کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3237554 1588864 2016 7 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Perception of a hectic hospital environment at admission relates to acute stress disorder symptoms in myocardial infarction patients
ترجمه فارسی عنوان
درک پذیرش بیمار در محیط بیمار با علائم اختلال استرس حاد در بیماران مبتلا به انفارکتوس میوکارد
کلمات کلیدی
انفارکتوس حاد قلب، اختلال استرس حاد، قلب و عروق، پرتاب کردن محیط بیمارستان هتیک
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی طب اورژانس
چکیده انگلیسی

ObjectiveHospital crowding is a public health problem that may impact on the quality of medical treatment and increase the risk of developing traumatic stress, e.g., after myocardial infarction (MI). This study examines whether subjective appraisal of crowding at hospital admission due to MI is associated with acute stress disorder (ASD) symptoms.MethodWe investigated 102 consecutive patients with acute MI within 48 h after having reached stable circulatory conditions. The appraisal of crowding was measured by the retrospective assessment of the perception of a hectic hospital environment at admission. Furthermore, patients completed the Acute Stress Disorder Scale to rate the psychological stress reaction.ResultsThe perception of a hectic hospital environment was associated with the development of ASD symptoms (r= 0.254, P= .013) independently of demographic, peritraumatic and medical factors. Post hoc analysis revealed associations with dissociative (r= 0.211, P= .041), reexperiencing (r= 0.184, P= .074) and arousal (r= 0.179, P= .083) symptoms.ConclusionThe findings suggest that, besides objective circumstances, the way hospital admission due to MI is perceived by the patient may influence the development of MI-triggered ASD symptoms. The psychological and physiological long-term outcomes of the perception of a hectic hospital environment and the role of preventive interventions need further examination.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: General Hospital Psychiatry - Volume 39, March–April 2016, Pages 8–14
نویسندگان
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