了解患者焦虑和疼痛在初始图像引导的乳腺活检期间
Santo Maimone1, Andrey P Morozov1, Annamaria Wilhelm1
1Mayo Clinic Florida, Department of Radiology, Jacksonville, FL.
Journal of breast imaging
|March 1, 2024
概括
接受图像导向乳腺活检的患者的焦虑和疼痛比预期的要小. 沟通这一点可以减少患者的痛苦,并改善整体活检体验.
科学领域:
- 放射学 放射学是一门学科.
- 在瘤学瘤学.
- 患者体验 患者体验
背景情况:
- 图像引导的乳腺活检是必要的诊断程序.
- 患者的焦虑是一个重大的问题,特别是对于第一次活检的患者.
- 了解患者对疼痛和焦虑的看法对于改善护理至关重要.
研究的目的:
- 为了评估患者的焦虑和疼痛感知之前和之后的图像导向乳腺活检.
- 为了比较预期与实际的疼痛水平.
- 确定影响乳腺活检患者体验的因素.
主要方法:
- 一项前性研究调查了163名首次进行乳腺活检的患者.
- 焦虑和疼痛被测量使用0-10利克尔特尺度在手术前和后.
- 统计分析包括相关性,双变量和回归.
主要成果:
- 81.6%的患者认为活检体验比预期的好.
- 焦虑显著下降 (P < 0.001),疼痛评分低于预期 (P < 0.001).
- 超声导向活检报告的疼痛程度低于立体或MRI导向的手术.
结论:
- 图像引导的乳腺活检通常耐受良好,比预期更好.
- 活检前的患者教育可以减少焦虑,与较低的感知疼痛相关.
- 解决患者的焦虑是改善手术体验的关键.
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