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接受乳房X光检查的女性的不适耐受力对该检查所致疼痛强度感知的影响。

Influence of Discomfort Tolerance of Women who Undergo Mammography on the Perceived Pain Intensity Due to the Procedure.

作者信息

Akansel Neriman, Gülşen Muaz, Gültaş Muhammed

机构信息

Department of Surgical Nursing, Bursa Uludağ University, Nilüfer, Bursa, Turkey.

Department of Surgical Nursing, Çukurova University Faculty of Health Sciences, Adana, Turkey.

出版信息

Eur J Breast Health. 2020 Dec 24;17(1):68-75. doi: 10.4274/ejbh.2020.6068. eCollection 2021 Jan.

DOI:10.4274/ejbh.2020.6068
PMID:33796833
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8006788/
Abstract

OBJECTIVE

This study aims to determine the capacity to tolerate discomfort by women who undergo mammography.

MATERIALS AND METHODS

The data were obtained using the face-to-face interview method immediately after the procedure with women who undergo mammography (n=132). Demographic data collection form and the Discomfort Intolerance Scale was used for data collection.

RESULTS

Among the women, 78.8% experienced pain during mammography and the pain intensity was determined as 3.55 (standard deviation=3.00) on the 0-10 Visual Analogue Scale. Women who were not on pain relievers and nonsmokers have high discomfort tolerance. Women who were consuming substances containing methylxanthine (eg. chocolate) tend to avoid discomfort. Women with a history of breast mass and abnormal test results did not avoid discomfort as much as women who undergo regular checkup mammograms. Most of the women experience pain during mammography, and avoidance from discomfort increases as the perceived pain during the procedure increases.

CONCLUSION

Conducting different studies using the same scale can be useful in evaluating the discomfort experienced during mammography and its contribution to reducing pain.

摘要

目的

本研究旨在确定接受乳腺钼靶检查的女性耐受不适的能力。

材料与方法

采用面对面访谈法,在乳腺钼靶检查后立即对接受检查的女性(n = 132)进行数据收集。使用人口统计学数据收集表和不适耐受量表进行数据收集。

结果

在这些女性中,78.8%在乳腺钼靶检查期间经历了疼痛,疼痛强度在0 - 10视觉模拟量表上被确定为3.55(标准差 = 3.00)。未服用止痛药物的女性和不吸烟的女性具有较高的不适耐受性。食用含甲基黄嘌呤物质(如巧克力)的女性倾向于避免不适。有乳腺肿块病史和检查结果异常的女性不像进行定期乳腺钼靶检查的女性那样尽量避免不适。大多数女性在乳腺钼靶检查期间经历疼痛,并且随着检查过程中感知到的疼痛增加,对不适的回避也增加。

结论

使用相同量表进行不同研究有助于评估乳腺钼靶检查期间经历的不适及其对减轻疼痛的作用。

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Eur J Breast Health. 2020 Dec 24;17(1):68-75. doi: 10.4274/ejbh.2020.6068. eCollection 2021 Jan.
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本文引用的文献

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Breast compression and reported pain during mammographic screening.乳腺压迫和乳腺 X 光筛查时的报告疼痛。
Radiography (Lond). 2020 May;26(2):133-139. doi: 10.1016/j.radi.2019.10.003. Epub 2019 Nov 1.
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Clinical validation of a pressure-standardized compression mammography system.压力标准化乳腺 X 光摄影系统的临床验证。
Eur J Radiol. 2018 Aug;105:251-254. doi: 10.1016/j.ejrad.2018.06.021. Epub 2018 Jun 25.
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Double-blind placebo-controlled randomized clinical trial on the use of paracetamol for performing mammography.关于使用对乙酰氨基酚进行乳房X光检查的双盲安慰剂对照随机临床试验。
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Satisfaction, discomfort, obligations, and concerns in population-based breast cancer screening: cross-sectional study in a Danish population.基于人群的乳腺癌筛查中的满意度、不适、义务和担忧:丹麦人群的横断面研究
BMC Health Serv Res. 2017 Jul 14;17(1):489. doi: 10.1186/s12913-017-2438-2.
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Patient comfort from the technologist perspective: factors to consider in mammographic imaging.从技术人员角度看患者舒适度:乳腺钼靶成像中需考虑的因素
Int J Womens Health. 2017 May 18;9:359-364. doi: 10.2147/IJWH.S129817. eCollection 2017.
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Pressure-standardised mammography does not affect visibility, contrast and sharpness of stable lesions.压力标准化乳腺摄影术不会影响稳定病变的可见性、对比度和清晰度。
Eur J Radiol. 2017 Jan;86:289-295. doi: 10.1016/j.ejrad.2016.11.030. Epub 2016 Nov 28.
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Is Individualizing Breast Compression during Mammography useful? - Investigations of pain indications during mammography relating to compression force and surface area of the compressed breast.乳腺摄影时个体化乳房压迫是否有用?——关于乳腺摄影时与压迫力及被压迫乳房表面积相关的疼痛指征的研究。
Rofo. 2017 Jan;189(1):39-48. doi: 10.1055/s-0042-119450. Epub 2016 Dec 21.
8
Mammography in females with an implanted medical device: impact on image quality, pain and anxiety.植入医疗设备女性的乳腺钼靶检查:对图像质量、疼痛和焦虑的影响。
Br J Radiol. 2016 Oct;89(1066):20160142. doi: 10.1259/bjr.20160142. Epub 2016 Jul 25.
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Is pain from mammography reduced by the use of a radiolucent MammoPad? Local experience in Hong Kong.
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Re: Pan-Canadian study of mammography screening and mortality from breast cancer.关于:加拿大全国乳腺X线筛查与乳腺癌死亡率研究。
J Natl Cancer Inst. 2015 Apr 8;107(5). doi: 10.1093/jnci/djv094. Print 2015 May.