Eunjin Park; Jia Lee

doi:10.4040/jkan.2015.45.3.378

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Original Article
Symptom Clusters in Korean Patients with Acute Myocardial Infarction: Eunjin Park, Jia Lee; Journal of Korean Academy of Nursing 2015;45(3):378-387.
DOI: https://doi.org/10.4040/jkan.2015.45.3.378
Published online: June 30, 2015

¹Graduate School, Kyung Hee University, Seoul, Korea.

²College of Nursing Science·East-West Nursing Research Institute, Kyung Hee University, Seoul, Korea.

Address reprint requests to: Lee, Jia. College of Nursing Science, Kyung Hee University, 1 Hoegi-dong, Dongdaemun-gu, Seoul 130-701, Korea. Tel: +82-2-961-0894, Fax: +82-2-961-9398, leejia@khu.ac.kr

• Received: December 8, 2014 • Revised: December 30, 2014 • Accepted: March 26, 2015

This is an Open Access article distributed under the terms of the Creative Commons Attribution NoDerivs License. (http://creativecommons.org/licenses/by-nd/4.0/) If the original work is properly cited and retained without any modification or reproduction, it can be used and re-distributed in any format and medium.

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Abstract
NOTES
REFERENCES

Abstract

Purpose
Acute myocardial infarction (AMI) leads to death if the patient does not receive emergency treatment. Thus it is very important to recognize the symptoms in the early stage. The purpose of this study was to identify clusters of symptoms that represent AMI in Koreans.
Methods
The study used a retrospective, descriptive design with secondary data analysis. Data were abstracted from 725 medical records of AMI patients admitted from June 1, 2006 to August 15, 2014 at a university hospital.
Results
Analysis of the AMI symptoms revealed five symptom clusters; Cluster 1 (n=140): middle chest pain (100%), shortness of breath, and cold sweating, Cluster 2 (n=256): substernal pain (100%), cold sweating, and shortness of breath, Cluster 3 (n=47): substernal pain (95.7%), left arm pain, shortness of breath, cold sweating, left shoulder pain, right arm pain, and the lower neck pain, Cluster 4 (n=212): shortness of breath (28.3%), left chest pain, and upper abdominal pain, and Cluster 5 (n=70): cold sweating (100%), left chest pain, shortness of breath, left shoulder pain, and upper abdominal pain. Length of hospital stay and mortality rate were significantly different according to symptom clusters (F=2.52, p=.040; F=3.62, p=.006, respectively).
Conclusion
Symptom clusters of AMI from this study can be used for AMI patients in order to recognize their symptoms at an early stage. The study findings should be considered when developing educational prevention programs for Koreans with AMI.
Keywords: Coronary artery; Disease; Symptom

The study was partially funded by the New Faculty Research Grant of Kyung Hee University (No. KHU-20061245) and by the National Research Foundation of Korea (No. NRF-2013K2A1A2055139).

This article is a revision of the first author's master's thesis from Kyung Hee University.

REFERENCES

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Figure 1

Summary of symptom clusters.

Table 1

Sociodemographic Characteristics (N=725)

^*Multiple response.

Table 2

Symptom Clusters in Acute Myocardial Infarction (N=725)

Table 3

Patterns and Intensity of Pain by Symptom Cluster (N=725)

Table 4

General Characteristics of Symptom Cluster (N=725)

^*Multiple response.

Figure & Data

REFERENCES

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Symptom Clusters in Korean Patients with Acute Myocardial Infarction

J Korean Acad Nurs. 2015;45(3):378-387. Published online June 30, 2015

DOI: https://doi.org/10.4040/jkan.2015.45.3.378

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Figure

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Symptom Clusters in Korean Patients with Acute Myocardial Infarction

Figure 1 Summary of symptom clusters.

Figure 1

Symptom Clusters in Korean Patients with Acute Myocardial Infarction

Table 1

Sociodemographic Characteristics (N=725)

^*Multiple response.

Table 2

Symptom Clusters in Acute Myocardial Infarction (N=725)

Table 3

Patterns and Intensity of Pain by Symptom Cluster (N=725)

Table 4

General Characteristics of Symptom Cluster (N=725)

^*Multiple response.

Table 1 Sociodemographic Characteristics (N=725)

^*Multiple response.

Table 2 Symptom Clusters in Acute Myocardial Infarction (N=725)

Table 3 Patterns and Intensity of Pain by Symptom Cluster (N=725)

Table 4 General Characteristics of Symptom Cluster (N=725)

^*Multiple response.