Patients' experiences in magnetic resonance imaging (MRI) and their experiences of breath holding techniques
Patients' experiences in magnetic resonance imaging (MRI) and their experiences of breath holding techniques
复制标题
DOI：
10.1111/jan.12351
复制
发表时间：
2014-08-01
影响因子：
3.8
通讯作者：
Anderzen-Carlsson, Agneta
中科院分区：
文献类型：
--
作者：
Funk, Eva;Thunberg, Per;Anderzen-Carlsson, Agneta
目标。描述患者的肝脏磁共振检查和两种屏气技术的经验。背景。传统上，患者在检查过程中由放射技师指示屏住呼吸。或者，患者可以启动屏气并开始图像采集。研究表明，磁共振检查可以作为一种挑战性的体验。描述性定性。方法。对28名患者进行了半结构化访谈，并采用定性内容分析方法进行分析。数据收集工作于2010年秋季至2011年春季进行。结果。患者的主要感受是他们感觉失去了控制。这被描述为感觉被困，迷失在时间中，由于不确定性而迷失。他们心中有许多他们没有问过的问题。尽管他们的陈述通常没有显示出对技术的明确偏好，但几乎一半的患者似乎更喜欢自主屏气，因为它更容易，压力更小。那些喜欢放射技师指导的技术的人更有信心，把责任留给了放射技师。总体来说，患者理解尽可能获得最佳质量图像的重要性。磁共振检查可能会被认为是失控。然而，并不是所有的患者都希望积极参与磁共振检查。有些人更愿意把责任交给放射技师。这些结果可以为放射科医师思考如何对接受磁共振检查的患者进行个性化和最优化护理提供依据。
Aims. To describe patients' experiences of magnetic resonance examination of the liver and their experiences of two breath-hold techniques.Background. Traditionally, patients are instructed by the radiographer to hold their breath during the examination. Alternatively, the patient can initiate the breath hold and start the image acquisition. Studies have revealed that magnetic resonance examinations can be experienced as challenging.Design. Descriptive qualitative.Methods. Semi-structured interviews were conducted with 28 patients and analysed using qualitative content analysis. The data collection was carried out from autumn 2010 to spring 2011. Results. The patients' main experience was that they felt loss of control. This was described in terms of feeling trapped, being lost in time and lost as a result of uncertainty. They had many questions in their mind that they did not ask. Although their statements often revealed no clear preference regarding the techniques, almost half of the patients seemed to prefer self-initiated breath hold, as it was easier and less stressful. Those who preferred the radiographer-directed technique felt more confident leaving the responsibility to the radiographer. In general, the patients understood the importance of achieving the best quality images possible.Conclusion. Magnetic resonance examination can be experienced as being in loss of control. Nevertheless, not all patients wished to actively participate in magnetic resonance examination. Some preferred to hand over the responsibility to the radiographer. These results can form a base for radiographers' reflections of how to individualize and optimize the nursing care of patients undergoing magnetic resonance examinations.