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哪些因素会影响患者对 MRI 检查的主观感知。

What factors affect a patient's subjective perception of MRI examination.

机构信息

Department of Radiology and Nuclear Medicine, Faculty of Medicine, University Hospital Brno, Masaryk University Brno, Jihlavská 20, Brno, 625 00, Czech Republic.

Department of Biophysics, Faculty of Medicine, Masaryk University, Brno, Czech Republic.

出版信息

Sci Rep. 2024 Sep 30;14(1):22731. doi: 10.1038/s41598-024-74231-9.

DOI:10.1038/s41598-024-74231-9
PMID:39349714
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11442905/
Abstract

MRI is becoming increasingly available and more common. However, it is a long examination, within a limited space, and making strong demands on the patient for proper co-operation. Using survey data collected by prospective questionnaire, this work examines the influence of patient preparation and type of MRI device on patients' subjective perception of the examination. The work analysed 800 patient questionnaires from 7 radiology centres, 12 MRI machines from 3 manufacturers. It was shown that 20% of patients were not informed at all or only insufficiently about the MRI examination by the referring physician, and this had a statistically significant effect on subjective perception as to the length of the examination. In claustrophobic patients, there was no significant difference in the perception of MRI examination between machine types (open vs. closed) or between bore size. This work demonstrated the influence of technical parameters of MRI devices on some other evaluated aspects in terms of patients' perception of MRI examinations (such as noise perception or peripheral nerves irritation) and that the preparation prior to the examination itself plays also an important role. Sufficient explanation from the referring physician, good workplace time management, and sufficient communication with the patient influence the subjective perception of the examination and thus indirectly its diagnostic benefit.

摘要

MRI 越来越普及,应用也越来越广泛。但它是一个耗时较长的检查,在有限的空间内,对患者的配合度要求较高。本研究采用前瞻性问卷调查收集的数据,考察了患者准备情况和 MRI 设备类型对患者主观检查体验的影响。本研究分析了来自 7 个放射科中心的 800 份患者问卷和来自 3 家制造商的 12 台 MRI 设备。结果显示,20%的患者在接受医生转诊时,根本没有或仅得到了不充分的 MRI 检查信息,这对检查时间的主观感受有统计学意义。在幽闭恐惧症患者中,机器类型(开放式与封闭式)或孔径大小对 MRI 检查的感知没有显著差异。本研究表明,MRI 设备的技术参数对患者对 MRI 检查的某些其他评估方面(如噪声感知或周围神经刺激)有影响,检查前的准备同样也起着重要作用。转诊医生的充分解释、良好的工作场所时间管理以及与患者的充分沟通,会影响检查的主观感受,进而间接影响其诊断效果。