Domènech A, Notta P, Benítez A, Ramal D, Rodríguez-Bel L, Massuet C, Martín-Comín J
Servicio de Medicina Nuclear, Hospital Universitari de Bellvitge-IDIBELL, Barcelona, España.
Rev Esp Med Nucl. 2010 Mar-Apr;29(2):63-72. doi: 10.1016/j.remn.2009.12.009. Epub 2010 Feb 18.
To analyze the presence of anxiety in patients referred to a Nuclear Medicine Department (NMD).
A total of 148 patients were included: 67 were referred for radioiodine therapy, 48 with hyperthyroidism (HT), 19 with differentiated thyroid carcinoma (DTC), and 81 were referred for detection and biopsy of the sentinel node in breast cancer (BC). The following documents were filled out: personal data, a state-trait anxiety inventory, a scale of pre-disposing factors causing anxiety and an information questionnaire. Anxiety-predisposing factors and the influence of the information on the presence of anxiety were studied.
HT patients: 47% had anxiety in the moment of the visit that was not related to the level of information received. The factor that worried them the most was the radioiodine administration. Being the first visit to a NMD significantly influenced (p<0.05) on the presence of anxiety. DTC patients: 42% had anxiety in the moment of the visit not related to the level of information received. The factor that worried them the most was the illness itself. No factor had a significant influence on the presence of anxiety. BC patients: 53% had anxiety in the moment of the visit that was not related to the level of information received. What worried them the most were the results. Having anxiety and/or depression significantly influenced (p<0.05) the presence of anxiety.
The quantity of information given before a procedure in a NMD does not influence on the presence of anxiety. Nevertheless, it is our duty to give the best possible information.
分析转诊至核医学科（NMD）的患者中焦虑症的存在情况。
共纳入148例患者：67例因放射性碘治疗转诊，48例患有甲状腺功能亢进症（HT），19例患有分化型甲状腺癌（DTC），81例因乳腺癌（BC）前哨淋巴结检测及活检转诊。填写了以下文件：个人资料、状态-特质焦虑量表、引发焦虑的 predisposing 因素量表及一份信息问卷。研究了引发焦虑的因素以及信息对焦虑症存在情况的影响。
HT患者：47%在就诊时存在与所获信息水平无关的焦虑。最令他们担忧的因素是放射性碘给药。首次就诊于NMD对焦虑症的存在有显著影响（p<0.05）。DTC患者：42%在就诊时存在与所获信息水平无关的焦虑。最令他们担忧的因素是疾病本身。没有因素对焦虑症的存在有显著影响。BC患者：53%在就诊时存在与所获信息水平无关的焦虑。最令他们担忧的是检查结果。患有焦虑症和/或抑郁症对焦虑症的存在有显著影响（p<0.05）。
在NMD进行某项操作前提供的信息量不会影响焦虑症的存在。然而，提供尽可能好的信息是我们的职责。
