether health-related quality of life had any influence on delay time and re-admissions. Participating patients, relatives and representatives of the general public were generally knowledgeable about acute myocardial infarction (AMI) and its symptomatology. The majority of participants knew about the importance of receiving fast treatment when an AMI occurs. Despite people’s knowledge, several patients and relatives felt uncertain of symptom origin and how to act at symptom onset. Patients commonly consulted an additional person when symptoms did not disappear. However, people appeared to act more appropriately if someone else had chest pain compared to self-experienced symptoms. In patients who had suffered from more than one AMI, poor total health status increased the risk of delaying for more than two hours, but no independent association was found between total health status and re-admissions within the first year post-AMI.
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| 3. |
- Henriksson, Catrin, et al.
(författare)
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Faktorer som påverkar beslutet att söka sjukvård vid symtom på akut hjärtinfarkt
- 2008
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Ingår i: Vård i Norden. - 0107-4083 .- 1890-4238. ; 28:1, s. 4-7
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Tidskriftsartikel (refereegranskat)abstract
- It is important to receive medical treatment as soon as possible, to decrease morbidity and mortality, when an acute myocardial infarction (AMI) occurs. The aim of the present study was to investigate factors, which influence the decision-making from symptom onset to hospital admission. One hundred and twenty-six patients with AMI were included. A structured questionnaire was used to register background data, knowledge of symptoms, the importance of fast decision-making, place according to symptoms onset, type of transportation to the hospital, clinical symptoms and ECG-changes. The proportion of elderly, women, patients with diabetes, those who lived alone and patients with symptom onset at home was higher in the group with more than four hours delay. Patients with knowledge of the importance of seeking medical care when experiencing symptoms of an AMI arrived earlier at hospital. Our main conclusion is that knowledge of the importance of fast seeking of medical care is crucial. More information to the public will increase the awareness of actions needed and hopefully it also will shorten the delay time.
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| 4. |
- Henriksson, Catrin, et al.
(författare)
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Faktorer som påverkar beslutet att söka vård vid symtom på akut hjärtinfarkt
- 2008
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Ingår i: Vård i Norden. - 0107-4083 .- 1890-4238. ; 87:28, s. 4-7
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Tidskriftsartikel (refereegranskat)abstract
- It is important to receive medical treatment as soon as possible, to decrease morbidity and mortality, when an acute myocardial infarction (AMI)occurs. The aim of the present study was to investigate factors, which influence the decision-making from symptom onset to hospital admission.One hundred and twenty-six patients with AMI were included. A structured questionnaire was used to register background data, knowledge ofsymptoms, the importance of fast decision-making, place according to symptoms onset, type of transportation to the hospital, clinical symptomsand ECG-changes.The proportion of elderly, women, patients with diabetes, those who lived alone and patients with symptom onset at home was higher in thegroup with more than four hours delay. Patients with knowledge of the importance of seeking medical care when experiencing symptoms of anAMI arrived earlier at hospital.Our main conclusion is that knowledge of the importance of fast seeking of medical care is crucial. More information to the public will increasethe awareness of actions needed and hopefully it also will shorten the delay time.
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| 5. |
- Henriksson, Catrin, 1961-
(författare)
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Influence of health-related quality of life in myocardial infarction with regard to the time from symptom onset to hospital arrival, and the risk of re-admission
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Annan publikation (övrigt vetenskapligt/konstnärligt)abstract
- Background: Despite increased awareness of the importance of early treatment in acutemyocardial infarction (AMI), the delay from symptom onset until hospital arrival is still too longand re-hospitalisations are frequent. Little is known about how health-related quality of life(HRQL) affects delay time and the frequency of re-admissions.Method: We used quality registers to investigate whether patients’ HRQL has any impact ondelay time with a new AMI, and on the rate of re-admissions during the first year. AMI-patients<75 years, with HRQL assessed with EQ-5D at one-year follow-up, and who thereafter had anew AMI registered, were evaluated for the correlation between HRQL and delay time (n=454).The association between HRQL and re-admissions was evaluated among those who had anadditional one-year follow-up registration after the new AMI (n=216).Results: Patients who reported poor total health status (EQ-VAS ≤50), compared to those whoreported EQ-VAS 81-100, had tripled risk to delay ≥2 hours from symptom onset to hospitalarrival (adjusted OR 3.01, 95% CI: 1.43-6.34). Patients scoring EQ-VAS ≤50 had a higher riskof re-admissions in the univariate analysis (OR 3.08, 95% CI: 1.71-5.53). However, thecorrelation did not remain significant after adjustment (OR 1.99, 95% CI: 0.90-4.38). EQ-indexwas not independently associated with delay time or re-admissions.Conclusion: Aspects of total health status post-AMI were independently associated with delaytime to hospital arrival in case of a new AMI. However, the influence of total health status on therisk of re-admissions was less clear.
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| 6. |
- Henriksson, Catrin, et al.
(författare)
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Influence of health related quality of life on time from symptom onset to hospital arrival and the risk of readmission in patients with myocardial infarction
- 2014
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Ingår i: Open heart. - : BMJ. - 2053-3624. ; 1:1
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: Despite increased awareness of the importance of early treatment in acute myocardial infarction (AMI), the delay from symptom onset to hospital arrival is still too long and rehospitalisations are frequent. Little is known about how health-related quality of life (HRQL) affects delay time and the frequency of readmissions. METHOD: We used quality registers to investigate whether patients' HRQL has any impact on delay time with a new AMI, and on the rate of readmissions during the first year. Patients with AMI <75 years, with HRQL assessed with EQ-5D at 1-year follow-up, and who thereafter had a new AMI registered, were evaluated for the correlation between HRQL and delay time (n=454). The association between HRQL and readmissions was evaluated among those who had an additional AMI and a new 1-year follow-up registration (n=216). RESULTS: Patients who reported poor total health status (EQ-VAS ≤50), compared to those who reported EQ-VAS 81-100, had tripled risk to delay ≥2 h from symptom onset to hospital arrival (adjusted OR 3.01, 95% CI 1.43 to 6.34). Patients scoring EQ-VAS ≤50 had also a higher risk of readmissions in the univariate analysis (OR 3.08, 95% CI 1.71 to 5.53). However, the correlation did not remain significant after adjustment (OR 1.99, 95% CI 0.90 to 4.38). EQ-index was not independently associated with delay time or readmissions. CONCLUSIONS: Aspects of total health status post-AMI were independently associated with delay time to hospital arrival in case of a new AMI. However, the influence of total health status on the risk of readmissions was less clear.
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| 7. |
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| 8. |
- Henriksson, Catrin, 1961-
(författare)
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Knowledge about Acute Myocardial Infarction (AMI) and attitudes to medical care seeking : a comparison between patients and the general public
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Annan publikation (övrigt vetenskapligt/konstnärligt)abstract
- Background: Patients with acute myocardial infarction often have long decision times beforeseeking medical care. The decision time is influenced by knowledge of AMI-symptoms,psychological factors and the response of people near the patient to the symptoms.Aim: To investigate and compare the knowledge of AMI, intended actions in response to AMIsymptomsand attitudes toward seeking medical care of patients and the general public.Method: This was a multi-centre study with descriptive and comparative design, usingquestionnaires as an instrument. The population consisted of AMI-patients and representatives ofthe general public.Results: There was good knowledge about typical AMI-symptoms among the participants. Themajority thought an AMI always starts suddenly. Patients did not know more about the timedependencyof treatment outcome than the general public. A greater proportion of the generalpublic would contact an additional person before consulting medical professionals.Conclusions: Patients had no better knowledge about AMI than the general public, but wouldmore commonly act appropriately in case of AMI-symptoms.
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| 9. |
- Henriksson, Catrin, et al.
(författare)
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Knowledge about Acute Myocardial Infarction (AMI) and attitudes to medical care seeking : a comparison between patients and the general public
- 2012
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Ingår i: Open Journal of Nursing. - : Scientific Research Publishing, Inc.. - 2162-5336 .- 2162-5344. ; 2:4, s. 372-378
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Tidskriftsartikel (refereegranskat)abstract
- Background: Patients with acute myocardial infarction often have long decision times before seeking medical care. The decision time is influenced by knowledge of AMI-symptoms, psychological factors and the response of people near the patient to the symptoms.Aim:To investigate and compare the knowledge of AMI, intended actions in response to AMI-symptoms and attitudes toward seeking medical care of patients and the general public. Method: This was a multicentre study with descriptive and comparative design, using questionnaires as an instrument. The population consisted of AMI-patients and representatives of the general public.Results: There was good knowledge about typical AMI-symptoms among the participants. The majority thought an AMI always starts suddenly. Patients did not know more about the time-dependency of treatment outcome than the general public. A greater proportion of the general public would contact an additional person before consulting medical professionals.Conclusions: Patients had no better knowledge about AMI than the general public, but would more commonly act appropriately in case of AMI-symptoms.
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| 10. |
- Henriksson, Catrin, et al.
(författare)
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Knowledge and attitudes toward seeking medical care for AMI-symptoms
- 2011
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Ingår i: International Journal of Cardiology. - : Elsevier BV. - 0167-5273 .- 1874-1754. ; 147:2, s. 224-227
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Tidskriftsartikel (refereegranskat)abstract
- Background: Time is crucial when an acute myocardial infarction (AMI) occurs, but patients often wait before seeking medical care. Aim: To investigate and compare patients' and relatives' knowledge of AMI, attitudes toward seeking medical care, and intended behaviour if AMI-symptoms occur. Methods: The present study was a descriptive, multicentre study. Participants were AMI-patients <= 75 years (n = 364) and relatives to AMI-patients (n = 319). Questionnaires were used to explore the participants' knowledge of AMI and attitudes toward seeking medical care. Results: Both patients and relatives appeared to act more appropriate to someone else's chest pain than to their own. Patients did not have better knowledge of AMI-symptoms than relatives. Women would more often contact someone else before seeking medical care. A greater percentage of elderly (65-75 years), compared to younger individuals, reported that they would call for an ambulance if chest pain occurred. Conclusions: There were only minor differences between patients and relatives, regarding both knowledge and attitudes. It seems easier to act correctly as a bystander than as a patient. Therefore, in order to decrease patients' delay time it is important to educate relatives as well as patients on how to respond to symptoms of an AMI.
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