TY - JOUR
T1 - Distress among hospitalized patients with acute coronary syndrome
AU - Ganz, Freda De Keyser
AU - Raanan, Ofra
AU - Shafir, Gennady
AU - Levy, Dassy
AU - Klempfner, Robert
AU - Beigel, Roy
AU - Iakobishvili, Zaza
N1 - Publisher Copyright:
© 2021 British Association of Critical Care Nurses.
PY - 2022/3
Y1 - 2022/3
N2 - Background: Previous studies have demonstrated that those suffering from acute coronary syndrome (ACS) experience various physical and psychological symptoms. Few studies have investigated the multi-factorial, holistic, unpleasant experience of distress that includes physical, psychological, social, and spiritual factors among this patient population while still hospitalized. Aim: To describe the level of distress among patients hospitalized with ACS and its association with demographic and clinical factors and mortality. Study Design: The study conducted a descriptive, cross-sectional survey. Methods: The Acute Coronary Syndrome Israel Study is a national, biennial registry, enrolling all patients with ACS admitted to cardiac intensive care or cardiology wards in Israel within a 2-month period. Demographic and clinical data were retrieved from an electronic database. Distress was measured by the Distress Thermometer. Nurses collected distress data directly from patients before discharge. Results: Nine hundred ninety participants (50.6% response rate) were surveyed. Mean age was 62.8 (SD = 12.5). Mean distress level was 4.8 (SD = 3.45) out of 10. The most frequently reported area of distress was physical, followed by emotional. Practical and family problems were less frequent. Emotional distress was found to differ based on educational level, marital status, smoking history, and previous medical history. Distress did not predict 7- or 30-day mortality. Conclusions: Respondents with ACS were in moderate distress. It is recommended that those at increased risk receive increased monitoring of emotional distress while still in hospital. Further studies should investigate this holistic view of distress among the ACS population using a variety of methods and methodologies.
AB - Background: Previous studies have demonstrated that those suffering from acute coronary syndrome (ACS) experience various physical and psychological symptoms. Few studies have investigated the multi-factorial, holistic, unpleasant experience of distress that includes physical, psychological, social, and spiritual factors among this patient population while still hospitalized. Aim: To describe the level of distress among patients hospitalized with ACS and its association with demographic and clinical factors and mortality. Study Design: The study conducted a descriptive, cross-sectional survey. Methods: The Acute Coronary Syndrome Israel Study is a national, biennial registry, enrolling all patients with ACS admitted to cardiac intensive care or cardiology wards in Israel within a 2-month period. Demographic and clinical data were retrieved from an electronic database. Distress was measured by the Distress Thermometer. Nurses collected distress data directly from patients before discharge. Results: Nine hundred ninety participants (50.6% response rate) were surveyed. Mean age was 62.8 (SD = 12.5). Mean distress level was 4.8 (SD = 3.45) out of 10. The most frequently reported area of distress was physical, followed by emotional. Practical and family problems were less frequent. Emotional distress was found to differ based on educational level, marital status, smoking history, and previous medical history. Distress did not predict 7- or 30-day mortality. Conclusions: Respondents with ACS were in moderate distress. It is recommended that those at increased risk receive increased monitoring of emotional distress while still in hospital. Further studies should investigate this holistic view of distress among the ACS population using a variety of methods and methodologies.
KW - acute coronary syndrome
KW - cardiac intensive care unit
KW - distress
UR - http://www.scopus.com/inward/record.url?scp=85118880989&partnerID=8YFLogxK
U2 - 10.1111/nicc.12730
DO - 10.1111/nicc.12730
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C2 - 34766409
AN - SCOPUS:85118880989
SN - 1362-1017
VL - 27
SP - 165
EP - 171
JO - Nursing in critical care
JF - Nursing in critical care
IS - 2
ER -