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乳腺钼靶检查相关不适的发生率及相关因素

Rates and correlates of discomfort associated with mammography.

作者信息

Dullum J R, Lewis E C, Mayer J A

机构信息

Graduate School of Public Health, Hardy Tower 119, San Diego State University, San Diego, CA 92182-4162, USA.

出版信息

Radiology. 2000 Feb;214(2):547-52. doi: 10.1148/radiology.214.2.r00fe23547.

DOI:10.1148/radiology.214.2.r00fe23547
PMID:10671609
Abstract

PURPOSE

To explore the rates and correlates of discomfort at mammography in asymptomatic women aged 50-74 years from six San Diego, Calif, mammography facilities.

MATERIALS AND METHODS

Subjects (N = 1,800) completed a 43-item telephone interview approximately 3 weeks after screening mammography. Bivariate associations between variables were analyzed with chi(2) analysis. Logistic regression was used to assess the independent predictors of discomfort at mammography while controlling for all other factors.

RESULTS

Nine hundred thirty-three (52%) women reported moderate to extreme discomfort at mammography. Discomfort was not related to the intention to undergo future mammography (P =.95). Factors that were significantly associated with discomfort in multivariate analyses were facility (P <.001), satisfaction with care (P <.04), and perception of the technologist's "roughness" (P <.001).

CONCLUSION

Discomfort, although not related to the intention to undergo future mammography, had a relatively high incidence.

摘要

目的

探讨来自加利福尼亚州圣地亚哥六家乳腺摄影机构的50 - 74岁无症状女性乳腺摄影时不适的发生率及其相关因素。

材料与方法

受试者(N = 1800)在乳腺筛查摄影后约3周完成了一项包含43个项目的电话访谈。变量之间的双变量关联采用卡方分析。在控制所有其他因素的同时,使用逻辑回归评估乳腺摄影时不适的独立预测因素。

结果

933名(52%)女性报告在乳腺摄影时有中度至极度不适。不适与未来接受乳腺摄影的意愿无关(P = 0.95)。多因素分析中与不适显著相关的因素有机构(P < 0.001)、对护理的满意度(P < 0.04)以及对技术人员“粗暴程度”的感知(P < 0.001)。

结论

不适虽然与未来接受乳腺摄影的意愿无关,但发生率相对较高。

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