Research Centre in Education and Psychology, Department of Psychology, School of Social Sciences, University of Évora, Évora, Portugal.
Research Centre in Education and Psychology, Department of Psychology, School of Social Sciences, University of Évora, Évora, Portugal.
Patient Educ Couns. 2020 Jan;103(1):152-158. doi: 10.1016/j.pec.2019.08.003. Epub 2019 Aug 2.
We examined how a patient-centered communication training program for magnetic resonance imaging (MRI) affected health professional (HP) practice and patients' perceived anxiety (PA).
We implemented an intervention program. Six of the 17 eligible HPs completed the study. The proportion of observed desired behaviors (PODBs), including MRI procedure explanation (MRI-PE), communication, and MRI checking procedures was measured using an observation grid. We tested 182 patients (85 pre-, 58 post-, and 39 at follow-up) for PA pre- and post-MRI.
The Bayesian ANOVA effect size suggested moderate evidence of improvement in HP PODBs, pre- to post-intervention. Use of MRI-PE declined between post-intervention and follow-up (6 months later). Observed changes in PA, pre- to post-MRI, could be related to time constraints and perceived pressure to explain the exam in detail once institutional routines are reestablished.
In MRI units, time constraints condition the performance of HPs who address patients' PA.
"Real workplace" interventions that promote better patient-centered communication and provide each patient with a comprehensive explanation of MRI procedures also appear to improve HP PODBs.
我们研究了以患者为中心的磁共振成像（MRI）沟通培训计划如何影响健康专业人员（HP）的实践和患者的感知焦虑（PA）。
我们实施了一项干预计划。17 名符合条件的 HP 中有 6 名完成了这项研究。使用观察表测量观察到的期望行为（PODB）的比例，包括 MRI 程序解释（MRI-PE）、沟通和 MRI 检查程序。我们在 MRI 前后测试了 182 名患者（85 名预测试，58 名后测试，39 名随访）的 PA。
贝叶斯方差分析的效应量表明，干预前后 HP 的 PODB 有中等程度的改善证据。MRI-PE 的使用在干预后和随访（6 个月后）之间下降。MRI 前后 PA 的观察变化可能与时间限制以及一旦重新建立机构常规，就详细解释检查的感知压力有关。
在 MRI 单位中，时间限制条件限制了处理患者 PA 的 HP 的表现。
“真实工作场所”的干预措施，促进了更好的以患者为中心的沟通，并为每位患者提供了 MRI 程序的全面解释，这似乎也改善了 HP 的 PODB。
