The purpose of this study was to identify cognitive, social, and emotional influences of individuals delaying treatment during an acute myocardial infarction (AMI). In a multiple regression analysis, the following were predictors of long treatment delay in arrival to the emergency department after cardiac symptom onset: being home, having more ability to control symptoms, and being in a public place. Predictors of short treatment delay were thinking that symptoms were heart related, calling 911, having a high pain scale, and telling someone else about the symptoms. Nurses can use this study to identify potential responses and situations that may affect patient decision delay in the future.
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