Risk factors for anxiety status of patients undergoing breast surgery in waiting area / 中华麻醉学杂志

Objective To determine the risk factors for the anxiety status of the patients undergoing breast surgery in the waiting area. Methods A total of 214 female patients scheduled for elective breast surgery, underwent biopsy under local anesthesia, were selected. When the patients were waiting for the pathological results in the waiting area, they filled in the questionnaire independently, read and understood the questionnaire of this study, showed cooperation and voluntarily received investigation including State-Trait Anxiety Inventory (STAI), self-evaluation questionnaire, etc. Anxiety was assessed and scored by the patients themselves. The patients were divided into state anxiety group and non-state anxiety group ac-cording to State-Anxiety scale. The variables were compared, and the variables of which P values less than 0. 05 would enter the logistic regression analysis to stratify the risk factors for the anxiety status of the pa-tients undergoing breast surgery in the waiting area. Results The incidence of state anxiety in the wait-ing area was 62. 6％. Compared with non-state anxiety group, significant change was found in the larger possibility of malignant breast lesions in preoperative conversation, preoperative anxiety, self anxiety score, STAI score and no understanding of disease prognosis in state anxiety group (P<0. 05). Logistic regression analysis showed that the larger possibility of malignant breast lesions in preoperative conversation, preoperative anxiety, self anxiety score and STAI score were all independent risk factors for the anxiety status of the patients undergoing breast surgery in the waiting area. Among all the patients involved in the investigation, 144 patients felt anxiety before surgery, 100％ patients expected help from the doctor in charge, and 60. 4％ patients expected the company of family in the waiting area. Conclusion Larger possibility of ma-lignant breast lesions in preoperative conversation, preoperative anxiety, self anxiety score and STAI score are independent risk factors for the anxiety status of the patients undergoing breast surgery while waiting for the pathological results in the waiting area after biopsy under local anesthesia.

Paediatric-appropriate facilities in emergency departments of community hospitals in Ontario:A cross-sectional study / 世界急诊医学杂志（英文）

@#BACKGROUND: We assessed whether the paediatric-appropriate facilities were available at Emergency Departments (ED) in community hospitals in a Canadian province. METHODS: We conducted a cross-sectional survey of EDs in community hospitals in Ontario, Canada that had inpatient paediatric facilities and a neonatal intensive care unit. Key informants were ED chiefs, clinical educators, or managers. The survey included questions about paediatric facilities related to environment, triage, training, and staff in EDs. RESULTS: Of 52 hospitals, 69% (n=36) responded to our survey. Of them, 14% EDs (n=5) had some separated spaces available for paediatric patients. About 53% (n=19) of EDs lacked children activities, e.g., toys. Only 11% (n=4) EDs were using paediatric triage scales and 42% (n=15) had a designated paediatric resuscitation bay. Only half of the ED (n=18) required from their staff to update paediatric life support training. Only 31% (n=11) had a designated liaison paediatrician for the ED. Paediatric social worker was present in only 8% (n=3) of EDs in community hospitals. CONCLUSION: Most of the Ontario community hospital EDs included in this survey had inadequate facilities for paediatric patients such as specific waiting and treatment areas.