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患者与放射技师在X线检查中使用腹部压迫降低剂量的体验——一项定性研究

Patients' and radiographers' experiences of dose reducing abdominal compression in radiographic examinations-A qualitative study.

作者信息

Piippo-Huotari Oili, Funk Eva, Geijer Håkan, Anderzén-Carlsson Agneta

机构信息

Department of Radiology Faculty of Medicine and Health Örebro University Örebro Sweden.

School of Health Sciences Faculty of Medicine and Health Örebro University Örebro Sweden.

出版信息

Nurs Open. 2020 Jan 7;7(3):680-689. doi: 10.1002/nop2.439. eCollection 2020 May.

DOI:10.1002/nop2.439
PMID:32257255
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7113525/
Abstract

AIM

To describe patients' and radiographers' experiences of abdominal compression using conventional and patient-controlled compression methods.

DESIGN

Qualitative descriptive design.

METHODS

Forty-five patients who had used both a conventional and a patient-controlled compression device answered questionnaires. Five radiographers were interviewed. The data-collection took place between September 2015 and February 2017. Data were analysed by qualitative content analysis.

RESULTS

Patient-controlled compression was preferred by slightly more patients because of fear of pain due to excessively hard pressure, maintaining control over the pressure and shorter duration. It was more comfortable, and patients felt they could participate in the examinations. Conventional compression was preferred by some because of more stable pressure and uncertainty of own capacity to provide the optimal compression. Discomfort was more often mentioned concerning the conventional compression method. The radiographers experienced the patient-controlled method as less time-consuming and more comfortable, but uncertainty about correct compression technique and its effect on radiation dose and image quality was reported.

摘要

目的

描述患者和放射技师使用传统压迫方法及患者自控压迫方法进行腹部压迫的体验。

设计

定性描述性设计。

方法

45名使用过传统压迫装置和患者自控压迫装置的患者回答了问卷。对5名放射技师进行了访谈。数据收集于2015年9月至2017年2月期间进行。采用定性内容分析法对数据进行分析。

结果

略多一些患者更倾向于患者自控压迫,原因是担心因压力过大而疼痛、能控制压力以及持续时间较短。它更舒适,患者感觉自己能够参与检查。一些人更倾向于传统压迫,因为压力更稳定且不确定自己是否有能力提供最佳压迫。更多时候提到传统压迫方法会带来不适。放射技师认为患者自控方法更省时且更舒适,但报告了对正确压迫技术及其对辐射剂量和图像质量影响的不确定性。

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本文引用的文献

1
Patient-assisted compression helps for image quality reduction dose and improves patient experience in mammography.患者辅助压迫有助于降低图像质量剂量,并改善乳房 X 光摄影中的患者体验。
Eur J Cancer. 2018 Nov;103:137-142. doi: 10.1016/j.ejca.2018.08.009. Epub 2018 Sep 15.
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New patient-controlled abdominal compression method in radiography: radiation dose and image quality.放射摄影中新型患者自控腹部压迫法:辐射剂量与图像质量
Acta Radiol Open. 2018 May 3;7(5):2058460118772863. doi: 10.1177/2058460118772863. eCollection 2018 May.
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Effects of Reduced Compression in Digital Breast Tomosynthesis on Pain, Anxiety, and Image Quality.数字乳腺断层合成中降低压迫对疼痛、焦虑及图像质量的影响。
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Information about radiation dose and risks in connection with radiological examinations: what patients would like to know.与放射检查相关的辐射剂量和风险信息:患者想知道的内容。
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Reduction of patient anxiety in PET/CT imaging by improving communication between patient and technologist.通过改善患者与技术人员之间的沟通来减轻PET/CT成像中患者的焦虑。
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Patients' experiences in magnetic resonance imaging (MRI) and their experiences of breath holding techniques.患者在磁共振成像(MRI)中的体验以及他们在屏气技术方面的体验。
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'The situation and the uncertainty about the coming result scared me but interaction with the radiographers helped me through': a qualitative study on patients' experiences of magnetic resonance imaging examinations.“情况和对即将到来的结果的不确定性吓到了我,但与放射技师的互动帮助我度过了难关”:一项关于患者磁共振成像检查体验的定性研究。
J Clin Nurs. 2013 Nov;22(21-22):3225-34. doi: 10.1111/jocn.12416.
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Radiographers' self-assessed level and use of competencies-a national survey.放射技师的自我评估水平和能力运用——全国调查。
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A phantom study showing the importance of compression in conventional diagnostic X-ray examinations.一项体模研究显示了在传统诊断性X线检查中进行压迫的重要性。
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