急性冠脉综合征住院患者的痛苦

急性冠脉综合征住院患者的痛苦异形总动员 作者：NursingResearch护理研究前 Abstract Background Previous studies have demonstrated that those suffering from acute coronary syndrome (ACS) experience various

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作者：NursingResearch护理研究前

Abstract

Background

Previous studies have demonstrated that those suffering from acute coronary syndrome (ACS) experience various physical and psychological symptoms. Few studies have investigated the multi-factorial, holistic, unpleasant experience of distress that includes physical, psychological, social, and spiritual factors among this patient population while still hospitalized.

Aim

To describe the level of distress among patients hospitalized with ACS and its association with demographic and clinical factors and mortality.

Study Design

The study conducted a deive, cross-sectional survey.

Methods

The Acute Coronary Syndrome Israel Study is a national, biennial registry, enrolling all patients with ACS admitted to cardiac intensive care or cardiology wards in Israel within a 2-month period. Demographic and clinical data were retrieved from an electronic database. Distress was measured by the Distress Thermometer. Nurses collected distress data directly from patients before discharge.

Results

Nine hundred ninety participants (50.6% response rate) were surveyed. Mean age was 62.8 (SD = 12.5). Mean distress level was 4.8 (SD = 3.45) out of 10. The most frequently reported area of distress was physical, followed by emotional. Practical and family problems were less frequent. Emotional distress was found to differ based on educational level, marital status, smoking history, and previous medical history. Distress did not predict 7- or 30-day mortality.

Conclusions

Respondents with ACS were in moderate distress. It is recommended that those at increased risk receive increased monitoring of emotional distress while still in hospital. Further studies should investigate this holistic view of distress among the ACS population using a variety of methods and methodologies.

摘要翻译（仅供参考）

背景介绍

以往的研究表明，急性冠状动脉综合征（ACS）患者会出现各种生理和心理症状。很少有研究调查这类患者在住院期间的多因素、整体、不愉快的痛苦经历，包括身体、心理、社会和精神因素。

目的

描述ACS住院患者的痛苦程度及其与人口统计学、临床因素和死亡率的关系。

研究设计

本研究进行了描述性、横断面调查。

研究方法

以色列急性冠状动脉综合征研究是一个全国性的、两年一次的登记，登记了以色列所有在2个月内入住心脏重症监护室或心脏病科病房的ACS患者。人口统计学和临床数据从一个电子数据库中检索出来。窘迫感是由窘迫感温度计测量的。护士在出院前直接从病人那里收集痛苦的数据。

结果

990名参与者（回复率为50.6%）接受了调查。平均年龄为62.8岁（SD=12.5）。平均苦恼程度为4.8（SD = 3.45），满分为10分。最经常报告的痛苦领域是身体，其次是情绪。实际问题和家庭问题则较少出现。根据教育水平、婚姻状况、吸烟史和以前的病史，发现情感上的困扰是不同的。痛苦并不能预测7天或30天的死亡率。

结论

患有ACS的受访者处于中等程度的痛苦之中。建议那些高危人群在住院期间接受更多的情绪困扰监测。进一步的研究应该使用各种方法和手段对ACS人群的这种全面的痛苦观点进行调查。

原文链接：

https://doi.org/10.1111/nicc.12730

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