Center for Behavioral Cardiovascular Health, Columbia University Irving Medical Center, New York, NY, USA.
Psychol Health. 2020 Apr;35(4):482-499. doi: 10.1080/08870446.2019.1643023. Epub 2019 Jul 21.
Having close others present in the emergency department (ED) can cause patients significant distress. The present study tested the hypothesis that close others provide more negative support than non-close others as a potential explanation for this effect. Participants were 493 patients evaluated for an acute coronary syndrome (ACS) in the ED ( = 62.01, = 13.55; 49.49% male) and who arrived with close others (i.e. spouse/partner, child) or non-close others (e.g. neighbour). Patients self-reported support from companions and threat perceptions (in-ED and at recall approximately three days later). Positive support (comfort, responsiveness); negative support (made patients anxious, required comforting); threat perceptions (feeling helpless, vulnerable). Close (vs non-close) others provided patients with marginally more positive support, but also required more comfort, = 0.32, = .050, and caused patients more anxiety, = 0.24, = .009. Anxiety was associated with patients' Threat Perceptions: in-ED, = 0.11, = .002; recall, = 0.14, < .001; as was provision of comfort to support partners: recall, = .06, = .005. Negative support may be one mechanism underlying the association between close others and patient distress in the ED.
在急诊部（ED）有亲近的人在场可能会给患者带来极大的困扰。本研究检验了一个假设，即亲近的人比非亲近的人提供更多的负面支持，这可能是造成这种影响的一个原因。参与者是 493 名在 ED 评估急性冠状动脉综合征（ACS）的患者（=62.01，=13.55；49.49%为男性），他们与亲近的人（如配偶/伴侣、孩子）或非亲近的人（如邻居）一起来到医院。患者自我报告了同伴的支持和威胁感知（在 ED 和大约三天后回忆时）。积极支持（安慰、响应性）；消极支持（使患者焦虑、需要安慰）；威胁感知（感到无助、脆弱）。亲近的人（与非亲近的人相比）给患者提供了略微更多的积极支持，但也需要更多的安慰，=0.32，=0.050，并且引起了患者更多的焦虑，=0.24，=0.009。焦虑与患者的威胁感知有关：ED 时，=0.11，=0.002；回忆时，=0.14，<0.001；向伴侣提供安慰以支持他们也与焦虑有关：回忆时，=0.06，=0.005。负面支持可能是 ED 中亲近的人与其患者困扰之间关联的一个机制。
