Ahmed Fatma Refaat, Timmins Fiona, Gamil Rawia, Al-Yateem Nabeel, Ryder Mary, Mustafa Heba, AbuRuz Mohannad Eid
Department of Nursing, College of Health Sciences, University of Sharjah, Sharjah, UAE.
Department of Critical Care and Emergency Nursing, Faculty of Nursing, Alexandria University, Alexandria, Egypt.
Nurs Open. 2025 Mar;12(3):e70181. doi: 10.1002/nop2.70181.
To determine whether there are differences in patterns of symptom severity in three major ACS symptoms (i.e., chest pain, fatigue, and dyspnoea) over the days of CCU stay between patients with higher and lower levels of perceived control.
A prospective cohort study with 3 days of follow-up.
Hundred and thirty-five patients were followed prospectively for 3 days, collecting data on (1) perceived control, using the Arabic version of the Controlled Attitude Scale (CAS-R); and (2) symptom severity, using a symptoms diary. A mixed repeated measure design ANOVA was used for data analysis.
Comparative analysis of the high- and low-perceived control groups revealed that there was a significant reduction in chest pain, fatigue, and dyspnoea symptom severity over the course of the 3 days for both groups. Compared to the low-perceived control group, the high-perceived control group had significantly lower chest pain on day 3, fatigue on days 2 and 3, and dyspnoea on all days.
Patients with high levels of perceived control have lower levels of symptom severity than those with low perceived control. Interventions to improve perceived control among this population are highly recommended.
No patient or public contribution.
确定在冠心病监护病房（CCU）住院期间，感知控制水平较高和较低的患者在三种主要急性冠状动脉综合征（ACS）症状（即胸痛、疲劳和呼吸困难）的严重程度模式上是否存在差异。
一项为期3天随访的前瞻性队列研究。
对135名患者进行了为期3天的前瞻性随访，收集以下数据：（1）使用阿拉伯语版的控制态度量表（CAS-R）评估感知控制；（2）使用症状日记记录症状严重程度。数据分析采用混合重复测量设计方差分析。
高感知控制组和低感知控制组的对比分析显示，两组在3天内胸痛、疲劳和呼吸困难症状的严重程度均显著降低。与低感知控制组相比，高感知控制组在第3天的胸痛、第2天和第3天的疲劳以及所有天数的呼吸困难程度均显著较低。
感知控制水平高的患者症状严重程度低于感知控制水平低的患者。强烈建议对这一人群采取干预措施以提高其感知控制水平。
无患者或公众参与。
