Suppr超能文献

急诊科收治的胸痛患者焦虑水平调查。

Investigation of anxiety levels of patients with chest pain admitted to emergency department.

作者信息

Basara Gokhan, Baydin Ahmet, Yilmaz Ahmet, Yucel Oguzhan, Erenler Ali Kemal, Murat Naci

机构信息

Samsun Education and Research Hospital, Emergency Department, Samsun, Turkey.

Ondokuz Mayis University, Emergency Department, Samsun, Turkey.

出版信息

Turk J Emerg Med. 2016 Mar 4;15(4):168-71. doi: 10.1016/j.tjem.2015.06.002. eCollection 2015 Dec.

Abstract

INTRODUCTION

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.

METHODS

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.

RESULTS

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.

CONCLUSION

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.

摘要

引言

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。

方法

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。

结果

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。

结论

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。

相似文献

1
Investigation of anxiety levels of patients with chest pain admitted to emergency department.
Turk J Emerg Med. 2016 Mar 4;15(4):168-71. doi: 10.1016/j.tjem.2015.06.002. eCollection 2015 Dec.
2
Correlation between crowdedness in emergency departments and anxiety in Chinese patients.
World J Clin Cases. 2020 Jul 6;8(13):2802-2816. doi: 10.12998/wjcc.v8.i13.2802.
4
Documentation of HEART score discordance between emergency physician and cardiologist evaluations of ED patients with chest pain.
Am J Emerg Med. 2017 Jan;35(1):132-135. doi: 10.1016/j.ajem.2016.09.058. Epub 2016 Sep 28.
6
An evaluation of short anxiety measures for use in the emergency department.
Am J Emerg Med. 2021 Dec;50:679-682. doi: 10.1016/j.ajem.2021.09.028. Epub 2021 Sep 21.
7
Obstructive sleep apnea in children: How it affects parental psychological status?
Int J Pediatr Otorhinolaryngol. 2019 Feb;117:157-162. doi: 10.1016/j.ijporl.2018.11.032. Epub 2018 Nov 30.
8
The association between emergency department crowding and adverse cardiovascular outcomes in patients with chest pain.
Acad Emerg Med. 2009 Jul;16(7):617-25. doi: 10.1111/j.1553-2712.2009.00456.x. Epub 2009 Jun 22.
9
Anxiety levels in patients admitted to the emergency department with myocardial infarction or COVID-19 pneumonia.
Psychol Health Med. 2022 Jan;27(1):228-236. doi: 10.1080/13548506.2021.1876893. Epub 2021 Jan 25.

本文引用的文献

1
The independent association of anxiety with non-cardiac chest pain.
Psychol Health. 2014;29(3):253-63. doi: 10.1080/08870446.2013.843681. Epub 2013 Oct 28.
2
Indication for percutaneous coronary intervention is not associated with symptoms of anxiety and depression.
Int J Cardiol. 2013 Oct 12;168(5):4897-8. doi: 10.1016/j.ijcard.2013.07.022. Epub 2013 Jul 19.
4
Association between anxiety disorder and the extent of ischemia observed in cardiac syndrome X.
J Nucl Cardiol. 2009 May-Jun;16(3):405-10. doi: 10.1007/s12350-008-9032-2. Epub 2009 Jan 22.
7
Noncardiac chest pain: evaluation and treatment.
Gastroenterol Clin North Am. 2003 Jun;32(2):531-52. doi: 10.1016/s0889-8553(03)00029-3.
9
Predicting panic disorder among patients with chest pain: an analysis of the literature.
Psychosomatics. 2003 May-Jun;44(3):222-36. doi: 10.1176/appi.psy.44.3.222.

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验