Delgado Jorge, Huang Ambrose J
Radiology, Massachusetts General Hospital, Harvard Medical School, 55 Fruit Street Austen 2 Suite 210, Boston, MA, 02114, USA.
Radiology, Massachusetts General Hospital, Harvard Medical School, 55 Fruit Street Yawkey Ctr. 6th Floor, Boston, MA, 02114, USA.
Skeletal Radiol. 2023 May;52(5):889-895. doi: 10.1007/s00256-022-04154-x. Epub 2022 Aug 13.
In the patient-centered practice of musculoskeletal interventional radiology, pre-procedure, intra-procedure, and post-procedure factors impact the patient's overall experience. Opportunities to improve the patient experience begin before the patient procedure starts, with smooth scheduling of the appointment, a positive office environment, and appropriate communication by the musculoskeletal interventional radiology staff before the procedure, including clear expectations regarding wait times. The initial conversation between the radiologist and the patient, including the informed consent process, is a crucial opportunity for creating rapport with the patient and generating trust in the radiologist. Being able to interpret a patient's verbal and non-verbal cues during this conversation can reduce anxiety and enhance relaxation. During the procedure, there are interventions which can decrease anxiety and reduce the perception of pain by the patient. These include psychological interventions such as self-induced hypnosis, communication-based interventions such as empathic communication to mold a patient's interpretation of anxiety and painful stimuli, and the use of ancillary tools such as music or video stimulation. Finally, clear post-procedure expectations regarding post-procedure pain and its management and assurances of access to the musculoskeletal interventional radiology team can facilitate an uncomplicated post-procedure recovery.
在以患者为中心的肌肉骨骼介入放射学实践中，术前、术中和术后因素会影响患者的整体体验。改善患者体验的机会在患者手术开始前就已出现，包括预约安排顺畅、办公室环境积极，以及肌肉骨骼介入放射学工作人员在术前进行适当沟通，包括明确告知等待时间预期。放射科医生与患者的初次谈话，包括知情同意过程，是与患者建立融洽关系并赢得患者对放射科医生信任的关键契机。在这次谈话中能够解读患者的言语和非言语线索可以减轻焦虑并增强放松感。在手术过程中，有一些干预措施可以减轻焦虑并降低患者对疼痛的感知。这些措施包括心理干预，如自我诱导催眠；基于沟通的干预，如同情性沟通以塑造患者对焦虑和疼痛刺激的解读；以及使用辅助工具，如音乐或视频刺激。最后，关于术后疼痛及其管理的明确术后预期以及确保能够联系到肌肉骨骼介入放射学团队，可以促进术后顺利康复。
