Please use this identifier to cite or link to this item: https://hdl.handle.net/11499/6840
Title: Value of the timing of informing the emergency department patients on cardiac test results: A randomized controlled study
Authors: Serinken, Mustafa
Zencir, M.
Karcioglu, O.
Sener, S.
Türkçüer, İbrahim
Keywords: Emergency department
Information
Reassurance
Test results
Timing
creatine kinase MB
heart enzyme
myoglobin
troponin I
creatine kinase MM
acute coronary syndrome
adult
anxiety
article
cardiovascular system examination
clinical feature
clinical trial
controlled clinical trial
controlled study
electrocardiography monitoring
emergency physician
emergency ward
enzyme assay
female
health status
human
intermethod comparison
major clinical study
male
observation
patient information
patient monitoring
persuasive communication
priority journal
prospective study
randomized controlled trial
reassurance
scoring system
thorax pain
thorax radiography
university hospital
blood
doctor patient relation
emergency health service
enzymology
heart infarction
middle aged
patient education
psychological aspect
time
Adult
Anxiety
Chest Pain
Creatine Kinase, MM Form
Emergency Service, Hospital
Female
Hospitals, University
Humans
Male
Middle Aged
Myocardial Infarction
Myoglobin
Patient Education as Topic
Physician-Patient Relations
Time Factors
Troponin I
Abstract: OBJECTIVE: This study is designed to investigate the role of written information, and the value of its timing, provided to Emergency Department (ED) patients regarding cardiac enzyme tests (CET), on their personal concerns about their health status and their discussions with the emergency physicians as to their normal health status post-test. MATERIALS AND METHODS: This is a prospective randomized controlled study. All consecutive patients used for this study were admitted to the university-based ED within the 6-month study period with the presenting chief complaint of atypical chest pain, which was considered as the presumptive diagnosis. CET was ordered to rule out acute coronary syndromes, and these patients were enrolled into the study groups. RESULTS: The study sample included 523 patients whose CET were ordered and who were therefore eligible for the study. Three groups were similar in terms of persuasion and anxiety scores. Groups, which were informed about the test by leaflet had lower anxiety and persuasion scores. The lowest anxiety scores were found especially in the group in which the information was given before CET was drawn (P<0.001). The effects of monitoring on patients and providing information with a leaflet were found significant on reassurance scores (P=0.006, P<0.001). Reassurance scores of the patients on whom at least one of the procedures, for example, monitoring, more than one electrocardiogram and chest radiograph, had been carried out, showed significant difference compared with those on whom neither of these procedures had been done during the ED observation (P=0.001). CONCLUSION: Written information provided to patients undergoing cardiac tests in ED population was found effective on anxiety and persuasion scores. © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins.
URI: https://hdl.handle.net/11499/6840
https://doi.org/10.1097/MEJ.0b013e32830a9957
ISSN: 0969-9546
Appears in Collections:PubMed İndeksli Yayınlar Koleksiyonu / PubMed Indexed Publications Collection
Scopus İndeksli Yayınlar Koleksiyonu / Scopus Indexed Publications Collection
Tıp Fakültesi Koleksiyonu
WoS İndeksli Yayınlar Koleksiyonu / WoS Indexed Publications Collection

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