Health Behaviour Research Collaborative, Priority Research Centre for Health Behaviour, School of Medicine & Public Health, Faculty of Health and Medicine, University of Newcastle & Hunter Medical Research Institute, Callaghan, New South Wales, Australia.
Health Behaviour Research Collaborative, Priority Research Centre for Health Behaviour, School of Medicine & Public Health, Faculty of Health and Medicine, University of Newcastle & Hunter Medical Research Institute, Callaghan, New South Wales, Australia.
J Am Coll Radiol. 2018 Apr;15(4):630-638. doi: 10.1016/j.jacr.2017.12.030. Epub 2018 Mar 2.
To examine the percentage of patients with raised state anxiety levels before undergoing a medical imaging procedure; their attribution of procedural-related anxiety or worry; and sociodemographic, health, and procedural characteristics associated with raised state anxiety levels.
This prospective cross-sectional study was undertaken in the outpatient medical imaging department at a major public hospital in Australia, with institutional board approval. Adult outpatients undergoing a medical imaging procedure (CT, x-ray, MRI, ultrasound, angiography, or fluoroscopy) completed a preprocedural survey. Anxiety was measured by the short-form state scale of the six-item State-Trait Anxiety Inventory (STAI: Y-6). The number and percentage of participants who reported raised anxiety levels (defined as a STAI: Y-6 score ≥ 33.16) and their attribution of procedural-related anxiety or worry were calculated. Characteristics associated with raised anxiety were examined using multiple logistic regression analysis.
Of the 548 (86%) patients who consented to participate, 488 (77%) completed all STAI: Y-6 items. Half of the participants (n = 240; 49%) experienced raised anxiety, and of these, 48% (n = 114) reported feeling most anxious or worried about the possible results. Female gender, imaging modality, medical condition, first time having the procedure, and lower patient-perceived health status were statistically significantly associated with raised anxiety levels.
Raised anxiety is common before medical imaging procedures and is mostly attributed to the possible results. Providing increased psychological preparation, particularly to patients with circulatory conditions or neoplasms or those that do not know their medical condition, may help reduce preprocedural anxiety among these subgroups.
检查在接受医学影像检查前，出现焦虑状态升高的患者比例；他们对与检查相关的焦虑或担忧的归因；以及与焦虑状态升高相关的社会人口学、健康和检查特征。
这项前瞻性横断面研究在澳大利亚一家主要公立医院的门诊影像科进行，得到了机构委员会的批准。接受医学影像检查（CT、X 光、MRI、超声、血管造影或透视）的成年门诊患者完成了术前调查。焦虑程度通过状态特质焦虑量表的 6 项状态分量表（STAI：Y-6）进行测量。计算报告焦虑水平升高（定义为 STAI：Y-6 评分≥33.16）的参与者数量和百分比，以及他们对与检查相关的焦虑或担忧的归因。使用多因素逻辑回归分析检查与焦虑升高相关的特征。
在 548 名（86%）同意参与的患者中，有 488 名（77%）完成了所有 STAI：Y-6 项目。一半的参与者（n=240；49%）经历了焦虑升高，其中 48%（n=114）表示对可能的结果感到最焦虑或担忧。女性性别、影像方式、健康状况、首次接受检查以及患者感知的健康状况较差与焦虑水平升高具有统计学显著相关性。
在接受医学影像检查前，焦虑升高很常见，主要归因于可能的结果。为循环系统疾病或肿瘤患者或那些不知道自己健康状况的患者提供更多的心理准备，可能有助于减少这些亚组患者的术前焦虑。
