在急诊室的功能性体征症状频繁呈现者
Vidula Garde1,2,3, Katherine Thornton4, Madelyn Pardon4,5
1Townsville Hospital and Health Service, Townsville, QLD, Australia. vidula.garde@health.qld.gov.au.
BMC emergency medicine
|July 17, 2024
概括
功能性体征症状 (FSS) 的患者经常出现在急诊室 (ED). 这项研究发现,FSS患者的ED访问量明显增加,这表明治疗转诊可以改善护理和ED效率.
科学领域:
- 医学研究 医学研究
- 临床心理学 临床心理学
- 紧急医疗 紧急医疗
背景情况:
- 功能性体征症状 (FSS) 在急诊室 (ED) 等医疗机构中很常见.
- 关于频繁出现ED的患者中FSS的表征和频率的研究有限,特别是在澳大利亚.
- 这项研究解决了澳大利亚关于FSS频繁参加ED的证据上的差距.
研究的目的:
- 在澳大利亚频繁的急诊室 (ED) 主持人中描述功能性体征症状 (FSS).
- 为了确定多次ED再呈现的患者中FSS的频率.
- 调查频繁参加ED的FSS和心理痛苦之间的关联.
主要方法:
- 一个回顾性,单中心研究分析了频繁出现ED的患者 (>3次/月) 超过6个月.
- 患者被分为FSS,可能的FSS (后FSS) 和非FSS组,使用既定的标准.
- 描述性统计和发病率计算比较了群体特征和ED呈现频率;心理困扰指标也被分析.
主要成果:
- 经常出现ED的患者中有11%患有FSS,72%可能患有FSS.
- 与非FSS和后FSS组相比,患有FSS的患者的平均ED呈现明显高 (p < 0.01).
- 焦虑被确定为与FSS患者ED表现相关的首要心理痛苦指标.
结论:
- 患有FSS的经常性ED呈现者比没有FSS的呈现率高得多.
- 建议修订ED护理模型,以包括FSS患者的治疗转诊.
- 实施治疗转诊可能会减少需求,提高患者护理和ED效率.
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