Polikandrioti Maria, Goudevenos John, Michalis Lampros K, Ioannis Koutelekos, Elpida Georgiadi, Kostas Karakostas, Elisaf Moses
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Glob J Health Sci. 2015 Nov 18;8(7):126-34. doi: 10.5539/gjhs.v8n7p126.
Acute Coronary Syndromes (ACS) comprise life-threatening health problems that demand emergency care and immediate intervention. As patients are abruptly transitioning from healthy state into suffering, they consequently experience several needs, mainly attributed to the type of the syndrome including the therapeutic regimen.
To access the correlation between the type of acute coronary syndrome (ACS) with the needs of hospitalized patients.
A sample of 454 hospitalized patients with ACS, recruited from 4 hospitals in Greece, was enrolled in the study. Data were collected by the completion of questionnaire which apart from socio-demographic and clinical characteristics, it also included the questionnaire "Needs of hospitalized patients with coronary artery disease" which is consisted 6 subscales: a) need for support and guidance, b) need for information from the medical-nursing staff, c) need for being in contact with other patient groups and ensuring communication with relatives, d) need for individualized treatment and for the patient's personal participation to his/her treatment e) need to meet the emotional and physical needs f) need to trust the medical-nursing staff. Statistical methods used were Kolmogorov-Smirnov test, chi2 test of independence, Kruskal wallis-test and multiple regression.
The type of ACS was statistically significant correlated with the place of residence (p=0.002), management of disease (p<0.001) and prior experience of hospitalization (p=0.003). All six needs were statistically significantly correlated with the type of ACS, (p<0.001 for the need for support and guidance, p<0.001 for the need to be informed from the medical and nursing staff, p<0.001 for the need for being in contact with other patient groups, and ensuring communication with relatives, p<0.001 for the need for individualized treatment and for the patient's personal participation to his/her treatment, p<0.001 for the need to meet the emotional needs and physical needs and p=0.010 for the need to trust the medical and nursing staff). More specifically, patients with angina considered all six needs to be less significant than patients with unstable angina and myocardial infarction. These results were confirmed by the multiple linear regression after controlling for potential confounders.
Needs of hospitalized patients should be assessed in daily clinical practice according to the type of the syndrome.
急性冠状动脉综合征（ACS）是危及生命的健康问题，需要紧急护理和立即干预。由于患者突然从健康状态转变为患病状态，他们会因此经历多种需求，主要归因于综合征的类型，包括治疗方案。
探讨急性冠状动脉综合征（ACS）类型与住院患者需求之间的相关性。
从希腊4家医院招募了454例住院ACS患者作为研究样本。通过填写问卷收集数据，问卷除社会人口统计学和临床特征外，还包括“冠心病住院患者需求”问卷，该问卷由6个分量表组成：a）支持和指导需求；b）从医护人员处获取信息的需求；c）与其他患者群体接触并确保与亲属沟通的需求；d）个性化治疗及患者个人参与治疗的需求；e）满足情感和身体需求的需求；f）信任医护人员的需求。使用的统计方法有Kolmogorov-Smirnov检验、独立性χ²检验、Kruskal Wallis检验和多元回归。
ACS类型与居住地点（p = 0.002）、疾病管理（p < 0.001）和既往住院经历（p = 0.003）在统计学上有显著相关性。所有六项需求与ACS类型在统计学上均有显著相关性（支持和指导需求p < 0.001，从医护人员处获取信息的需求p < 0.001，与其他患者群体接触并确保与亲属沟通的需求p < 0.001，个性化治疗及患者个人参与治疗的需求p < 0.001，满足情感和身体需求的需求p < 0.001，信任医护人员的需求p = 0.010）。更具体地说，心绞痛患者认为所有六项需求的重要性均低于不稳定型心绞痛和心肌梗死患者。在控制潜在混杂因素后，多元线性回归证实了这些结果。
在日常临床实践中，应根据综合征类型评估住院患者的需求。
