Suppr超能文献

超声引导下乳腺活检期间及之后患者疼痛体验与患者应对策略的评估

An evaluation of pain experienced by patients during and after ultrasound-guided breast biopsy and patient coping strategies.

作者信息

Mensah Yaw B, Mensah Naa A, Gbadamosi Hafisatu, Nketiah Linda

机构信息

Department of Radiology, University of Ghana Medical School, Korle Bu, Accra, Ghana.

Department of Sociology, Leverhulme Centre for Demographic Science, University of Oxford, Oxford, UK.

出版信息

Ghana Med J. 2024 Dec;58(4):287-293. doi: 10.4314/gmj.v58i4.6.

Abstract

OBJECTIVE

To ascertain the experience and determinants of pain by breast biopsy patients and how the pain is managed in the first week following the procedure.

DESIGN

This was a panel longitudinal study design.

SETTINGS

The study was conducted at the Radiology Department of Korle Bu Teaching Hospital.

PARTICIPANTS

The study participants comprised adult patients who presented to the Department of Radiology of Korle Bu Teaching Hospital for breast biopsy between 1 August 2022 and 31 January 2023.

MAIN OUTCOME

The severity of biopsy-related pain, its associated factors and management were evaluated and documented.

RESULTS

The participants were between 21 and 81 years with a mean age of 48.1 years. There was no association between demographic and participant factors and the degree of pain experienced by the patient. There was a significant association between the radiologist's expertise (p<.001), blood pressure before the procedure (p=.026), quality of education given to the participant before the procedure (p<.001) and the degree of pain experienced.

CONCLUSION

There was significant anxiety before the procedure. Most participants experienced mild pain, which did not interfere with daily activity. There was a significant association between participant pain and pre-procedure blood pressure, the radiologist's expertise and the quality of education participants received before the biopsy.

FUNDING

None declared.

摘要

目的

确定接受乳房活检患者的疼痛体验及决定因素,以及该手术后第一周疼痛的处理方式。

设计

这是一项小组纵向研究设计。

地点

该研究在科勒布教学医院放射科进行。

参与者

研究参与者包括2022年8月1日至2023年1月31日期间到科勒布教学医院放射科接受乳房活检的成年患者。

主要结果

对活检相关疼痛的严重程度、其相关因素及处理方式进行评估并记录。

结果

参与者年龄在21岁至81岁之间,平均年龄为48.1岁。人口统计学和参与者因素与患者经历的疼痛程度之间无关联。放射科医生的专业水平(p<0.001)、手术前的血压(p=0.026)、手术前给予参与者的教育质量(p<0.001)与经历的疼痛程度之间存在显著关联。

结论

手术前存在明显焦虑。大多数参与者经历轻度疼痛,未干扰日常活动。参与者疼痛与手术前血压、放射科医生的专业水平以及活检前参与者接受的教育质量之间存在显著关联。

资金来源

未声明。

相似文献

2
Transcutaneous electrical nerve stimulation (TENS) for fibromyalgia in adults.
Cochrane Database Syst Rev. 2017 Oct 9;10(10):CD012172. doi: 10.1002/14651858.CD012172.pub2.
3
Ultrasound guidance versus anatomical landmarks for internal jugular vein catheterization.
Cochrane Database Syst Rev. 2015 Jan 9;1(1):CD006962. doi: 10.1002/14651858.CD006962.pub2.
4
Sweet tasting solutions for reduction of needle-related procedural pain in children aged one to 16 years.
Cochrane Database Syst Rev. 2015 May 5;2015(5):CD008408. doi: 10.1002/14651858.CD008408.pub3.
6
Can Patient-centered Education and Pain Management Delivered by Coaches Improve Pain Outcomes After Orthopaedic Trauma? A Randomized Trial.
Clin Orthop Relat Res. 2024 Oct 1;482(10):1858-1869. doi: 10.1097/CORR.0000000000003121. Epub 2024 May 15.
8
Treatments for breast abscesses in breastfeeding women.
Cochrane Database Syst Rev. 2015 Aug 17;2015(8):CD010490. doi: 10.1002/14651858.CD010490.pub2.
9
Specialist breast care nurses for support of women with breast cancer.
Cochrane Database Syst Rev. 2021 Feb 3;2(2):CD005634. doi: 10.1002/14651858.CD005634.pub3.
10
Endometrial injury for pregnancy following sexual intercourse or intrauterine insemination.
Cochrane Database Syst Rev. 2022 Oct 24;10(10):CD011424. doi: 10.1002/14651858.CD011424.pub4.

本文引用的文献

1
Optimizing Patient-Centered Care in Breast Imaging: Strategies for Improving Patient Experience.
Acad Radiol. 2024 Oct;31(10):3889-3897. doi: 10.1016/j.acra.2024.04.047. Epub 2024 May 16.
2
Optimizing the Patient Experience during Breast Biopsy.
J Breast Imaging. 2019 Jun 4;1(2):131-138. doi: 10.1093/jbi/wbz001.
5
Cancer Screening in the Elderly: A Review of Breast, Colorectal, Lung, and Prostate Cancer Screening.
Cancer J. 2017 Jul/Aug;23(4):246-253. doi: 10.1097/PPO.0000000000000274.
6
An evaluation of patient experience during percutaneous breast biopsy.
Eur Radiol. 2017 Nov;27(11):4804-4811. doi: 10.1007/s00330-017-4872-2. Epub 2017 May 22.
7
Impact of Sodium Bicarbonate-Buffered Lidocaine on Patient Pain During Image-Guided Breast Biopsy.
J Am Coll Radiol. 2017 Sep;14(9):1194-1201. doi: 10.1016/j.jacr.2017.03.026. Epub 2017 May 17.
8
Imaging-Guided Core-Needle Breast Biopsy: Impact of Meditation and Music Interventions on Patient Anxiety, Pain, and Fatigue.
J Am Coll Radiol. 2016 May;13(5):526-34. doi: 10.1016/j.jacr.2015.12.004. Epub 2016 Feb 4.
9
An Audit of Pain Experienced During Image-Guided Breast Biopsy Procedures at an Academic Center.
Can Assoc Radiol J. 2016 Aug;67(3):250-3. doi: 10.1016/j.carj.2015.10.001. Epub 2016 Jan 30.
10
Predictors of pain experienced by women during percutaneous imaging-guided breast biopsies.
J Am Coll Radiol. 2014 Jul;11(7):709-16. doi: 10.1016/j.jacr.2014.01.013.

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验