Document Detail

Response to a cardiac event in relation to cardiac knowledge and risk perception in a Lebanese sample: a cross sectional survey.
MedLine Citation:
PMID:  19674744     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Heart disease is the leading cause of morbidity and mortality in many countries, including Lebanon. The continuing advances in the treatment of heart disease have improved patient outcomes significantly over the years. Nevertheless, prompt treatment remains essential to treatment success, which depends on the person's early recognition of cardiac symptoms and quick seeking of care. OBJECTIVE: The purpose of the study was to examine the relationship between knowledge of symptoms of heart disease, perceived cardiac risk and the potential response to a heart attack in a sample of Lebanese adults. DESIGN: A cross sectional descriptive survey design was used. A convenience sample of 399 adult hospital visitors who did not have heart disease were interviewed in two major referral hospitals in Beirut. MEASURES: The Illness Perception Questionnaire and the Behavioral Risk Factor Surveillance System were used; in addition an open-ended question was asked to elicit what the visitor would do in case he/she experienced cardiac symptoms. RESULTS: While most participants (94%) correctly recognized major symptoms of heart disease (like chest pain and dyspnea), they also reported irrelevant symptoms to be associated with heart disease (like irritability by 68% and muscle cramps by 52%). Only 21% of participants reported that they would seek emergency care as their first response if they were experiencing a heart attack. Knowledge of symptoms and perceived cardiac risk were not associated with the response to a heart attack. Being single was the only significant predictor of choosing the appropriate response when experiencing a cardiac event. CONCLUSION: The findings suggest lack of adequate knowledge of cardiac symptoms and a high potential for inappropriate responses when symptoms occur. Public health heart health campaigns are needed to raise awareness about heart disease in Lebanon.
Samar Noureddine; Erika Sivarajan Froelicher; Abla M Sibai; Habib Dakik
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Publication Detail:
Type:  Journal Article     Date:  2009-08-11
Journal Detail:
Title:  International journal of nursing studies     Volume:  47     ISSN:  1873-491X     ISO Abbreviation:  Int J Nurs Stud     Publication Date:  2010 Mar 
Date Detail:
Created Date:  2010-02-17     Completed Date:  2010-05-12     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0400675     Medline TA:  Int J Nurs Stud     Country:  England    
Other Details:
Languages:  eng     Pagination:  332-41     Citation Subset:  IM; N    
Copyright Information:
Copyright 2009 Elsevier Ltd. All rights reserved.
Rafic Hariri School of Nursing, American University of Beirut, P.O. Box 11-0236, Beirut 1107 2020, Lebanon.
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MeSH Terms
Attitude to Health*
Behavioral Risk Factor Surveillance System
Chi-Square Distribution
Cross-Sectional Studies
Early Diagnosis
Emergency Medical Services
Health Knowledge, Attitudes, Practice*
Heart Diseases / diagnosis*,  etiology,  prevention & control
Logistic Models
Middle Aged
Multivariate Analysis
Nursing Methodology Research
Risk Assessment*
Risk Factors
Self Care* / methods,  psychology

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