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个人和上下文变量作为MRI相关感知焦虑的预测因素
Margarida N Farinha1, Carla S Semedo2, António M Diniz2
1Department of Psychology, School of Social Sciences, University of Évora, 7000-803 Évora, Portugal.
Behavioral sciences (Basel, Switzerland)
|June 27, 2023
概括
在MRI扫描期间患者的焦虑受性别,教育和扫描前信息的影响. 提供信息可以减少焦虑,特别是对于那些教育程度较低的人来说,帮助医疗保健专业人员识别有风险的患者.
科学领域:
- 放射学和医学成像学 医学成像学
- 心理学和行为科学 心理学和行为科学
- 医疗保健管理的管理
背景情况:
- 磁共振成像 (MRI) 是一种常见的诊断工具,可以诱导患者的焦虑 (PA).
- 了解PA的预测因子对于改善MRI过程中的患者体验至关重要.
- 以前的研究还没有完全阐明在MRI环境中导致PA的因素.
研究的目的:
- 确定预测MRI后患者焦虑 (PA) 的个体和上下文变量.
- 通过比较扫描前和扫描后的焦虑水平,检查MRI经验对PA的影响.
- 为医疗保健专业人员提供可操作的见解,以管理MRI门诊患者的PA.
主要方法:
- 两项研究与成人MRI门诊患者进行 (研究1:n=204,研究2:n=242).
- 用面试式的焦虑和压力度量来衡量患者的焦虑.
- 研究1使用结构方程建模用于MRI后焦虑预测指标;研究2使用贝叶斯统计学用于MRI前后焦虑变化.
主要成果:
- 在MRI后,更高的PA与女性,高等教育水平和缺乏前检查信息有关.
- 收到信息的患者从MRI前到MRI后显示PA降低;没有信息的患者没有变化.
- 在MRI后的受教育程度低的患者中,PA下降,而受过高等教育的患者没有变化.
结论:
- 女性性别,高等教育和缺乏信息是MRI后焦虑的关键预测因素.
- 提供MRI前信息有效降低了患者的焦虑.
- 这些发现为医疗保健专业人员提供了有价值的指标,以识别和支持在MRI期间容易焦虑的患者.
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