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Factors influencing pre-hospital delay among patients with acute myocardial infarction in Iran

Chinese Medical Journal 2012年第19期125卷 3404-3409页

作者： Maryam Momeni Arsalan Salari Shora Shafighnia atefeh ghanbari Fardin Mirbolouk Nursing Education Qazvin University of Medical Sciences Qazvin Nursing and Midwifery College Qazvin Iran Department of Cardiology Cardiovascular Disease Research Center Guilan University of Medical Sciences Heshmat Hospital Rasht Iran General Practitioner Cardiovascular Disease Research Center Guilan University of Medical Sciences Heshmat Hospital Rasht Iran Nursing Education Social Determinants of Health ResearchCenter Guilan University of Medical Sciences Rasht Iran

Background Acute myocardial infarction （AMI） is the leading cause of morbidity and disability among Iranian population. Pre-hospital delay is an important cause of increasing early and also late mortality in AMI. Thus the aim of the present study was to identify the factors influencing pre-hospital delay among patients with AMI in Iran. Methods Between August 2010 and May 2011, a cross-sectional and single-center survey was conducted on 162 consecutive patients with ST-elevation myocardial infarction （STEMI） admitted to Cardiac Care Unit （CCU） of Dr. Heshmat Hospital, Rasht. All patients were interviewed by the third author within 7 days after admission by using a four-part questionnaire including socio-demographic, clinical, situational and cognitive factors. Data were analyzed by descriptive and Logistic regression model at P 〈 0.05 using SPSS 16. Results Mean age was （60.11±12.29） years in all patients. Majority of patients （65.4%） were male. The median of pre-hospital delay was 2 hours, with a mean delay of 7.4 hours （±16.25 hours）. Regression analysis showed that admission in weekend （P 〈0.04, 0R=1.033, 95% Cl=1.187-2.006） and misinterpretation of symptoms as cardiac origin （P 〈0.002, OR=1.986, 95% Cl=1.254-3.155） and perceiving symptoms to not be so serious （P 〈0.003, OR=3.264, 95% Cl=1.492-7.142） were factors influencing pre-hospital delay 〉 2 hours. Conclusions Our findings highlight the importance of cognitive factors on decision-making process and pre-hospital delays. Health care providers can educate the public on AMI to enable them recognize the signs and symptoms of AMI correctly and realize the benefits of early treatment.

关键词： pre-hospital delay acute myocardial infarction cardiovascular disease

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Compare of self concept in women with and without exercise habit: A study on Iranian women

Compare of self concept in women with and without exercise h...

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第29届FIMS世界运动医学大会

作者： Mozhgan Baghaie atefeh ghanbari Nursing Department Guilan University of Medical Science Medical Student Research Department both Academic members Guilan University of Medical Science

Objective: This study aimed to compare the self concept in women with and without exercise habit. Method & Materials: The present study was a comparative descriptive design conducted on 60 Iranian females. Participants were chosen by simple sampling method from fitness clubs (n=30 as case group), and two zone of city (n=30 as control group) in central city of Guilan province. These

关键词： exercise women self concept habit

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Role of exercise on self-concept: A study on Iranian women

Role of exercise on self-concept: A study on Iranian women

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第29届FIMS世界运动医学大会

作者： atefeh ghanbari Mozhgan Baghaei Nasrin Mokhtari Medical Student Research Department Guilan University of Medical sciences Nursing Department Guilan University of Medical sciences

Objective: This study investigated the relationship of exercise and self concept in physically active Iranian women. Methods and Materials: The present study was a Correlational Descriptive design conducted on a sample of 150 physically active Iranian females. Participants were chosen by simple sampling from governmental and private fitness clubs in Rasht (center of Guilan Province located near

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