Kelly P, Winslow E H
Women's Diagnostic and Breast Center, Presbyterian Hospital of Dallas, TX, USA.
Oncol Nurs Forum. 1996 May;23(4):639-45.
To determine the sensations that women most frequently report during needle wire localization (NWL) for nonpalpable breast lesions, to rate preprocedure anxiety, and to describe what preparation women consider desirable for the procedure.
Outpatient breast center in a large, not-for-profit hospital in a major city in Texas.
Prospective, descriptive design.
Nonprobability sample of 56 women who were an average of 57 years old (range = 30-87 years). Forty-three (77%) underwent single wire localization. Nine (16%) of the women were subsequently diagnosed with breast cancer.
Subjects provided demographic information preprocedure. Postprocedure, subjects described and rated intensity of sensations on a 0-10 verbal, numeric rating scale. Preprocedure anxiety was also rated. Subjects responded to the question "What would you have liked to have been told before NWL to best prepare you for the procedure?"
Most frequently reported sensations were pressure, stinging, and pain, which averaged 6, 4, and 7, respectively, in intensity. Mean anxiety score was 5.3 on a scale of 10 with 10 subjects rating their anxiety as 10. Five (9%) subjects fainted during the procedure. Subjects provided valuable suggestions about how to prepare patients for this procedure, such as providing brochures and pictures about the procedure.
Subjects are moderately or highly anxious before NWL of the breast and describe a variety of sensations. Risk factors for fainting during this procedure and strategies to prevent fainting must be determined.
Sensory information should be used to prepare women for NWL. Subjects' suggestions about how to prepare women for the procedure can be used to develop educational and sensory approaches to enhance preparation for the procedure and perhaps reduce anxiety.
确定女性在对不可触及的乳腺病变进行针丝定位（NWL）时最常报告的感觉，对术前焦虑进行评分，并描述女性认为该操作理想的准备工作。
德克萨斯州一个大城市的一家大型非营利性医院的门诊乳腺中心。
前瞻性描述性设计。
56名平均年龄57岁（范围30 - 87岁）的女性非概率样本。43名（77%）接受了单丝定位。其中9名（16%）女性随后被诊断为乳腺癌。
受试者在术前提供人口统计学信息。术后，受试者用0 - 10的语言数字评分量表描述并评定感觉的强度。术前焦虑也进行了评分。受试者回答问题“在NWL之前，你希望被告知什么能让你为该操作做好最佳准备？”
最常报告的感觉是压迫感、刺痛和疼痛，强度平均分别为6、4和7。焦虑平均得分为5.3（满分10分），有10名受试者将其焦虑评分为10分。5名（9%）受试者在操作过程中晕倒。受试者就如何为患者准备该操作提供了有价值的建议，例如提供有关该操作的宣传册和图片。
在乳腺NWL之前，受试者有中度或高度焦虑，并描述了多种感觉。必须确定该操作过程中晕倒的危险因素以及预防晕倒的策略。
应利用感觉信息让女性为NWL做好准备。受试者关于如何为女性准备该操作的建议可用于制定教育和感觉方法，以加强对该操作的准备，并可能减轻焦虑。
