Basara Gokhan, Baydin Ahmet, Yilmaz Ahmet, Yucel Oguzhan, Erenler Ali Kemal, Murat Naci
Samsun Education and Research Hospital, Emergency Department, Samsun, Turkey.
Ondokuz Mayis University, Emergency Department, Samsun, Turkey.
Turk J Emerg Med. 2016 Mar 4;15(4):168-71. doi: 10.1016/j.tjem.2015.06.002. eCollection 2015 Dec.
We aimed to investigate the demographical features, anxiety levels and clinical findings of the patients admitted to our Emergency department (ED) due to chest pain.
Patients with chest pain older than 18 years were included into the study. Demographical features such as age, sex and education level, initial diagnosis in the ED, whether they were hospitalized or coronary intervention performed, were recorded. To determine the anxiety levels of the patients, State-trait Anxiety Inventory (STAI) was performed.
Two-hundred and eight adult patients with chest pain were included into the study. We could not determine a relationship between STAI levels of patients according to demographical findings, however, STAI scores tended to decrease by age. Considering the education levels of the patients, it was determined that STAI scores of university graduates were higher than others. The STAI scores of patients discharged from the ED were higher than those hospitalized. When patients were compared according to whether coronary intervention (CI) was performed or not, it was determined that patients who did not require CI had higher STAI scores. When coronary lesion localization of the patients hospitalized was investigated, any relationship could not be determined.
In this study, we determined that anxiety levels of the patients with chest pain do not correlate with the severity of the disease. Higher anxiety levels of patients discharged from ED when compared to those with ACS is a challenging problem for both ED physicians and cardiologists.
我们旨在调查因胸痛入住我院急诊科(ED)患者的人口统计学特征、焦虑水平和临床发现。
纳入年龄大于18岁的胸痛患者进行研究。记录年龄、性别和教育程度等人口统计学特征、在急诊科的初步诊断、是否住院或进行了冠状动脉介入治疗。为确定患者的焦虑水平,进行了状态-特质焦虑量表(STAI)测试。
208例成年胸痛患者纳入研究。根据人口统计学结果,我们未能确定患者的STAI水平之间的关系,然而,STAI评分有随年龄下降的趋势。考虑患者的教育程度,发现大学毕业生的STAI评分高于其他人。从急诊科出院的患者的STAI评分高于住院患者。根据是否进行冠状动脉介入治疗(CI)对患者进行比较时,发现不需要CI的患者STAI评分更高。调查住院患者的冠状动脉病变定位时,未确定任何关系。
在本研究中,我们确定胸痛患者的焦虑水平与疾病严重程度无关。与急性冠状动脉综合征(ACS)患者相比,从急诊科出院的患者焦虑水平较高,这对急诊科医生和心脏病专家来说都是一个具有挑战性的问题。