Abstract

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

Description

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.

Author Details

Marilyn Kuhel Douglas, PhD, RN, FAAN

Sigma Membership

Alpha Eta

Type

Dissertation

Format Type

Text-based Document

Study Design/Type

Cross-Sectional

Research Approach

Mixed/Multi Method Research

Keywords:

Cardiac Nursing, Pain in Men, Mexican Patients

Advisor

Afaf Meleis

Degree

Doctoral-Other

Degree Grantor

University of California, San Francisco

Degree Year

1989

Rights Holder

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.

Review Type

None: Degree-based Submission

Acquisition

Proxy-submission

Date of Issue

2019-08-30

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