HealthResJ, health, medicine, nursing, research https://ejournals.epublishing.ekt.gr/index.php/HealthResJ/sitemap

Anxiety of patients undergoing ct imaging in emergency department

PDF
Published: Mar 31, 2017
DOI: https://doi.org/10.12681/healthresj.20435
Keywords:
Anxiety patients computed tomography emergency department
Eyaggelia Kakagianni
RN, MSc (c), General Hospital of Athens “G. Gennimatas”
Martha Kelesi-Stauropoulou
Associate Professor, Department of Nursing, Technological Educational Institute of Athens, Greece
Eleni Dokoutsidou
Assistant Professor, Department of Nursing, Technological Educational Institute of Athens, Greece
Ourania Govina
Associate Professor, Department of Nursing, Technological Educational Institute of Athens, Greece
Abstract

Introduction: The performance of computed tomography (CT) causes anxiety and discomfort to patients and increases the overall psychological burden.

Aim: The purpose of the present study was to investigate the anxiety of patients undergoing CT when entering in the Emergency Department (ED).

Material and Methods: To achieve the research objectives was conducted primary research in the ED of a General Hospital of Athens. The research was based on Convenience sampling and the data collected by a self-completion questionnaire during the period May to September 2016. The study sample consisted of 150 people. The State - Trait Anxiety Inventory (STAI) was the questionnaire of this study.

Results: The mean value of the current anxiety was 58.70(± 7.32), while the general anxiety was 39.77 (± 7.32), with statistically significant difference (p <0.001). The majority of patients were very anxious prior to performing the CT. In contrast, patients do not feel special stress and anxiety in their lives in general. The factors affecting the current anxiety of patients attending ED and are to undergo CT were: age, education level, marital status, previous experience, cause of examination and presence of pain.

Conclusions: One of the many challenges to be faced by health professionals is the stress management of the patient prior of the CT. The organization of intervention programs will positively contribute to the stress management and outcomes of patients.

Article Details
  • Section
  • Original Articles

Copyright notice:

Authors retain copyright of their work and grant the Health and Research Journal the right of first publication.

License:
Articles are published under the Creative Commons Attribution 4.0 International License (CC BY 4.0). This license permits use, sharing, adaptation, distribution, and reproduction in any medium or format, including for commercial purposes, provided that appropriate credit is given to the author(s) and the original publication in this journal, a link to the license is provided, and any changes are indicated.

Attribution requirement:
Any reuse must include the article citation and DOI (where available), and indicate if changes were made.

Downloads
Download data is not yet available.
References
Πολυκανδριώτη Μ, Κουτσοπούλου Β. Άγχος σε μη-ψυχιατρικούς ασθενείς. Το βήμα του Ασκληπιού 2014;13 (1): 54-65.
Λυκούρας Λ, Σολδάτος Κ, Ζέρβας Γ. Διασυνδετική Ψυχιατρική, Εκδ. Βήττα, Αθήνα, 2009.
Heyer CM, Thuring J, Lemburg SP, Kreddig N, Hasenbring M, Dohna M, Nicolas V. Anxiety of patients undergoing CT imaging-an underestimated problem? Acad Radiol 2015;22(1):105-12.
Marchesi C, Brusamonti E, Borghi C, Giannini A, Di Ruvo R, Minneo E, Quarantelli C, Maggini C. Αnxiety and depressive disorders in an emergency department ward of a general hospital: a control study. Emerg Med J 2004;21(2):175-9.
Bastiaannet E, Hoekstra-Weebers JE, Francken AB, Jager PL, van der Jagt EJ, Hoekstra HJ.. Perception of psychological burden experienced during diagnostic tests by melanoma patients with lymph node metastases. Melanoma Res 2009;19: 36–41.
Mueller PR, Biswal S, Halpern EF, Kaufman JA, Lee MJ. Interventional radiologic procedures: patient anxiety, perception of pain, understanding of procedure, and satisfaction with medication—a prospective study. Radiology 2000;215(3):684–688
Acuff SN, Bradley YC, Barlow P, Osborne DR.Reduction of patient anxiety in PET/CT imaging by improving communication between patient and technologist. J Nucl Med Technol 2014;42(3):211-7.
Shortman RI, Neriman D, Hoath J, Millner L, Endozo R, Azzopardi G, O'Meara C, Bomanji J, Groves AM. A comparison of the psychological burden of PET/MRI and PET/CT scans and association to initial state anxiety and previous imaging experiences. The British Journal of Radiology 2015;88(1052):20150121.
Abreu C, Grilo A, Lucena F, Carolino E. Oncological Patient Anxiety in Imaging Studies: the PET/CT Example. J Cancer Educ 2016;1-7.
Vogel WV, Valdés Olmos RA, Tijs TJW, Gillies MF, van Elswijk G, Vogt J.. Intervention to lower anxiety of 18F-FDG PET/CT patients by use of audiovisual imagery during the uptake phase before imaging. J Nucl Med Technol 2012; 40: 92–8.
Sheldon LK, Swanson S, Dolce A, Marsh K, Summers J. Putting evidence into practice: evidence-based interventions for anxiety. Clin J Oncol Nurs 2008;12:789–797
Miyasaka LS, Atallah AN, Soares BG. Valerian for anxiety disorders.Cochrane Database Syst Rev 2006; (4):CD004515.
Helmus TC, Tancer M, Johanson CE.. Reinforcing effects of diazepam under anxiogenic conditions in individuals with social anxiety. Exp Clin Psychopharmacol 2005;13:348–356.
Pifarré P, Simó M, Gispert JD, Pallarés MD, Plaza P, Martínez-Miralles E. Diagnostic imaging studies: do they create anxiety? Rev Esp Med Nucl 2011;30(6):346-50
Spielberger CD, State – Trait Anxiety Inventory: A Comprehensive Bibliography, Consultant Psychologists Press: Palo Alto, CA, 1984.
Λιάκος Α., Γιαννίτση Σ. Αξιοπιστία και εγκυρότητα της τροποποιηµένης Ελληνικής κλίµακας άγχους του Spielberger., Εγκέφαλος 1984;21, 71-76.
Flory N, Lang EV. Distress in the radiology waiting room. Radiology.2011; 260:166–173.
Γιούρντα Άννα-Μ, Τουλιά Γ. Ανάγκες συγγενών νοσηλευόμενων ασθενών σε μονάδα εντατικής θεραπείας. Το Βήμα του Ασκληπιού 2015;14 (1):4-18.
Kapoor S, White J, Thorn BE, Block P. Patients Presenting to the Emergency Department with Acute Pain: The Significant Role of Pain Catastrophizing and State Anxiety. Pain Med 2016;17(6):1069-78.
Pines JM, Pollack CV Jr, Diercks DB, Chang AM, Shofer FS, Hollander JE.The association between emergency department crowding and adverse cardiovascular outcomes in patients with chest pain. Acad Emerg Med 2009;16(7):617-25.
Pines JM, Shofer FS, Isserman JA, Abbuhl SB, Mills AM. The effect of emergency department crowding on analgesia in patients with back pain in two hospitals. Acad Emerg Med 2010;17(3):276-83.
Leithner K, Pörnbacher S, Assem-Hilger E, Krampl E, Ponocny-Seliger E, Prayer D. Psychological reactions in women undergoing fetal magnetic resonance imaging. Obstet Gynecol 2008;111(2 Pt 1):396-402.
Lory N, Lang EV. Distress in the radiology waiting room. Radiology 2011; 260:166–173.
Rosenfeld G, Fu YT, Quiney B, Qian H, Krygier D, Brown J, Vos P, Tiwari P, Telford J, Bressler B, Enns R. Does training and experience influence the accuracy of computed tomography colonography interpretation? World J Gastroenterol 2014;20(6):1574-81.
Most read articles by the same author(s)