Correlation between crowdedness in emergency departments and anxiety in Chinese patients  

作　　者：Shuang Wang Jun-Yi Gao Xiang Li Yu Wu Xiao-Xia Huo Chao-Xia Han Meng-Jie Kang Hong Sun Bao-Lan Ge Yu Liu Ying-Qing Liu Jian-Ping Zhou Zhen Wang 

机构地区：[1]Department of Emergency Medicine,Beijing Shijitan Hospital,Capital Medical University,Beijing 100038,China [2]Department of Cardiology,Beijing Shijitan Hospital,Capital Medical University,Beijing 100038,China [3]Emergency Intensive Care Unit,Beijing Shijitan Hospital,Capital Medical University,Beijing 100038,China [4]Department of Orthopedic Surgery,Beijing Shijitan Hospital,Capital Medical University,Beijing 100038,China [5]Department of Emergency Medicine,Peking University People’s Hospital,Beijing 100044,China [6]Department of Emergency Medicine,Peking University Third Hospital,Beijing 100191,China [7]Department of Emergency Medicine,Chinese PLA General Hospital,Beijing 100853,China [8]Department of Emergency Medicine,Beijing Chao-Yang Hospital,Capital Medical University,Beijing 100020,China [9]Department of Emergency Medicine,Beijing Friendship Hospital,Capital Medical University,Beijing 100050,China

出　　处：《World Journal of Clinical Cases》2020年第13期2802-2816,共15页世界临床病例杂志

基　　金：Supported by the Capital Nursing Research Special Project,No.17HL21.

摘　　要：BACKGROUND Emergency department(ED)overcrowding is a severe health care concern,while anxiety and depression rates among ED patients have been reported to be substantially higher compared to the general population.We hypothesized that anxiety due to over crowdedness may lead to adverse events in EDs.AIM To investigate correlations between crowdedness in EDs and anxiety of patients and nurses,and to identify factors affecting their anxiety.METHODS In this prospective observational study,a total 43 nurses and 389 emergency patients from two tier III hospitals located in Beijing were included from January 2016 to August 2017.Patients were grouped into inpatients when they were hospitalized after diagnoses,or into outpatients when they were discharged after treatments.The State Trait Anxiety Inventory(STAI Form Y)questionnaire was used to investigate patient and nurse anxieties,while crowdedness of EDs was evaluated with the National Emergency Department Over Crowding Score.RESULTS The present results revealed that state anxiety scores(49.50±6.00 vs 50.80±2.80,P=0.005)and trait anxiety scores(45.40±5.70 vs 46.80±2.70,P=0.002)between inpatients(n=173)and outpatients(n=216)were significantly different,while the state anxiety of nurses(44.70±5.80)was different from those of both patient groups.Generalized linear regression analysis demonstrated that multiple factors,including crowdedness in the ED,were associated with state and trait anxieties for both inpatients and outpatients.In addition,there was an interaction between state anxiety and trait anxieties.However,multivariable regression analysis showed that while overcrowding in the ED did not directly correlate with patients’and nurses’anxiety levels,the factors that did correlate with state and trait anxieties of inpatients were related to crowdedness.These factors included waiting time in the ED,the number of patients treated,and the number of nurses in the ED,whereas for nurses,only state and trait anxieties correlated significantly with each other.CONCLU

关 键 词：Emergency department OVERCROWDING State anxiety Trait anxiety ANXIETY Prospective studies 

分 类 号：R749.72[医药卫生—神经病学与精神病学]