Alimoğlu Emel, Alimoğlu Mustafa Kemal, Kabaalioğlu Adnan, Ceken Kağan, Apaydin Ali, Lüleci Ersin
Akdeniz Universitesi Tip Fakültesi, Radyoloji Anabilim Dali, Antalya, Turkey.
Tani Girisim Radyol. 2004 Sep;10(3):213-7.
To investigate whether informing patients about mammographic compression changed the anxiety and pain that they experience during mammography.
Five hundred and one patients were enrolled in the study. Two hundred and fifty seven (51.3%) were informed before the procedure by written forms explaining the necessity of compression. The remaining 244 (48.7%) didn't get any pre-procedural information. All participants completed demographic form and Spielberger's State Anxiety Inventory while they were waiting for mammography. They marked the level of pain due to compression on a 100-mm visual analog scale (VAS) after the procedure. Chi square, Pearson's correlation and Student's t tests were used for statistical analyses.
We didn't find any significant difference between the anxiety scores of the informed (41.4+/-7.9) and uninformed (40.9+/-7.7) women, but the pain level was significantly lower in the informed group (16.5+/-22.4) than in the uninformed group (24.5+/-28.1). There was no statistically significant relationship between the anxiety and pain levels. Women who had recently felt tense and nervous or had a fear of breast cancer diagnosis had higher anxiety levels.
Our data shows that informing patients about examination decreases the level of pain due to mammographic compression, but does not alter the anxiety level. The main cause of anxiety appears to be the fear of a malignant diagnosis. Any intervention to decrease this fear may increase the compliance rates for screening mammography.
研究告知患者乳腺钼靶检查时的压迫情况是否会改变她们在检查过程中所体验到的焦虑和疼痛。
501名患者参与了本研究。其中257名（51.3%）在检查前通过书面形式被告知压迫的必要性。其余244名（48.7%）未得到任何检查前信息。所有参与者在等待乳腺钼靶检查时填写了人口统计学表格和斯皮尔伯格状态焦虑量表。检查后，他们在100毫米视觉模拟量表（VAS）上标记因压迫产生的疼痛程度。采用卡方检验、皮尔逊相关性检验和学生t检验进行统计分析。
我们发现，被告知的女性（41.4±7.9）和未被告知的女性（40.9±7.7）在焦虑评分上没有显著差异，但被告知组的疼痛程度（16.5±22.4）明显低于未被告知组（24.5±28.1）。焦虑水平和疼痛程度之间没有统计学上的显著关系。近期感到紧张或害怕乳腺癌诊断的女性焦虑水平较高。
我们的数据表明，告知患者检查情况可降低乳腺钼靶压迫所致的疼痛程度，但不会改变焦虑水平。焦虑的主要原因似乎是对恶性诊断的恐惧。任何减轻这种恐惧的干预措施都可能提高乳腺钼靶筛查的依从率。
