Abstract
Amaç: Bu çalışmanın amacı diğer klinisyenler tarafından tanısal amaçlı olarak nükleer tıp ve radyoloji
bölümlerine gönderilen hastalarda tanısal girişim öncesinde anksiyete oluşup oluşmadığını araştırmak ve
oluşan anksiyetenin ölçümlemesini yapmaktır.
Materyal ve Metod: Bozok Üniversitesi Tıp Fakültesi Nükleer Tıp ve Radyoloji bölümlerine diğer klinikler
tarafından tanısal amaçlı gönderilen hastalar arasından gönüllü olanlar çalışmaya dahil edilmiştir. Nükleer
Tıp hastalarından 65, Radyoloji hastalarından 78 olmak üzere toplam 143 hastaya tanısal girişim yapılmadan
önce Beck Anksiyete Envanteri ( BAE ), Durumluk Sürekli Kaygı Envanteri 1 ve 2 ( STAI-1 ve 2 ) uygulandı.
Elde edilen puanlar istatistiksel olarak ölçümlendi.
Bulgular: Tanısal girişim öncesinde uygulanan BAE, STAI-1 ve STAI-2 puanları literatürle uyumlu bir
şekilde orta düzeyde anksiyeteyi göstermekteydi. Nükleer Tıp ve Radyoloji hastalarının anksiyete
düzeylerinde istatistiksel olarak anlamlı bir fark bulunamadı. Ancak cinsiyetlere göre karşılaştırıldığında;
kadınlarda Beck Anksiyete Envanteri (BAE) puanları istatistiksel olarak daha yüksek bulunmuştur. STAI-1
ve STAI-2 puanlarında anlamlı bir fark bulunamamıştır.
Sonuç: Böyle bir çalışma bildiğimiz kadarıyla ilk kez yapılmaktadır. Elde edilen sonuçlara göre hem
Nükleer Tıp hem Radyoloji bölümlerine tanısal amaçlı gönderilen hastalarda anksiyete düzeyleri yüksektir.
Bu durum hasta hekim ilişkisinin iyileştirilmesini ve hastaların kullanılacak yöntemler hakkında tatmin edici
bir şekilde bilgilendirilmesini gündeme getirmektedir
Keywords
References
- 1) Murphy F. Understanding the humanistic interaction with medical imaging technology. Radiogrphy 2001; 7(3): 193-201 2) Kevles BH. The transparent body in late twentieth century culture. Rutgers University Press, New York 1997: 261-264 3) Phillips S, Deary IJ. Interventions to alleviate patient anxiety during magnetic resonance imaging: A review. Radiogrphy 1995; 1(1): 29-34 4) Pifarre P, Simo M, Gispert JD, Pallares MD, Plaza P, Martinez-Miralles E. Diagnostic imaging studies: Do they create anxiety? Rev Esp Med Nucl. 2011; 30(6): 346-350 5) Stark DPH, House A. Anxiety in cancer patients. Br J Cancer 2000; 83(10): 1261-1267 6) Santos-Oliveira R, Smith SW, Carneiro-Leao AM. Radiopharmaceuticals drug interactions: A critical review. An Acad Bras Cienc 2008; 80(4): 665-675 7) Tyrer P, Cooper S, Crawford M, Dupont S, Green J,Murphy D, et al. Prevalence of health anxiety problems in medical clinics. J Psychosom Res 2011; 71(6): 392-394 8) Barrett B, Tyrer P, Tyrer H, Cooper S, Crawford MJ, Byford S. An exemination of the factors that influence costs in medical patients with health anxiety. J Psychosom Res 2012; 73(1): 59-62 9) Calvo MG, Cano-Vindel A. The nature of trait anxiety: Cognitive and biological vulnerability. Eur Psychol 1997; 2(4): 301-312 10) Şahin NH, Durak Batıgün A, Uzun C. Anksiyete bozukluğu: Kişilerarası tarz, kendilik algısı ve öfke açısından bir değerlendirme. Anadolu Psikiyatri Derg 2011; 12(2): 107-113 11) Beck AT, Epstein N, Brown G, Ster RA. An inventory for measuring clinical anxiety: Psychometric properties. J Consult Clin Psychol 1988; 56(6): 893-897 12) Ulusoy M, Şahin NH, Eerkmen H. Turkish version of the Beck Anxiety Inventory: Psychometric properties. J Cog Psychoteraphy 1998; 12: 163-172 13) Spielberger CD, Gorsuch RL, Lushene RE. Manual for state-trait anxiety inventory. Consulting Psychologist Press, California 1970. 14) Öner N, Le Compe A. Durumluk-Sürekli kaygı envanteri el kitabı. Boğaziçi Üniversitesi Yayımları, İstanbul 1985. 15) Domenech A, Notta P, Benitez A, Ramal D,Rodriguez-Bel L, Massuet C, Martin-Comin J. Evaluation of the anxiety state in patients receiving radioiodine treatment or who undergo a sentinel lymph node examination in the Nuclear Medicine Department. Rev Esp Med Nucl 2010; 29(2): 63-72 16) McIsaac HK, Thordarson DS, Shafran R, Rachman S, Poole G. Claustrophobia and the magnetic resonance imaging procedure. J Behav Med 1998; 21(3): 255-268 17) Grey SJ, Price G, Mathews A. Reduction of anxiety during MR imaging: a controlled trial. Magn Reson Imaging 2000; 18(3): 351-355 18) Katz RC, Wilson L, Frazer N. Anxiety and its determinants in patients undergoing magnetic resonance imaging. J Behav Ther Exp Psychiatry 1994; 25(2): 131- 134 19) Harris LM, Cumming SR, Menzies RG. Predicting anxiety in magnetic resonance imaging scans. Int J Behav Med 2004; 11(1): 1-7 20) Qin X, Philips MR, Wang W, Li Y, Jin Q, Ai L, et al. Prevalence and rates of recognition of anxiety disorders in internal medicine outpatient departments of 23 general hospitals in Shenyang, China. Gen Hosp Psychiatry 2010; 32(2): 192-200 21) Wilson-Barnett J. Interventions to alleviate patients' stres: a review. J Psychosom Res 1984; 28(1): 63-72 22) Takayama T, Yamazaki Y, Katsumata N. Relationship between outpatients' perceptions of physicians' communication styles and patients' anxiety levels in a Japanese oncology setting. Soc Sci & Med 2001; 53(10): 1335-1350 23) Lim L, Chow P, Wong CY, Chung A, Chan YH, Wong WK, et al. Doctor-patient communication, knowledge, and question prompt lists in reducing preoperative anxiety- A randomized control study. Asian J Surg 2011; 34(4): 175- 180
Abstract
Backgraund: Aim of this study is to investigate whether anxiety and measurement the anxiety level in
patients who undergone at previous diagnostic evaluation in radiology and nuclear medicine departments.
Material and Method: 143 volunteer patients whom attended to Bozok University Medical Faculty
Radiology and Nuclear Medicine outpatient clinic were selected (78 patients in Radiology Clinic, 65 patients
in Nuclear Medicine Clinic). Patient group were given Beck Anxiety Invantory (BAE), Stait-trait anxiety
inventory-1 and 2 (STAI-1-2), before any diagnostic interventions. The comparison was made statistically in
each group.
Results: BAE, STAI-1 and STAI-2 scores were showed moderate anxiety before Diagnostic procedures in
two groups which were consistented with the literature. There was no statistically significant difference in
anxiety status level between two groups, patients of nuclear medicine and patients of radiology. Although
Beck Anxiety Invantory (BAI) scores were higher in female patients. There was no statistically significant
difference in STAI-1 and STAI-2 scores between two genders.
Conclusion: To the best of our knowledge, the investigation of anxiety status level in patients who
undergone diagnostic evaluation has never been investigated before. In a result, the outcome of our pointed
out to improve the patient-physician relationship in a satisfactory manner and the patients are informed about
the methods to be used should be developed.
References
- 1) Murphy F. Understanding the humanistic interaction with medical imaging technology. Radiogrphy 2001; 7(3): 193-201 2) Kevles BH. The transparent body in late twentieth century culture. Rutgers University Press, New York 1997: 261-264 3) Phillips S, Deary IJ. Interventions to alleviate patient anxiety during magnetic resonance imaging: A review. Radiogrphy 1995; 1(1): 29-34 4) Pifarre P, Simo M, Gispert JD, Pallares MD, Plaza P, Martinez-Miralles E. Diagnostic imaging studies: Do they create anxiety? Rev Esp Med Nucl. 2011; 30(6): 346-350 5) Stark DPH, House A. Anxiety in cancer patients. Br J Cancer 2000; 83(10): 1261-1267 6) Santos-Oliveira R, Smith SW, Carneiro-Leao AM. Radiopharmaceuticals drug interactions: A critical review. An Acad Bras Cienc 2008; 80(4): 665-675 7) Tyrer P, Cooper S, Crawford M, Dupont S, Green J,Murphy D, et al. Prevalence of health anxiety problems in medical clinics. J Psychosom Res 2011; 71(6): 392-394 8) Barrett B, Tyrer P, Tyrer H, Cooper S, Crawford MJ, Byford S. An exemination of the factors that influence costs in medical patients with health anxiety. J Psychosom Res 2012; 73(1): 59-62 9) Calvo MG, Cano-Vindel A. The nature of trait anxiety: Cognitive and biological vulnerability. Eur Psychol 1997; 2(4): 301-312 10) Şahin NH, Durak Batıgün A, Uzun C. Anksiyete bozukluğu: Kişilerarası tarz, kendilik algısı ve öfke açısından bir değerlendirme. Anadolu Psikiyatri Derg 2011; 12(2): 107-113 11) Beck AT, Epstein N, Brown G, Ster RA. An inventory for measuring clinical anxiety: Psychometric properties. J Consult Clin Psychol 1988; 56(6): 893-897 12) Ulusoy M, Şahin NH, Eerkmen H. Turkish version of the Beck Anxiety Inventory: Psychometric properties. J Cog Psychoteraphy 1998; 12: 163-172 13) Spielberger CD, Gorsuch RL, Lushene RE. Manual for state-trait anxiety inventory. Consulting Psychologist Press, California 1970. 14) Öner N, Le Compe A. Durumluk-Sürekli kaygı envanteri el kitabı. Boğaziçi Üniversitesi Yayımları, İstanbul 1985. 15) Domenech A, Notta P, Benitez A, Ramal D,Rodriguez-Bel L, Massuet C, Martin-Comin J. Evaluation of the anxiety state in patients receiving radioiodine treatment or who undergo a sentinel lymph node examination in the Nuclear Medicine Department. Rev Esp Med Nucl 2010; 29(2): 63-72 16) McIsaac HK, Thordarson DS, Shafran R, Rachman S, Poole G. Claustrophobia and the magnetic resonance imaging procedure. J Behav Med 1998; 21(3): 255-268 17) Grey SJ, Price G, Mathews A. Reduction of anxiety during MR imaging: a controlled trial. Magn Reson Imaging 2000; 18(3): 351-355 18) Katz RC, Wilson L, Frazer N. Anxiety and its determinants in patients undergoing magnetic resonance imaging. J Behav Ther Exp Psychiatry 1994; 25(2): 131- 134 19) Harris LM, Cumming SR, Menzies RG. Predicting anxiety in magnetic resonance imaging scans. Int J Behav Med 2004; 11(1): 1-7 20) Qin X, Philips MR, Wang W, Li Y, Jin Q, Ai L, et al. Prevalence and rates of recognition of anxiety disorders in internal medicine outpatient departments of 23 general hospitals in Shenyang, China. Gen Hosp Psychiatry 2010; 32(2): 192-200 21) Wilson-Barnett J. Interventions to alleviate patients' stres: a review. J Psychosom Res 1984; 28(1): 63-72 22) Takayama T, Yamazaki Y, Katsumata N. Relationship between outpatients' perceptions of physicians' communication styles and patients' anxiety levels in a Japanese oncology setting. Soc Sci & Med 2001; 53(10): 1335-1350 23) Lim L, Chow P, Wong CY, Chung A, Chan YH, Wong WK, et al. Doctor-patient communication, knowledge, and question prompt lists in reducing preoperative anxiety- A randomized control study. Asian J Surg 2011; 34(4): 175- 180
Details
| Primary Language | Turkish |
|---|---|
| Journal Section | Research Article |
| Authors | |
| Publication Date | December 15, 2014 |
| Submission Date | August 27, 2014 |
| Acceptance Date | September 14, 2014 |
| Published in Issue | Year 2014 Volume: 11 Issue: 3 |
Harran Üniversitesi Tıp Fakültesi Dergisi / Journal of Harran University Medical Faculty