The impact of support provided by close others in the emergency department on threat perceptions
The impact of support provided by close others in the emergency department on threat perceptions
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DOI：
10.1080/08870446.2019.1643023
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发表时间：
2019-07-20
影响因子：
3.3
通讯作者：
Edmondson, Donald
中科院分区：
文献类型：
--
作者：
Cornelius, Talea;Derby, Lilly;Edmondson, Donald
目的：急诊科（艾德）中有亲密的人会给患者带来严重的痛苦。本研究验证了这一假设，即亲密的人比非亲密的人提供更多的负面支持，作为这种效应的一个潜在解释。设计图：参与者为493名在艾德接受急性冠脉综合征（ACS）评估的患者（M-年龄= 62.01，SD年龄= 13.55; 49.49%为男性），他们与亲密的其他人（即配偶/伴侣、孩子）或非亲密的其他人（例如邻居）一起到达。患者自我报告来自同伴的支持和威胁感知（ED中和大约三天后的回忆）。主要观察指标：积极支持（舒适，响应）;消极支持（使患者焦虑，需要安慰）;威胁感知（感到无助，脆弱）。结果如下：亲密（与非亲密）他人为患者提供了略微更多的积极支持，但也需要更多的安慰，B = 0.32，p = 0.050，并导致患者更多的焦虑，B = 0.24，p = 0.009。焦虑与患者的威胁感知相关：ED中，B = 0.11，p = 0.002;回忆，B = 0.14，p <0.001;向支持伙伴提供安慰也是如此：回忆，B = 0.06，p = 0.005。结论：消极支持可能是ED患者痛苦与亲密他人之间的联系机制之一。
Objective: Having close others present in the emergency department (ED) can cause patients significant distress. The present study tested the hypothesis that close others provide more negative support than non-close others as a potential explanation for this effect. Design: Participants were 493 patients evaluated for an acute coronary syndrome (ACS) in the ED (M-Age = 62.01, SDAge = 13.55; 49.49% male) and who arrived with close others (i.e. spouse/partner, child) or non-close others (e.g. neighbour). Patients self-reported support from companions and threat perceptions (in-ED and at recall approximately three days later). Main outcome measures: Positive support (comfort, responsiveness); negative support (made patients anxious, required comforting); threat perceptions (feeling helpless, vulnerable). Results: Close (vs non-close) others provided patients with marginally more positive support, but also required more comfort, B = 0.32, p = .050, and caused patients more anxiety, B = 0.24, p = .009. Anxiety was associated with patients' Threat Perceptions: in-ED, B = 0.11, p = .002; recall, B = 0.14, p < .001; as was provision of comfort to support partners: recall, B = .06, p = .005. Conclusion: Negative support may be one mechanism underlying the association between close others and patient distress in the ED.