Makary Mina S, da Silva Alexandre, Kingsbury James, Bozer Jordan, Dowell Joshua D, Nguyen Xuan V
Department of Radiology, The Ohio State University Wexner Medical Center, Columbus, OH.
Northwest Radiology, St. Vincent Health, Indianapolis, IN.
Top Magn Reson Imaging. 2020 Aug;29(4):197-201. doi: 10.1097/RMR.0000000000000238.
Periprocedural anxiety is a major cause of morbidity, particularly for interventional radiology procedures that often depend on conscious sedation. Management of anxiety and pain during image-guided procedures has traditionally relied on pharmacologic agents such as benzodiazepines and opioids. Although generally safe, use of these medications risks adverse events, and newer noninvasive, nonpharmacologic techniques have evolved to address patient needs. In this review, we explore the roles of hypnosis, structured empathic attention, anodyne imagery, music, video glasses, and mobile applications in reducing procedural anxiety and pain with the goal of improving patient satisfaction, operational efficiency, and clinical outcomes.
围手术期焦虑是发病的主要原因，特别是对于通常依赖清醒镇静的介入放射学手术。在影像引导手术过程中，焦虑和疼痛的管理传统上依赖于苯二氮䓬类和阿片类等药物。尽管这些药物总体上是安全的，但使用这些药物存在不良事件的风险，并且已经出现了更新的非侵入性、非药物技术来满足患者的需求。在本综述中，我们探讨了催眠、结构化共情关注、止痛意象、音乐、视频眼镜和移动应用程序在减轻手术焦虑和疼痛方面的作用，目标是提高患者满意度、手术效率和临床结果。
