The Lived Experience of Acute Myocardial Infarction in Urban African-Americans

2.50
Hdl Handle:
http://hdl.handle.net/10755/148772
Type:
Presentation
Title:
The Lived Experience of Acute Myocardial Infarction in Urban African-Americans
Abstract:
The Lived Experience of Acute Myocardial Infarction in Urban African-Americans
Conference Sponsor:Sigma Theta Tau International
Conference Year:2007
Author:Peters, Mary Anne, DNSc, RN
P.I. Institution Name:La Salle University
Title:Associate Professor
Co-Authors:Patti Rager Zuzelo, EdD, APRN-BC, CS
[Evidence-based presentation] This phenomenological study describes the lived experience of acute myocardial infarction (AMI) of African American men and women living in a large, northeastern city. Institutional Review Board approval was secured. The study setting was a tertiary care, urban medical center. Inclusion criteria included English-speaking patients with a confirmed diagnosis of AMI and ability to converse in an organized fashion. Patients requiring mechanical ventilation or experiencing physical instability, extreme anxiety, dyspnea at rest or with conversation, or unresolved chest pain were excluded. Interviewing time frames were dependent upon the course of hospitalization events including invasive therapies for advanced diagnosis, therapeutic intervention, and patient fatigue. Purposively selected African American men (n = 5) and women (n = 6) had multiple co-morbidities, including diabetes. One of the investigators conducted participant interviews using open-ended questions with intermittent prompters and cues within 72 hours of hospital admission. Participants were encouraged to describe their initial symptom experience and to describe their reactions to these symptoms. They were asked to share their recollections of symptom experience up to the point of symptom resolution. Interviews were audiotape recorded. Recordings were transcribed verbatim and thematically analyzed using the framework of van Manen (1991). Major themes included: Interpreting symptoms in my customary way; Working through the symptoms on my own; Delaying requests for help; Being ill at ease; Becoming gradually aware of the gravity of my circumstances; and, Asking for help. Participants did not initially relate signs and symptoms with the heart. None contacted primary care providers for symptom evaluation. Many attributed the distress to gastrointestinal problems. The symptoms were frightening and participants intervened with prayer, self-medication, and activity modifications. Many symptoms differed from those that participants identified as classic heart attack symptoms. Findings are consistent with a recently published study exploring AMI treatment delays in African Americans.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleThe Lived Experience of Acute Myocardial Infarction in Urban African-Americansen_GB
dc.identifier.urihttp://hdl.handle.net/10755/148772-
dc.description.abstract<table><tr><td colspan="2" class="item-title">The Lived Experience of Acute Myocardial Infarction in Urban African-Americans</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2007</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Peters, Mary Anne, DNSc, RN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">La Salle University</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Associate Professor</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">peters@lasalle.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Patti Rager Zuzelo, EdD, APRN-BC, CS</td></tr><tr><td colspan="2" class="item-abstract">[Evidence-based presentation] This phenomenological study describes the lived experience of acute myocardial infarction (AMI) of African American men and women living in a large, northeastern city. Institutional Review Board approval was secured. The study setting was a tertiary care, urban medical center. Inclusion criteria included English-speaking patients with a confirmed diagnosis of AMI and ability to converse in an organized fashion. Patients requiring mechanical ventilation or experiencing physical instability, extreme anxiety, dyspnea at rest or with conversation, or unresolved chest pain were excluded. Interviewing time frames were dependent upon the course of hospitalization events including invasive therapies for advanced diagnosis, therapeutic intervention, and patient fatigue. Purposively selected African American men (n = 5) and women (n = 6) had multiple co-morbidities, including diabetes. One of the investigators conducted participant interviews using open-ended questions with intermittent prompters and cues within 72 hours of hospital admission. Participants were encouraged to describe their initial symptom experience and to describe their reactions to these symptoms. They were asked to share their recollections of symptom experience up to the point of symptom resolution. Interviews were audiotape recorded. Recordings were transcribed verbatim and thematically analyzed using the framework of van Manen (1991). Major themes included: Interpreting symptoms in my customary way; Working through the symptoms on my own; Delaying requests for help; Being ill at ease; Becoming gradually aware of the gravity of my circumstances; and, Asking for help. Participants did not initially relate signs and symptoms with the heart. None contacted primary care providers for symptom evaluation. Many attributed the distress to gastrointestinal problems. The symptoms were frightening and participants intervened with prayer, self-medication, and activity modifications. Many symptoms differed from those that participants identified as classic heart attack symptoms. Findings are consistent with a recently published study exploring AMI treatment delays in African Americans.</td></tr></table>en_GB
dc.date.available2011-10-26T09:50:24Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T09:50:24Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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