Development of the McSweeney Acute and Prodromal Myocardial Infarction Symptom Survey.
BACKGROUND/OBJECTIVES: Coronary heart disease (CHD) is the number one cause of death in women, yet, little is known about women's symptoms. Early symptom recognition of CHD in women is essential but most instruments do not assess both prodromal and acute CHD symptoms. Our aims were to develop an ins...
| Publicado en: | Journal of Cardiovascular Nursing Vol. 19; no. 1; pp. 58 - 68 |
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| Autores principales: | , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Lippincott Williams & Wilkins
Jan/Feb2004
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106775099&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 106775099 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 08894655 0NW jtl: Journal of Cardiovascular Nursing issn: 08894655 maglogo: N pubinfo: dt: Jan/Feb2004 vid: 19 iid: 1 pid: 5086 pub: Lippincott Williams & Wilkins place: Baltimore, Maryland artinfo: ui: 106775099 106775099 2004153761 10.1097/00005082-200401000-00010 NLM14994783 106775099 ppf: 58 ppct: 10 formats: fmt: @attributes: type: P tig: atl: Development of the McSweeney Acute and Prodromal Myocardial Infarction Symptom Survey. aug: au: McSweeney JC O'Sullivan P Cody M Crane PB affil: College of Nursing, 4301 W Markham St, Slot 529, Little Rock, AR 72205; jcmcsweeney@uams.edu sug: subj: Instrument Construction Instrument Validation Myocardial Infarction Symptoms Research Instruments Adult Aged Aged, 80 and Over Arkansas Audiorecording Black Persons Constant Comparative Method Content Analysis Content Validity Descriptive Research Descriptive Statistics Female Funding Source Interviews kappa Statistic Middle Age Naturalistic Inquiry Pearson's Correlation Coefficient Qualitative Studies Sex Factors Symptom Distress Telephone Test-Retest Reliability Validation Studies White Persons Human Adult: 19-44 years Aged: 65+ years Aged, 80 & over Middle Aged: 45-64 years Female ab: BACKGROUND/OBJECTIVES: Coronary heart disease (CHD) is the number one cause of death in women, yet, little is known about women's symptoms. Early symptom recognition of CHD in women is essential but most instruments do not assess both prodromal and acute CHD symptoms. Our aims were to develop an instrument validly describing women's prodromal and acute symptoms of myocardial infarction and to establish reliability of the instrument, the McSweeney Acute and Prodromal Myocardial Infarction Symptom Survey (MAPMISS). METHODS: Four studies contributed to the content validity and reliability of this instrument. Two qualitative studies provided the list of symptoms that were confirmed in study 3. The resulting instrument assesses 37 acute and 33 prodromal symptoms. In study 4, 90 women were retested 7 to 14 days after their initial survey. We used the kappa statistic to assess agreement across administrations. RESULTS: The women added no new symptoms to the MAPMISS. The average kappa of acute symptoms was 0.52 and 0.49 for prodromal. Next we calculated a weighted score. The mean acute score for time 1 was 19.4 (SD = 14.43); time 2 was 12.4 (SD= 8.79) with Pearson correlation indicating stability (r = .84; P < .01). The mean prodromal score at time 1 was 23.80 (SD= 24.24); time 2 was 26.79 (SD = 30.52) with a Pearson correlation of r = .72; P < .01. CONCLUSIONS: The tool is comprehensive, has high content validity, and acceptable test-retest reliability. Low kappas were related to few women having those symptoms. The symptom scores remained stable across administrations. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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