Soo Mary Scott, Jarosz Jennifer A, Wren Anava A, Soo Adrianne E, Mowery Yvonne M, Johnson Karen S, Yoon Sora C, Kim Connie, Hwang E Shelley, Keefe Francis J, Shelby Rebecca A
Department of Radiology, Duke University Medical Center, Durham, North Carolina.
Greensboro Radiology, Greensboro, North Carolina.
J Am Coll Radiol. 2016 May;13(5):526-34. doi: 10.1016/j.jacr.2015.12.004. Epub 2016 Feb 4.
To evaluate the impact of guided meditation and music interventions on patient anxiety, pain, and fatigue during imaging-guided breast biopsy.
After giving informed consent, 121 women needing percutaneous imaging-guided breast biopsy were randomized into three groups: (1) guided meditation; (2) music; (3) standard-care control group. During biopsy, the meditation and music groups listened to an audio-recorded, guided, loving-kindness meditation and relaxing music, respectively; the standard-care control group received supportive dialogue from the biopsy team. Immediately before and after biopsy, participants completed questionnaires measuring anxiety (State-Trait Anxiety Inventory Scale), biopsy pain (Brief Pain Inventory), and fatigue (modified Functional Assessment of Chronic Illness Therapy-Fatigue). After biopsy, participants completed questionnaires assessing radiologist-patient communication (modified Questionnaire on the Quality of Physician-Patient Interaction), demographics, and medical history.
The meditation and music groups reported significantly greater anxiety reduction (P values < .05) and reduced fatigue after biopsy than the standard-care control group; the standard-care control group reported increased fatigue after biopsy. The meditation group additionally showed significantly lower pain during biopsy, compared with the music group (P = .03). No significant difference in patient-perceived quality of radiologist-patient communication was noted among groups.
Listening to guided meditation significantly lowered biopsy pain during imaging-guided breast biopsy; meditation and music reduced patient anxiety and fatigue without compromising radiologist-patient communication. These simple, inexpensive interventions could improve women's experiences during core-needle breast biopsy.
评估引导式冥想和音乐干预对影像引导下乳腺活检患者焦虑、疼痛和疲劳的影响。
在获得知情同意后，121名需要经皮影像引导下乳腺活检的女性被随机分为三组：（1）引导式冥想组；（2）音乐组；（3）标准护理对照组。在活检过程中，冥想组和音乐组分别聆听一段音频录制的引导式慈爱冥想和放松音乐；标准护理对照组接受活检团队的支持性对话。在活检前后，参与者完成了测量焦虑（状态-特质焦虑量表）、活检疼痛（简明疼痛量表）和疲劳（慢性疾病治疗功能评估-疲劳修正版）的问卷。活检后，参与者完成了评估放射科医生与患者沟通（医生-患者互动质量修正问卷）、人口统计学和病史的问卷。
与标准护理对照组相比，冥想组和音乐组在活检后报告焦虑显著减轻（P值<0.05）且疲劳减轻；标准护理对照组报告活检后疲劳增加。与音乐组相比，冥想组在活检期间的疼痛也显著更低（P = 0.03）。各组之间在患者感知的放射科医生与患者沟通质量方面没有显著差异。
在影像引导下乳腺活检过程中，聆听引导式冥想可显著降低活检疼痛；冥想和音乐可减轻患者焦虑和疲劳，且不影响放射科医生与患者的沟通。这些简单、廉价的干预措施可改善女性在粗针乳腺活检过程中的体验。
