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沙特阿拉伯西部地区女性患者对乳腺钼靶检查所致疼痛的认知

Female patients' perception of pain caused by mammography in the Western Region of Saudi Arabia.

作者信息

Ashkar Laila K, Zaki Yasmeen H

机构信息

Department of Radiology, King Abdulaziz University Hospital, Jeddah, Kingdom of Saudi Arabia. E-mail.

出版信息

Saudi Med J. 2017 Jul;38(7):768-771. doi: 10.15537/smj.2017.7.19298.

Abstract

To determine the association of different factors in the mammography related pain perception of women who attended their screening and diagnostic mammography appointments and whether the pain perceived was equal to the pain experienced. Methods: This prospective study was conducted at the Breast Unit of King Abdulaziz University (KAU) Hospital, Jeddah, Kingdom of Saudi Arabia (KSA), in the period between April and May 2015. A structured questionnaire with close-ended questions was given to a sample of 100 women before and after their mammogram, asking about their pain perception and whether it had changed.  Results: The factors that affected anticipated mammography pain for the surveyed women were past mammography experiences, previous breast procedures, and the knowledge that was gathered beforehand about mammography. After the mammography, the women who thought the procedure was going to be painful experienced what they expected. The majority of the women who did not expect the mammography to be painful experienced  pain during their mammogram. Most of the women who did not know whether it would be painful or not experienced the mammography as painful. Conclusion: Pain expectation can be approached in various ways to make the mammography experience much more tolerable for women, encouraging them to attend and return for their scans.

摘要

为了确定参加筛查和诊断性乳房X光检查的女性在乳房X光检查相关疼痛感知中不同因素之间的关联,以及所感知的疼痛是否等同于所经历的疼痛。方法:这项前瞻性研究于2015年4月至5月期间在沙特阿拉伯王国吉达阿卜杜勒阿齐兹国王大学(KAU)医院的乳腺科进行。在100名女性进行乳房X光检查之前和之后,向她们发放了一份带有封闭式问题的结构化问卷,询问她们的疼痛感知以及疼痛是否发生了变化。结果:影响被调查女性预期乳房X光检查疼痛的因素有既往乳房X光检查经历、先前的乳房手术以及事先了解到的有关乳房X光检查的知识。乳房X光检查后,那些认为检查会很痛苦的女性确实经历了她们所预期的疼痛。大多数不认为乳房X光检查会痛苦的女性在检查过程中经历了疼痛。大多数不知道检查是否会痛苦的女性也觉得乳房X光检查很痛苦。结论:可以通过多种方式来处理疼痛预期,以使女性的乳房X光检查体验更易于忍受,鼓励她们前来并返回进行扫描检查。

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本文引用的文献

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Radiology. 2008 Sep;248(3):765-72. doi: 10.1148/radiol.2482071490. Epub 2008 Jul 22.
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Risk factors of pain in mammographic screening.乳腺钼靶筛查中疼痛的危险因素。
Soc Sci Med. 1999 Oct;49(7):933-41. doi: 10.1016/s0277-9536(99)00181-1.

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