| 1. |
- Henriksson, Catrin, et al.
(author)
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Faktorer som påverkar beslutet att söka sjukvård vid symtom på akut hjärtinfarkt
- 2008
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In: Vård i Norden. - 0107-4083 .- 1890-4238. ; 28:1, s. 4-7
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Journal article (peer-reviewed)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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| 2. |
- Henriksson, Catrin, et al.
(author)
-
Faktorer som påverkar beslutet att söka vård vid symtom på akut hjärtinfarkt
- 2008
-
In: Vård i Norden. - 0107-4083 .- 1890-4238. ; 87:28, s. 4-7
-
Journal article (peer-reviewed)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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| 3. |
- Henriksson, Catrin, et al.
(author)
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Patients' and relatives' thoughts and actions during and after symptom presentation for an acute myocardial infarction
- 2007
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In: European Journal of Cardiovascular Nursing. - : Oxford University Press (OUP). - 1474-5151 .- 1873-1953. ; 6:4, s. 280-286
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Journal article (peer-reviewed)abstract
- BACKGROUND: Relatives play an important role in deciding to seek medical care after the onset of symptoms of an acute myocardial infarction (AMI). OBJECTIVE: The aim of this study was to gain deeper understanding of how AMI patients and their relatives think and act during and after onset of symptoms. METHODS: Six focus group interviews were conducted with AMI patients (N=13) and relatives (N=14). Manifest content analysis was used to analyse the transcribed data. RESULTS: The AMI patients experienced a variety of symptoms and both patients and relatives often felt uncertain about the origin of the symptoms, interpreted them as less serious conditions and tried to alleviate the discomfort in various ways. When symptoms continued the patients consulted a relative, who often decided to seek care. Many considered waiting for an ambulance was too long and the relative often drove the patients to the hospital. CONCLUSION: Patients as well as relatives were insecure about AMI symptoms and how to act. All patients contacted a relative, who was more eager than the patient to seek help. Many preferred to go in their own car to the hospital, believing it to be faster than an ambulance. Information about AMI symptoms and recommended action should be given to the public and to AMI patients and their relatives.
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| 4. |
- Rydell Karlsson, Monica, et al.
(author)
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Effects of Expanded Cardiac Rehabilitation on Psychosocial Status in Coronary Artery Disease with Focus on Type D Characteristics
- 2007
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In: Journal of behavioral medicine. - : Springer Science and Business Media LLC. - 0160-7715 .- 1573-3521. ; 30:3, s. 253-261
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Journal article (peer-reviewed)abstract
- Type D personality has been shown to increase the risk for cardiovascular events in patients with coronary artery disease (CAD). We investigated the effects of expanded cardiac rehabilitation on type D score and psychosocial characteristics in 224 CAD patients randomised to either expanded cardiac rehabilitation (stress management, increased physical training, stay at a “Patient Hotel” after discharge and cooking sessions), or routine rehabilitation. Follow-up was 1 year. At baseline patients with a high type D score [patients in the upper quartile of type D score (Q4) i.e., type D patients] had a lower sense of coherence (p < 0.001), a lower quality of life (p < 0.001), more depressive symptoms (p < 0.001) and increased anxiety (p < 0.001) as compared to patients with a low type D score (Q1). During follow-up, type D patients (Q4) randomised to intervention had significant decrements in type D-score (p < 0.01), depression and anxiety (p < 0.05) and an increment in quality of life scores (p < 0.001). Quality of life was also improved in control type D patients (Q4; p < 0.01) but no significant changes were seen in type D score, depression or anxiety. Expanded cardiac rehabilitation reduces type D score, anxiety and depressive symptoms, and improves the quality of life in type D patients.
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