中突然意外死亡的披露引起了患者的焦虑:一个中国问卷调查调查
Yuanhang Pan1, Gengyao Hu1, Zezhi Wang1
1Department of Neurology, Xijing Hospital, Fourth Military Medical University (Air Force Medical University), Xi'an, China.
Frontiers in neurology
|November 30, 2023
概括
在中突然意外死亡 (SUDEP) 披露可能会导致患者 (PWE) 暂时的焦虑,但长期的影响是最小的. 直接披露PWE,而不是间接披露,可以减少焦虑风险.
科学领域:
- 神经学 神经学
- 精神病学是一个精神病学.
- 的研究研究.
背景情况:
- 中突然意外死亡 (SUDEP) 是患者 (PWE) 死亡的主要原因.
- 神经学家经常避免向PWE披露SUDEP风险,因为担心会引起焦虑.
- 了解SUDEP披露对PWE焦虑的影响对于患者的护理和沟通至关重要.
研究的目的:
- 调查SUDEP披露对PWE焦虑水平的影响.
- 为了确定与SUDEP披露后的焦虑相关的变量.
- 为管理SUDEP披露提供建议,以尽量减少患者的焦虑.
主要方法:
- 在中国进行了一项调查研究,涉及来自三个中心的305名PWE.
- 232名PWE在基线和随访期间完成了汉密尔顿焦虑评分表 (HAMA).
- 用差异分析和逻辑回归来比较HAMA分数并确定相关变量.
主要成果:
- 54.7%的PWE在SUDEP披露后经历了焦虑.
- 与基线和长期随访 (T2) 相比,在短期随访 (T1) 中,焦虑评分 (HAMA) 显着更高.
- 医疗保险,发作的严重程度,以及对披露方法的偏好都影响了焦虑的发生.
结论:
- 披露SUDEP可能会导致PWE的急性短期焦虑,但不会产生长期影响.
- 患有非性状态 (NCSE) 或严重的PWE可能会经历更严重的焦虑.
- 与间接披露相比,直接向PWE披露SUDEP与较低的焦虑风险有关.
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