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Supporting claustrophobic patients during Magnetic Resonance Imaging examination- the patient perspective
O Lawal1, P Regelous1, D Omiyi2
1Department of Allied Health Professions, Midwifery and Social Work, School of Health and Social Work, University of Hertfordshire, UK.
Introduction:
Magnetic Resonance Imaging (MRI) is a common imaging modality used to diagnose disease and monitor treatment. However, some patients cannot complete their MRI examination as a result of claustrophobia. The recent developments in the MRI scanner design may have reduced the incidence of claustrophobia in MRI. This study aimed to explore the claustrophobic patients' experience to better understand how to support them.
Methods:
A qualitative descriptive approach using focus groups was deemed appropriate for the study. The research was advertised in a print newspaper and on social media platforms for eligible participants to contact the researcher. Six claustrophobic patients were recruited to the focus group meeting. The discussion was audio recorded and transcribed. Content analysis was used to analyse the data into code and categories.
Results:
Four themes emerged from the data analysis, which included examination preparation, information provision, coping mechanisms and MR scanner design. Participants reported that the confined space in the MRI scanner bore is responsible for their anxiety during MRI. However, the majority of the participants believe that they would be able to complete the examination if, in advance of their scan, they were shown the MRI scanner and what they would be required to do.
Conclusion:
Several coping mechanisms were shared by the participants on how they were able to complete their MRI examination despite their claustrophobia. MRI radiographers should endeavour to use these mechanisms to support their patients in practice. Also, the findings emphasise the importance of virtual reality and clear communication with patients in preparing them for their MRI examinations.
Implications For Practice:
The findings of this study may be used to enhance claustrophobic patients' experience in MRI. It also identified those aspects of the MRI examination that matter most to patients with claustrophobia in order to provide a suitable intervention to support these patients.
Insights
Claustrophobic patients can complete Magnetic Resonance Imaging (MRI) scans with better preparation and communication. Showing patients the MRI scanner beforehand and using virtual reality can significantly reduce anxiety during the procedure.
Area of Science:
- Medical Imaging
- Radiology
- Patient Experience
Background:
- Magnetic Resonance Imaging (MRI) is crucial for diagnosis and treatment monitoring.
- Claustrophobia prevents some patients from completing necessary MRI examinations.
- New MRI scanner designs may be reducing claustrophobia incidence.
Purpose of the Study:
- To explore the experiences of patients with claustrophobia during MRI scans.
- To identify strategies for better supporting claustrophobic patients.
- To understand patient perspectives on MRI-related anxiety.
Main Methods:
- Qualitative descriptive study utilizing focus groups.
- Six claustrophobic patients participated in transcribed discussions.
- Content analysis was employed to identify key themes.
Main Results:
- Four themes emerged: examination preparation, information provision, coping mechanisms, and scanner design.
- The confined MRI scanner bore was identified as a primary source of anxiety.
- Patients expressed a willingness to complete scans if shown the equipment and procedure beforehand.
Conclusions:
- Patients shared coping mechanisms for managing claustrophobia during MRI.
- MRI radiographers can utilize these strategies to support anxious patients.
- Virtual reality and clear communication are vital for preparing patients for MRI.
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