Accession Number:

ADA239275

Title:

Variables Affecting the Reporting of Pain Following an Acute Myocardial Infarction

Descriptive Note:

Master's thesis,

Corporate Author:

AIR FORCE INST OF TECH WRIGHT-PATTERSON AFB OH

Personal Author(s):

Report Date:

1991-05-01

Pagination or Media Count:

180.0

Abstract:

The presence of unreported chest pain CP in patients with an acute myocardial infarction AMI has received only anecdotal mention in the literature, with the exception of one small study. Unreported CP is of concern because it is essential that the health care provider be aware of the patients symptoms of myocardial ischemia so that aggressive interventions can be utilized to help limit infarct size. Therefore, the following research questions were addressed a Do patients diagnosed with an AMI report all instances of perceived pain b What factors influence patients diagnosed with an AMI to report, or not to report, the pain and c What is the process that culminates in an AMI patients decision to report, or not report, pain An exploratory design utilizing qualitative methodology was employed, with a purposeful sample of seven informants. Eight semistructured interviews were audiotaped one informant was reinterviewed, transcribed in their entirety, and analyzed using the constant comparative method and content analysis. The data which emerged supported the existence of unreported CP and represented a process of decision- making under conditions of uncertainty, in response to the symptoms associated with an AMI. This decision-making process occurred prior to hospitalization, and again when the symptoms recurred during hospitalization.

Subject Categories:

  • Anatomy and Physiology
  • Medicine and Medical Research

Distribution Statement:

APPROVED FOR PUBLIC RELEASE