Ansiedad del paciente hospitalizado en una Unidad de Observación de Urgencias de un hospital comarcal

  1. Teresa Santos Boya
  2. Calvo Arenillas, José Ignacio
Journal:
Metas de enfermería

ISSN: 1138-7262

Year of publication: 2016

Volume: 19

Issue: 9

Type: Article

More publications in: Metas de enfermería

Abstract

Objective: to assess the anxiety level of patients hospitalized in the ER Observation Unit of the Hospital de Medina del Campo (UOSU), as well as to determine the occurrence of hospital stressful events, and to quantify the level of anxiety generated by each of them. Method: an observational, descriptive and transversal study was conducted on 18-to-80-year old patients with non-scheduled hospital admission, during six and 24 hours. A validated questionnaire following the Likert scale was used; this was prepared on the basis of the Hospital Stress Rating Scale by Volicer and Bohanon. Results: the study included 212 patients: 129 men and 83 women. From these, 40% presented a condition associated to Internal Medicine; 84% were aware of what their disease entailed, 87% knew their test results, and 35% thought that something serious could be happening to them. The highest levels of stress during hospitalization were caused by: the fact of not knowing the time of hospital discharge (67% of patients), sudden admission to hospital (91% of patients), and obtaining pain relief (72% of patients). Conclusions: pain is the hospital stressful event par excellence; and among hospitalized patients, chest pain generated the highest level of anxiety, as well as the potential consequences of the disease and the lack of information about it. On the contrary, the drawbacks associated with hospitalization (sleeping with strangers, wearing hospital clothes) were the events that caused the lowest levels of anxiety.

Bibliographic References

  • Latorre JM, Rovira E. Evaluación y cuidados de la ansiedad como respuesta a algunas técnicas de Enfermería. Revista de Enfermería de la EUE de Albacete, núm. 201 [citado 15 oct 2016]. Disponible en: https://www.uclm.es/ab/enfermeria/revista/numero%201/ansiedad1.htm
  • Barrilero Gómez JA, Casero Mayorga JA, Cebrián Picazo F, Córdoba Monedero CA, García Alcaraz F, Gregorio González E, et al. Ansiedad y cirugía: repercusiones en el paciente sometido a cirugía programada. Revista de Enfermería de la EUE de Albacete; 208 [citado 15 oct 2016]. Disponible en https://www.uclm.es/ab/enfermeria/revista/numero%208/ansicirug.htm
  • Marks IM. Fears, phobias and rituals: panic, anxiety and their disorders. Oxford: Oxford University Press; 1987. p. 512-25.
  • Lizandra M. Factores que condicionan la ansiedad en los pacientes que acuden al servicio de urgencias del Hospital “Obispo Polanco” de Teruel, durante el mes de noviembre de 2012. Trabajo Fin de Grado. Universidad de Zaragoza. Escuela de Enfermería de Teruel; 2013.
  • Richart M, Cabrero J, Reig A. Hospitalización y estrés en el paciente: percepción diferencial de estresores entre paciente y personal de Enfermería. Análisis y Modificación de conducta. 1993; 19(63):75-89.
  • Volicer BJ, Bohanon MA. Hospital stress ratings scale. Nursing Research. 1975; 24(1): 352-59.
  • Perruche F, Elie C, d’Ussel M, Ray P, Thys F, Bleichner G, et al. Anxiety and depression detected in emergency patients admitted to the observation care unit. Emerg Med J. 2011 Aug; 28(8):662-5.
  • Ekwall A. Acuity and anxiety from the patient’s perspective in the emergency department. J Emerg Nurs. 2013; 39(6):534-38.
  • Webster R, Norman P, Goodacre S, Thompson AR, Mc Eachan RR. IIness representations, psychological distress and non-cardiac chest pain in patients attendinf an emergency department. Psychol Healt 2014; 29(11):1265-82.
  • Soares-Filho GL, Freire RC, Biancha K, Pacheco T, Volschan A, Valença AM, et al. Use of hospital anxiety and depression scale (HADS) in a cardiac emergency room: chest pain unit. Clinics (Sao Paulo) 2009; 64(3):209-14.
  • Gokhan Basara, Ahmet Baydin, Ahmet Yilmaz, Oguzhan Yucel, Ali Kemal Erenler, Naci Murat. Investigation of anxiety levels of patients with chest pain admitted to emergency department. Turk J Emerg Med. 2015 Dec; 15(4):168-71.