疾病感知与自我报告的焦虑程度在急诊患者体质疾病患者之间的相关性:一项丹麦横截面研究
Andrea Nedergaard Jensen1,2, Thomas Kallemose2, Lisbeth Frostholm3,4
1Department of Ophthalmology, Zealand University Hospital Roskilde, Roskilde, Denmark anneje@regionsjaelland.dk.
BMJ open
|November 1, 2024
概括
疾病的感知与急诊室患者的担忧程度 (DOW) 有显著的相关性. 对疾病后果的负面看法,担忧和情绪与增加的DOW有关,有助于临床评估.
科学领域:
- 心理学 心理学 心理学
- 医学社会学 医学社会学
- 紧急医疗 紧急医疗
背景情况:
- 患有急性体质疾病的患者经常会在急诊室出现严重的担忧.
- 了解影响这种担忧的因素对于有效的患者管理和分拣至关重要.
研究的目的:
- 调查患者对疾病的看法与他们自我报告的担忧程度 (DOW) 之间的相关性.
- 探索特定的疾病感知组件,如后果,担忧和情绪表现,与DOW相关.
主要方法:
- 采用了横截面调查设计,收集了944名紧急病房成年患者的数据.
- 简短疾病感知问卷 (B-IPQ) 和DOW调查,以及人口统计和临床数据进行了管理.
- 相关性和线性回归分析检查了B-IPQ分数和DOW之间的关系,控制了各种患者特征.
主要成果:
- 在总疾病感知和DOW (r=0.47) 之间以及在情感表现和DOW (r=0.57) 之间发现了中等的相关性.
- 线性回归确定了后果,疾病关注和情绪作为DOW的重要预测因素.
- 越来越负面的疾病感知与更高水平的患者担忧有关.
结论:
- 疾病的感知,特别是关于后果,情感影响和整体担忧的感知,与患者在急诊室设置中的DOW显著相关.
- 这些发现提高了对影响患者在急性疾病呈现期间担忧的心理因素的理解.
- 该研究表明,将疾病感知评估纳入,可能使用DOW尺度,可以改善急诊室分拣和患者互动.
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