Other Titles
Care issues with the cardiac and diabetic patient
Abstract
Session presented on Friday, July 25, 2014:
Purpose: The study aimed to compare the differences in symptom presentation between diabetic and non-diabetic patients with acute myocardial infarction (AMI), and to examine the impact of diabetes on symptom presentation in AMI patients.
Methods: A consecutive sample of patients with a confirmed diagnosis of AMI was recruited from the cardiac units of three regional hospitals in Hong Kong. Data collection was conducted through face-to-face interview. The validated Chinese version of the Symptoms of Acute Coronary Syndromes Inventory (SACSI-C) was used for symptom assessment.
Results: A total sample of 397 patients was recruited, with the mean age of 63.3 - 12.7 years. Diabetes (32%) was the second most prevalent comorbidity in the sample. Diabetic patients were less likely to present with chest pain (p<0.0001) and sweating (p=0.001). Conversely, they were more likely to present with shortness of breath (p=0.001) and difficulty in breathing (p=0.003) than the non-diabetic patients. Overall, the diabetic patients were more likely to present with atypical AMI symptoms (p<0.0001). The result of multivariable logistic regression analysis showed that diabetes was an independent predictor of atypical symptom presentation in AMI patients, with an odds ratio of 2.37 (95% confidence interval: 1.36-4.12; p=0.002).
Conclusion: In summary, diabetic patients have a 2.4-fold increased risk for atypical symptom presentation than that of non-diabetic patients. Health professionals should remain vigilant at recognizing atypical AMI presentation in diabetic patients. A tailor-made educative intervention should be directed to them.
Sigma Membership
Non-member
Type
Presentation
Format Type
Text-based Document
Study Design/Type
N/A
Research Approach
N/A
Keywords:
Acute Myocardial Infarction, Diabetes Mellitus, Symptom Presentation
Recommended Citation
Li, Polly W. C.; Yu, Doris S. F.; and Lee, Diana T. F., "Does diabetes mellitus make a difference in symptom presentation of patients with acute myocardial infarction?" (2014). INRC (Congress). 105.
https://www.sigmarepository.org/inrc/2014/presentations_2014/105
Conference Name
25th International Nursing Research Congress
Conference Host
Sigma Theta Tau International
Conference Location
Hong Kong
Conference Year
2014
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Review Type
Abstract Review Only: Reviewed by Event Host
Acquisition
Proxy-submission
Does diabetes mellitus make a difference in symptom presentation of patients with acute myocardial infarction?
Hong Kong
Session presented on Friday, July 25, 2014:
Purpose: The study aimed to compare the differences in symptom presentation between diabetic and non-diabetic patients with acute myocardial infarction (AMI), and to examine the impact of diabetes on symptom presentation in AMI patients.
Methods: A consecutive sample of patients with a confirmed diagnosis of AMI was recruited from the cardiac units of three regional hospitals in Hong Kong. Data collection was conducted through face-to-face interview. The validated Chinese version of the Symptoms of Acute Coronary Syndromes Inventory (SACSI-C) was used for symptom assessment.
Results: A total sample of 397 patients was recruited, with the mean age of 63.3 - 12.7 years. Diabetes (32%) was the second most prevalent comorbidity in the sample. Diabetic patients were less likely to present with chest pain (p<0.0001) and sweating (p=0.001). Conversely, they were more likely to present with shortness of breath (p=0.001) and difficulty in breathing (p=0.003) than the non-diabetic patients. Overall, the diabetic patients were more likely to present with atypical AMI symptoms (p<0.0001). The result of multivariable logistic regression analysis showed that diabetes was an independent predictor of atypical symptom presentation in AMI patients, with an odds ratio of 2.37 (95% confidence interval: 1.36-4.12; p=0.002).
Conclusion: In summary, diabetic patients have a 2.4-fold increased risk for atypical symptom presentation than that of non-diabetic patients. Health professionals should remain vigilant at recognizing atypical AMI presentation in diabetic patients. A tailor-made educative intervention should be directed to them.