Treatment decision-making during the early stages of heart attack
A Case for the Role of Body and Self in Influencing Delays
Bibliographic Data
| ID | 2248605 |
|---|---|
| Authors | Alexander M Clark (0000-0002-2860-0492, University of Glasgow, corresponding author) |
| Year | 2001 |
| Volume | 23 |
| Issue | 4 |
| Pages | 425-446 |
| Publication date | 2001-07-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Sociology of Health & Illness (JOURNAL) |
| Journal identifiers | ISSN: 0141-9889 • E-ISSN: 1467-9566 |
| Publisher | Wiley (PUBLISHER • GB) |
| DOI | 10.1111/1467-9566.00259 |
| OpenAlex | W2031772497 |
| Language | EN |
| Citations received | 10 |
| References cited | 17 |
A majority of individuals with the symptoms of heart attack (or myocardial infarction) delay for significant periods before seeking medical assistance. These delays are often lengthy and adversely affect mortality by compromising the efficacy of thrombolytic therapy. This qualitative study examined pre-hospital decision-making retrospectively in a sample of Scottish myocardial infarction (MI) patients (n=14). From interviews with participants 48 hours after admittance to hospital, decision making was interpreted as following a five-stage pattern. The phases were: Experiencing symptoms as familiar sensations, moving from the everyday, responding to breakdown, increasing crisis and decisions and dialogue. Throughout these phases, participants drew on aspects of the body, self and society in order to understand and react to what was happening to them. Phenomenologically, echoing movements associated with chronic illness, participants experienced the body and self differently during the different stages of decision making. Their decision making was influenced by their views of the self, interpretations of the body and the symptoms of MI and conceptions of personal and general risk
Affect (linguistics · Developmental psychology · Myocardial infarction · Psychiatry · Qualitative research · Medicine · Mental Health and Psychiatry · Psychology
Modern Symbolic Interaction Theory and Health
Constructing the Stroke
Health literacy in persons at risk of and patients with coronary heart disease
The pivotal role of cardiac self-care in treatment timing
Help seeking for cardiac symptoms
Delaying and seeking care for obstructive sleep apnea
A critical realist approach to understanding and evaluating heart health programmes
Living with Dementia
Healthcare choice
Towards a sociology of disease
Alternative projections of mortality and disability by cause 1990–2020
The qualitative research audit trail
Sample size in qualitative research
The Sociology of Health and Illness
Health and Illness in a Changing Society
Unending Work and Care
The cardiac patients perception of his heart attack
The Vicissitudes of Embodiment Across the Chronic Illness Trajectory
The lived body
Deprivation and health in Scotland
Stories of Suffering
The limits of lifestyle
Causes of delay in seeking treatment for heart attack symptoms
Embodied risk
Chronic illness as biographical disruption or biographical disruption as chronic illness? Reflections on a core concept
There's this thing in our family
| Unique citing works | 10 |
|---|---|
| Citations per year | 0,45 |
| Citation span | 2004 - 2020 (17) |
| Citation velocity | historical |
| Highly cited | No |
| Citation types | Neutral: 10 |