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首页> 外文期刊>BMC Emergency Medicine >Cardiac patients’ perceptions of neighboring patients’ risk: influence on psychological stress in the ED and subsequent posttraumatic stress
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Cardiac patients’ perceptions of neighboring patients’ risk: influence on psychological stress in the ED and subsequent posttraumatic stress

机译：心脏病患者对周围患者风险的看法：对急诊部心理压力和随后的创伤后压力的影响

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As many as 12% of acute coronary syndrome (ACS) patients screen positive for post-traumatic stress disorder (PTSD) symptoms due to their cardiac event, and emergency department (ED) factors such as overcrowding have been associated with risk for PTSD. We tested the association of patients’ perceptions of their proximity to a critically ill patient during ED evaluation for ACS with development of posttraumatic stress symptoms (PSS) in the month after hospital discharge. Participants were enrolled in the REactions to Acute Care and Hospitalization (REACH) study during evaluation for ACS in an urban ED. Participants reported whether they perceived a patient near them was close to death. They also reported their current fear, concern they may die, perceived control, and feelings of vulnerability on an Emergency Room Perceptions questionnaire. One month later, participants reported on PTSD symptoms specific to the cardiac event and ED hospitalization. Of 763 participants, 12% reported perceiving a nearby patient was likely to die. In a multivariate linear regression model [F(9757)?=?19.69, p?
机译：多达12％的急性冠状动脉综合征（ACS）患者因心脏事件而筛查出创伤后应激障碍（PTSD）症状为阳性，而急诊室（ED）因素（如人满为患）与PTSD的风险有关。我们在出院后的一个月中，对ED进行ACS评估时，检验了患者对危重患者的亲近感与创伤后应激症状（PSS）的发展之间的关系。在城市急诊室进行ACS评估期间，参与者参加了“急性护理和住院反应（REACH）”研究。参与者报告了他们是否认为附近的病人快要死亡了。他们还通过“急诊室知觉”问卷报告了他们当前的恐惧，担心自己可能会死亡，受到控制以及脆弱感。一个月后，参与者报告了特定于心脏事件和ED住院的PTSD症状。在763名参与者中，有12％的人表示察觉到附近的病人可能死亡。在多元线性回归模型[F（9757）？=？19.69，p？

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