Randevulu meme ultrasonları esnasında bilgilendirme yapılmasının hasta kaygısı ve meme ağrısı üzerine etkisi var mıdır?

Abstract

Amaç: Randevulu meme ultrasonları kadınlar için oldukça stresli işlemlerdir. Bu çalışma ile ultrason esnasında hastaları bilgilendirmenin, işlem ilişkili kaygı ve meme ağrısı üzerindeki etkilerini araştırmayı hedefledik. Gereç ve Yöntemler: Şehir hastanesi etik kurulu onayı ve hasta onamı alınmasını takiben Kasım 2022 ve Mart 2023 tarihleri arasında randevulandırılmış meme ultrasonu olan hastalar prospektif olarak değerlendirildi. Hastalar bilgilendirme yapılıp yapılmamasına göre randomize-kontrollü olarak iki gruba ayrıldı. Çalışmaya katılan hastalar kaygı ölçümü için “State-Trait Anxiety Inventory” formunu, ağrı skorları için de “Visual Analog Scale” ölçeğini hem ultrasondan önce hem de ultrason bitiminde doldurdu. Demografiler veriler, kaygı ve ağrı skorları istatistiksel olarak Ki-kare testi, bağımsız örneklem t-testi ve Mann-Whitney U testi ile analiz edildi. Hasta bilgilendirmesine göre yapılan kaygı ve ağrı skorları değişimi, eşleştirilmiş örneklem t-testi ve Wilcoxon testi ile değerlendirildi. Bulgular: 143 hastada işlem öncesi kaygı, onkolojik takip hastalarında daha düşük olup fizik muayene bulgusu olan, öz muayene yapan ve aynı gün mamografi çekimi bulunan hastalarda ise anlamlı olarak daha yüksek saptandı. Sürekli ve işlem öncesi durumluk kaygı skorları hasta bilgilendirmeye göre iki grup arasında benzer bulundu. Ultrason sonrası genel kaygı ve ağrı skorlarında azalma dikkati çekmiş olup hastaların bilgilendirildiği grupta bu düşüş anlamlı bulundu (sırasıyla p<0.001 ve p=0.03). Sonuçlar: Meme ultrasonu çekimi esnasında hastaları bilgilendirme, kaygı seviyeleri ve meme ağrısını azaltmaktadır.

Keywords

• Kaygı
• stres
• meme ultrasonu
• ağrı
• bilgilendirme

Project Number

2022-10/2127

Does intra-procedural enlightenment change the level of anxiety and pain in scheduled breast ultrasonography?

Abstract

Aim: Scheduled breast ultrasounds are stressful procedures for women. We aimed to study the effect of informing patients during breast ultrasound and investigate associated anxiety and pain alterations. Material and Methods: After approval of the state hospital ethics committee and informed consent, women scheduled for breast ultrasound between November 2022 and March 2023 were prospectively enrolled in this randomized controlled study. Patients were either informed during the ultrasound about the procedure itself or not. The participants completed State-Trait Anxiety Inventory for measuring anxiety and visual analog scale for pain scores, immediately before and after the examination. Demographic data, anxiety and pain scores were statistically evaluated by using chi-square test, independent samples t-test and Mann-Whitney U test. The alteration of anxiety and pain scores considering enlightenment were compared with paired samples t-test and Wilcoxon test. Results: Among 143 patients, preprocedural anxiety was lower in oncological follow-ups and higher in positive clinical breast examination, breast self-examination and mammography subgroups. Trait and preprocedural state anxiety scores were similar between the two groups regarding enlightenment. Anxiety and pain reduction was observed after ultrasound and both were statistically significant in the informed group (p<0.001 and p=0.03, respectively). Conclusion: Informing the patients during breast ultrasound reduces anxiety levels and pain perception.

Keywords

• anxiety
• breast ultrasound
• pain
• informing
• enlightenment

Supporting Institution

Ankara Bilkent State Hospital

Project Number

2022-10/2127

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