Physiologic and behavioral responses to acute myocardial ischemic pain in Mexican male patients
View File(s)
- Author(s)
- Details
-
Dr. Marilyn K. Douglas, PhD, RN, FAAN
- Sigma Affiliation
- Alpha Eta
Visitor Statistics
Visits vs Downloads
Visitors - World Map
Top Visiting Countries
Country | Visits |
---|
Top Visiting Cities
City | Visits |
---|
Visits (last 6 months)
Downloads (last 6 months)
Popular Works for Douglas, Marilyn Kuhel by View
Title | Page Views |
---|
Popular Works for Douglas, Marilyn Kuhel by Download
Title | Downloads |
---|
View Citations
Citations
The verbal, non-verbal and physiologic responses of Mexican male patients to the pain of acute myocardial ischemia were studied as a basis for subsequent comparison with other cultural groups. A sample of 57 patients was studied in the Emergency Department (ED) of a federal, tertiary health care facility in urban central Mexico. Inclusion criteria were: chief complaint of non-traumatic chest pain and subsequent admission to the Coronary Care Unit with a suspected acute myocardial infarction (AMI); Mexican birth and residence; male gender; 35 years or older; and, 12 or less years education. At the time of ED admission, a 12-Lead electrocardiogram, vital signs and serum creatine phosphokinase (CPK) levels were measured. Subjects were asked to describe the pain and give a numerical rating on a vertical, Spanish-language verbal descriptor pain scale. Non-verbal pain behaviors were assessed by two nurses and a negotiated score was given to each of seven categories and then totaled. The categories were: attention to pain, amount of restlessness, tenseness, anxiety, diaphoresis, facial grimacing, and vocalization, such as crying. Higher pain scores were associated with greater amounts of non-verbal behavior ($p <$.0001), more ST segment elevation ($p <$.001), higher CPK levels ($p <$.01), and greater elevation in pressure-rate product ($p <$.05) and systolic blood pressure ($p <$.05). Patients with the discharge diagnosis of AMI had higher pain scores than those in which an AMI was ruled out ($p <$.005). However, multiple regression analysis determined that non-verbal behavior explained 42.4% of the variance in the pain score ($p <$.0001), while the physiologic variables were not significant in predicting the patient's pain intensity score. These results indicate that nursing assessment of pain should include a behavioral assessment, which in turn requires validation with the patient and family members because of wide cultural variation in these behaviors.
This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 9008978; ProQuest document ID: 303672214. The author still retains copyright.
This item has not gone through this repository's peer-review process, but has been accepted by the indicated university or college in partial fulfillment of the requirements for the specified degree.
Type | Dissertation |
Acquisition | Proxy-submission |
Review Type | None: Degree-based Submission |
Format | Text-based Document |
Evidence Level | Cross-Sectional |
Research Approach | Mixed/Multi Method Research |
Keywords | Cardiac Nursing; Pain in Men; Mexican Patients |
CINAHL Subject(s) | Behavior; Pain Measurement; Hispanics; Chest Pain; Nursing Assessment; Nonverbal Communication; Behavior--Evaluation; Coronary Disease |
Grantor | University of California, San Francisco |
Advisor | Meleis, Afaf |
Level | Doctoral-Other |
Year | 1989 |
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.
All permission requests should be directed accordingly and not to the Sigma Repository.
All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
Related items
Showing items related by title, author, creator and subjects.
-
Developing a scale to measure responses of clients with actual or potential myocardial infarctions
Robinson, Karen RaeAn assumption in Modeling and Role-Modeling theory is that meeting instinctive needs promotes growth and development across the life span (Erickson, Tomlin, & Swain, 1988). The need for object attachments is one type ... -
Accuracy of emergency nurse triage of patients with symptoms suggestive of acute myocardial infarction
Sanders, Susan F. (2016-03-17)Session presented on Friday, July 24, 2015: Purpose: More than 6 million people present to emergency departments (EDs) across the US annually, with a chief complaint of symptoms suggestive of acute myocardial infarction ... -
Advanced nurse-led referral versus ED physician referral to a nurse-led chest pain clinic: Patient outcomes
Ingram, Shirley J.; McKee, Gabrielle; Quirke, Mary B.; Kelly, Niamh (2017-07-06)Background: The role of registered advanced nurse practitioner (RANP) in Ireland is in its infancy compared to the US. The SCAPE study 1 recommended that future research focus on capturing specific clinical ... -
Assessing nurse learners' stress using technology to measure physiologic adaptation within interprofessional patient care simulation
Van Der Like, Jill; Hobby-Burns, Lela; Greska, Eric (2017-06-30)Background: Recent public reports find that communication-based errors contribute to medical errors as the third leading cause of death in America (Fikes, 2016; Kaiser Health News, 2016). Safe, efficient reporting of ... -
Psychophysiological recovery after acute myocardial infarction
Buchanan, Lynne M.This research describes the physiological and cognitive/affective responses of twenty-one physiologically stable adult males within five days of acute myocardial infarction (AMI). The relationships between physiological ...