探讨患者在心肌灌注显像中的经验

A. Grilo, L. Vieira, E. Carolino, J. Ferreira, M. Neves
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摘要

背景:心肌灌注显像是一种医学检查,其目的是评估心肌灌注。这种检查由于其程序可能会使患者产生一些焦虑,从而影响检查的良好效果。本研究的主要目的是分析患者接受心肌灌注显像的体验,评估患者的焦虑程度,检查核医学科沟通和信息的有效性。材料与方法:本研究采用状态-特质焦虑量表(STAI)和两份扫描体验问卷。60例患者在心肌灌注显像前后分别回答问卷。结果:患者在心肌灌注显像前报告了中等水平的扫描相关焦虑。扫描后,患者的焦虑感略有下降。扫描结果、使用的辐射、扫描时间和放射性药物的注射是患者在扫描前最关心的问题。15%的样本没有收到必要的信息或最有效的方式。结论:结果表明,有几个因素容易引发患者的体验和焦虑。提出提高核医学科患者心肌灌注显像体验的策略。通信给:Ana M Grilo, estel - escola高等技术学院Saúde,里斯本政治学院。Av. D. jo II, lote 4.69.01, Parque das Nações, 1990-096,葡萄牙里斯本,E-mail: ana.grilo@estesl.ipl.pt
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Addressing the patient experience in myocardial perfusion scintigraphy
Background: Myocardial Perfusion Scintigraphy is a medical exam whose purpose is to evaluate myocardial perfusion. This examination due to their procedures can generate some anxiety in patients that can disturb the good performance of the exam. The main objective of this study is to perform an analysis of patient`s undergoing myocardial perfusion scintigraphy experience, assess patient`s anxiety and check Nuclear Medicine Department communication and information effectiveness. Material and methods: For this study, State-Trait Anxiety Inventory (STAI) and two Scan Experience Questionnaires were used. Sixty patients answered the questionnaires before and after myocardial perfusion scintigraphy. Results: Patients reported medium levels of scan-related anxiety before the myocardial perfusion scintigraphy. After the scan, there is a slight decrease in patients` anxiety. Results of the scan, radiation used, duration of the scan and the injection of the radiopharmaceutical are the most relevant patients` concerns before the scan. 15% of the sample did not receive the necessary information or the most effective way. Conclusions: The results suggest that there are several factors that tend to trigger patient`s experience and anxiety. Strategies to improve patient myocardial perfusion scintigraphy experience at Nuclear Medicine Department are presented. *Correspondence to: Ana M Grilo, ESTeSL-Escola Superior de Tecnologia da Saúde, Instituto Politécnico de Lisboa. Av. D. João II, lote 4.69.01, Parque das Nações, 1990-096 Lisboa, Portugal, E-mail: ana.grilo@estesl.ipl.pt
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