患者的焦虑和恐惧:跨直肠前列腺活检和前列腺MRI之间的比较
Fabian Steinkohl1,2, Anna K Luger1, Leonhard Gruber1
1Department of Radiology, Medical University of Innsbruck, Innsbruck, Austria.
Translational andrology and urology
|November 7, 2024
概括
与跨直肠超声波 (TRUS) 活检相比,患者在多参数前列腺MRI (mpMRI) 之前经历的焦虑较少. 然而,对考试结果的恐惧仍然是这两种程序的主要担忧.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 医疗成像医学成像
- 患者心理学 患者心理学
背景情况:
- 前列腺活检,如通过直肠超声波 (TRUS) 引导的活检,是与患者焦虑相关的侵入性手术.
- 多参数前列腺核磁共振 (mpMRI) 是一种不那么侵入性的替代方案,尽管患者可能仍然会经历"不安".
研究的目的:
- 为了比较与TRUS引导前列腺活检和mpMRI相关的患者恐惧和焦虑.
- 确定与这些前列腺癌诊断程序 (PCa) 相关的特定焦虑来源.
主要方法:
- 一个单一中心研究涉及196名患者,计划在2018年1月至12月期间进行mpMRI或TRUS活检.
- 使用5点利克特比例问卷来评估患者对检查的恐惧程度.
主要成果:
- 在mpMRI和TRUS活检中,恐惧水平通常是适度的.
- 患者报告说,与TRUS活检相比,mpMRI对疼痛和并发症的恐惧明显降低.
- 没有发现患者对程序的知识或对检查顺利进行的期望有显著差异.
结论:
- 虽然mpMRI与TRUS活检相比与更少的恐惧有关,但程序性焦虑的总体差异很小.
- 接受这两种诊断方法的患者最担心的是检查结果的不确定性.
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