Κατεύθυνση Κλινική Νοσηλευτική: Γαστρεντερολογική Νοσηλευτική
Library of the School of Health Sciences

2018-07-02

2018

Chanias Athanasios

Φώτος Νικόλαος, Επίκουρος Καθηγητής, Τμήμα Νοσηλευτικής, ΕΚΠΑ
Μπροκαλάκη - Πανανουδάκη Ηρώ, Ομότιμη Καθηγήτρια, Τμήμα Νοσηλευτικής, ΕΚΠΑ
Καλοκαιρινού Αθηνά, Καθηγήτρια, Τμήμα Νοσηλευτικής, ΕΚΠΑ

Άγχος και κατάθλιψη ασθενών με αναφερόμενο θωρακικό άλγος μη καρδιακής αιτιολογίας

Greek

Anxiety and depression of patients with reported chest pain of non-cardiac etiology

Introduction: Chest pain is one of the most common causes for the usage of health services. In many cases chest pain is non-cardiac and it is related to the existence of psychopathology.
Aim: The assessment of the levels of anxiety and depression of patients who visit Emergency Department (ED) with reported non-cardiac chest pain.
Material and Methods: The study was cross-sectional and involved 56 patients with non-cardiac chest pain, who arrived at the ED of a General Hospital of Attica, from December 2017 to April 2018. Patient’s anxiety and depression were estimated by the use of HADS scale. The statistical analysis included Mann-Whitney test, Kruskal-Wallis test, and Spearman's correlation coefficient. The two-sided level of statistical significance was set at 0.05. Data analysis was performed with IBM SPSS 20.0.
Results: The mean age of patients was 44.4 (±15.4) years, with the majority of them (58.9%) being men. The anxiety score (HADS-A) showed that 55.3% of the patients had anxiety, while the depression subscale (HADS-D) showed that 44.6% were depressed. Concerning the severity of the symptoms, the majority of participants had moderate symptoms for anxiety (25%) and mild for depression (23.2%). Anxiety was significantly associated with female gender (p=0.002), time from the first appearance of chest pain (p=0.001) and the number of visits to the ED for chest pain during the last year (p=0.004). Also, a negative relationship
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was found with height (p<0.013) and weight (p=0.048). Regarding depression, a statistically significant positive relationship came up with the female sex (p = 0.002), the time from the first occurrence of chest pain (p <0.001), the number of visits to the ED during the last year (p <0.001) and the number of children (p=0.014). In contrast, height (p <0.001) and weight (p=0.036) were negatively correlated with depression.
Conclusions: Approximately half of patients who visit ED with chest pain of non-cardiac etiology develop anxiety or depression. Healthcare professionals, nurses among them, should seriously consider the possibility of psychopathology in these patients and carry out the appropriate diagnostic tests to determine the appropriate treatment.

Health Sciences

Non cardiac chest pain, Anxiety, Depression, Emergency department

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Yes

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https://pergamos.lib.uoa.gr/uoa/dl/object/2776227