AI Article Synopsis
- Hospital crowding may negatively affect medical treatment quality and increase the risk of traumatic stress following a myocardial infarction (MI).
- A study involving 102 patients within 48 hours of MI looked at how patients perceived hospital crowding upon admission and its link to acute stress disorder (ASD) symptoms.
- Results indicated that those who perceived the hospital environment as hectic were more likely to develop ASD symptoms, highlighting the importance of patient perception in high-stress medical situations and the need for future research on strategies to mitigate these effects.
Article Abstract
Objective: Hospital crowding is a public health problem that may impact on the quality of medical treatment and increase the risk of developing traumatic stress, e.g., after myocardial infarction (MI). This study examines whether subjective appraisal of crowding at hospital admission due to MI is associated with acute stress disorder (ASD) symptoms.
Method: We investigated 102 consecutive patients with acute MI within 48h after having reached stable circulatory conditions. The appraisal of crowding was measured by the retrospective assessment of the perception of a hectic hospital environment at admission. Furthermore, patients completed the Acute Stress Disorder Scale to rate the psychological stress reaction.
Results: The perception of a hectic hospital environment was associated with the development of ASD symptoms (r=0.254, P=.013) independently of demographic, peritraumatic and medical factors. Post hoc analysis revealed associations with dissociative (r=0.211, P=.041), reexperiencing (r=0.184, P=.074) and arousal (r=0.179, P=.083) symptoms.
Conclusion: The findings suggest that, besides objective circumstances, the way hospital admission due to MI is perceived by the patient may influence the development of MI-triggered ASD symptoms. The psychological and physiological long-term outcomes of the perception of a hectic hospital environment and the role of preventive interventions need further examination.
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| http://dx.doi.org/10.1016/j.genhosppsych.2015.11.004 | DOI Listing |
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