一项关于非镇静或麻醉条件下促进自闭症患者行磁共振成像的以患者为中心的调整的系统评价。
A systematic review of person-centred adjustments to facilitate magnetic resonance imaging for autistic patients without the use of sedation or anaesthesia.
机构信息
City, University of London, UK.
Corfu General Hospital, Greece.
出版信息
Autism. 2022 May;26(4):782-797. doi: 10.1177/13623613211065542. Epub 2021 Dec 28.
Autistic patients often undergo magnetic resonance imaging examinations. Within this environment, it is usual to feel anxious and overwhelmed by noises, lights or other people. The narrow scanners, the loud noises and the long examination time can easily cause panic attacks. This review aims to identify any adaptations for autistic individuals to have a magnetic resonance imaging scan without sedation or anaesthesia. Out of 4442 articles screened, 53 more relevant were evaluated and 21 were finally included in this study. Customising communication, different techniques to improve the environment, using technology for familiarisation and distraction have been used in previous studies. The results of this study can be used to make suggestions on how to improve magnetic resonance imaging practice and the autistic patient experience. They can also be used to create training for the healthcare professionals using the magnetic resonance imaging scanners.
自闭症患者通常需要接受磁共振成像检查。在这种环境下,人们常常会因为噪音、灯光或其他人而感到焦虑和不知所措。狭窄的扫描仪、巨大的噪音和长时间的检查过程容易引起恐慌发作。本综述旨在确定是否可以为自闭症个体进行磁共振成像扫描而无需镇静或麻醉进行任何适应性调整。在筛选出的 4442 篇文章中,又评估了 53 篇更相关的文章,最终有 21 篇被纳入本研究。在之前的研究中,已经使用了定制沟通、改善环境的不同技术、使用技术进行熟悉和分散注意力等方法。本研究的结果可用于提出如何改善磁共振成像实践和自闭症患者体验的建议。它们也可用于为使用磁共振成像扫描仪的医疗保健专业人员提供培训。