Reduction of anxiety during MR imaging: a controlled trial
Reduction of anxiety during MR imaging: a controlled trial
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DOI：
10.1016/s0730-725x(00)00112-0
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发表时间：
2000-04-01
影响因子：
2.5
通讯作者：
Mathews, A
中科院分区：
文献类型：
--
作者：
Grey, SJ;Price, G;Mathews, A
一个焦虑减少协议的开发和评估常规使用的神经科和神经精神科患者进行脑部或脊柱扫描。35名患者接受了标准手术，事先提供的信息有限。29名实验患者收到了一本小册子，其中提供了有关扫描程序的信息和减少焦虑的认知策略的建议，一个录音的扫描仪噪音演示，在进入扫描仪之前访问控制室，一个用于调整音乐音量的设备，每次扫描的精确计时，以及一个在扫描过程中可见的时钟。在扫描前、扫描中和扫描后，使用主观评分和Spielberger状态焦虑量表的回顾性版本测量焦虑。在扫描前和进入扫描仪后，各组之间的焦虑没有差异。实验组患者在扫描过程中的焦虑程度明显低于对照组患者，这是通过成像过程中的平均焦虑评分和离开扫描仪后立即完成的回顾性状态焦虑评分来衡量的。结果表明，扫描相关的焦虑，可以减少通过引入这些简单的变化，以最小的成本，没有特殊的培训人员，并没有中断运行的MR单元的MR成像程序。(C)2000 Elsevier Science Inc. All rights reserved.
An anxiety reduction protocol was developed and evaluated for routine use with neurology and neuropsychiatry patients undergoing brain or spinal scans. Thirty five patients underwent standard procedures, with limited information given in advance. Twenty nine experimental patients received a booklet giving information about the scanning procedure and advice on cognitive strategies for anxiety reduction, a tape-recorded demonstration of scanner noise, a visit to the control room before entering the scanner, a device to signal for adjustment of music volume, precise timings of each scan, and a clock visible during scanning. Anxiety was measured before, during, and after scanning, using subjective ratings and a retrospective version of the Spielberger State Anxiety Scale. There was no difference in anxiety between groups immediately prior to the scan and immediately after entering the scanner. Patients in the experimental group were significantly less anxious during the scan than control patients, as measured by mean anxiety ratings made during the imaging procedure and by retrospective State Anxiety scores completed immediately after leaving the scanner. The results show that scan-related anxiety can be reduced by introducing these simple changes to MR imaging procedures, with minimal cost, no special training of staff, and no disruption of the running of the MR Unit. (C) 2000 Elsevier Science Inc. All rights reserved.