Relationship between delayed medical decision making and disease perception and coping style in patients with first-episode acute myocardial infarction
Objective To investigate the relationship between the delay in seeking medical treatment for initial acute my-ocardial infarction and the perception and coping strategies of the disease.Methods A total of 158 patients with initial acute myocardial infarction admitted to the Second Affiliated Hospital of Zhengzhou University from January 2022 to Oc-tober 2023 were selected using convenience sampling.Pearson correlation analysis was used to examine the correlation betweenthe delay in seeking medical treatment and disease perception,as well as coping strategies.Logistic regression analysis was conducted to identify the risk factors for the delay in seeking medical treatment for initial acute myocardial infarction.Results The findings revealed that the delay in seeking medical treatment for initial acute myocardial infarc-tion was(129.38±32.38)minutes,with 82 cases(53.95％)experiencing a delay exceeding 60 minutes.The study found a negative correlation between the delay in seeking medical treatment and disease perception(r=-0.461,P＜0.001),as well as a negative correlation between the delay and the confrontational dimension of coping strategies(r=-0.495,P＜0.001),and a positive correlation with the avoidance and yielding dimensions of coping strategies(r=0.414,0.429,P＜0.001).The logistic regression analysis results indicate that low disease perception score(OR=4.031,95％CI:1.766-9.200),low coping score(OR=6.190,95％CI:1.783-21.490),high avoidance and com-pliance scores(OR=2.489,2.321,95％CI:1.327-4.670,1.392-3.871),normal outpatient visits(OR=2.517,95％CI:1.342-4.722),and onset of illness during the night(OR=2.396,95％CI:1.403-4.092).Conclusion The delay in seeking medical treatment for initial acute myocardial infarction is concerning,and it is asso-ciated with disease perception and coping strategies.Disease perception,coping strategies,medical treatment pathways,and onset time are influential factors,and clinical attention should be focused on the high-risk group for acute myocar-dial infarction to develop targeted intervention measures and reduce the delay in seeking medical treatment.
Initial acute myocardial infarctionDelay in seeking medical treatmentDisease perceptionCoping strategies
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