结构信息护理是否能降低 MRI 检查患者的焦虑？一项准实验研究。

Does Structured Informational Care Reduce Anxiety In Patients Undergoing MRI? A Quasi-Experimental Study.

机构信息

Dow Institute of Radiology, Ojha Campus, Dow University of Health Sciences, Karachi, Pakistan.

Department of General Surgery and Research, Patel Hospital, Karachi, Pakistan.

出版信息

J Pak Med Assoc. 2023 Jul;73(7):1436-1439. doi: 10.47391/JPMA.7347.

DOI:10.47391/JPMA.7347

PMID:37469054

Abstract

OBJECTIVES

To assess the anxiety level in patients undergoing magnetic resonance imaging, and to see if structured informational care reduces anxiety compared to conventional approach.

METHODS

The quasi-experimental study was conducted Dow Institute of Radiology, Dow University of Health Sciences Karachi, Pakistan from January 2020 to June 2021, and comprised adult patients of either gender undergoing magnetic resonance imaging of brain / cervical spine for the first time. They were divided into S-arm group exposed to structured information with pictures, recordings and videos, and C23 arm group exposed to conventional information. The primary outcome was anxiety, measured by Beck Anxiety Inventory. Data was analysed using SPSS 11.

RESULTS

Of the 280 subjects, 140(50%) were in the S-arm; 65(46.4%) males and 75(53.6%) females with mean age 41.1±15.2 years. The C-arm had 140(50%) subjects; 78(55.7%) males and 62(44.3%) females with mean age 44.2±13.9 years (p>0.05). The pre-procedure anxiety score of C-arm was 11.3±7.7 compared to 9.6±7.7 in S-arm (p=0.062. Post-procedure anxiety score in S-arm was 9.8±9.0 compared to 1.49±4.5 in C-armB (p<0.001).

CONCLUSIONS

Structured informational care aimed at familiarising the patient to the magnetic resonance imagaing machine and describing the relaxing manoeuvres during examinationI was found to be a cost-effective and simple method to alleviate anxiety in patients.

摘要

目的

评估行磁共振成像患者的焦虑水平，观察与传统方法相比，结构化信息护理是否能降低焦虑。

方法

本准实验研究于 2020 年 1 月至 2021 年 6 月在巴基斯坦卡拉奇的道大学健康科学道研究所进行，纳入首次行脑部/颈椎磁共振成像的成年患者。将患者分为 S 臂组（接受带有图片、录音和视频的结构化信息）和 C23 臂组（接受常规信息）。主要结局指标为贝克焦虑量表评估的焦虑程度。采用 SPSS 11 进行数据分析。

结果

在 280 例患者中，140 例（50%）在 S 臂；男 65 例（46.4%），女 75 例（53.6%），平均年龄为 41.1±15.2 岁；C 臂组有 140 例（50%）患者；男 78 例（55.7%），女 62 例（44.3%），平均年龄为 44.2±13.9 岁（p>0.05）。C 臂组术前焦虑评分为 11.3±7.7，S 臂组为 9.6±7.7（p=0.062）。S 臂组术后焦虑评分 9.8±9.0，C 臂组为 1.49±4.5（p<0.001）。