Assessment of Anxiety Related to Radiological Investigations in a Teaching Hospital: The physiologic and Cognitive Responses as well as Cofounders

Autor:	Fatukasi JI, Uteh BEA, Osho SE, Osifo JA, Falade J, Bello AO, Agbaje O, Odeyemi TA, Oni O, Funmilayo FA
Rok vydání:	2022
Předmět:	Investigation Cognitive Physiology FOS: Biological sciences Diagnosis Anxiety Radiology
DOI:	10.5281/zenodo.6409537
Popis:	Anxiety is defined as an abnormal and overwhelming sense of apprehension and fear which is usually characterized by physical signs (such as tension, sweating and increased pulse rate), also by doubt concerning reality and nature of the threat, and self-doubt about one's capacity to cope with it. Patients undergoing investigations in the hospitals are prone to increased anxiety levels. This study aimed to assess for the impact of radiological investigations on patients' level of anxiety. It was a cross sectional study conducted on 120 adult patients who presented at the Radiology Department of UNIMED Teaching Hospital for investigations including ultrasound scan, X-rays, MRI, and CT. Patient's informed consent were sought and obtained from willing and suitable patients. After completion of the questionnaire, the patients' Blood pressure and pulse rate were recorded before patients proceeded to the examination room for the procedure and also repeated immediately after the procedure. This study revealed that eighty-eight (70%) patients had current or State anxiety while seventy patients (56%) had Trait or 'being prone to' anxiety. Also, the pulse rate which is an objective way of measuring anxiety shows significant drop in the value after investigations compared to the pre-investigation with a p value of 0.002. This shows that the fear of the procedure itself or the outcome may have been the cause of the increased state anxiety. In conclusion, hospital related anxiety can be due to a number of factors and is worse in patients with preexisting anxiety disorder. {"references":["1.\thttps://www.merriam-webster.com/dictionary/anxiety. Accessed on 24-01-2020. 2.\tLo Re G, De Luca R, Muscarneri F, Dorangricchia P, Picone D, Vernuccio F, et al. Relationship between anxiety level and radiological investigation. Comparison among different diagnostic imaging exams in a prospective single-center study. Radiol Med 2016; 121(10):763-768. 3.\tOgbolu RE, Abeni O, Omidiji T. A study of anxiety and depression among patients undergoing radiological investigations in a Nigerian Tertiary Hospital. JClS 2018; 15 (1):41-47 4.\tTamburrini O, De Caridi A, De Sandro D, Grandinetti F, Della Sala M, Puca M, et al. Anticipatory anxiety and interpersonal relations with the radiologist of patients undergoing diagnostic imaging. Radiol Med 1992; 83:509-515 5.\tFlory N, Lang EV. Distress in the radiology waiting room. Radiology 2011; 260:166-173. 6.\t Moseholm E, Rydahl-Hansen S, Overgaard D, Wengel HS, Frederiksen R, Brandt M, et al. Health-related quality of life, anxiety and depression in the diagnostic phase of suspected cancer, and the influence of diagnosis. Health Qual Life Outcomes 2016; 14:80. 7.\t Antwi WK, Kyei KA, Gawugah JN, Opoku SY, Ogbuokiri EI. Anxiety level among patients undergoing ultrasound examination in Ghana. Int J Med Imaging 2015; 3:6-10. 8.\tDaniel WW. Biostatistics: A foundation for analysis in the health sciences. 7th edition. John Wiley & Sons Inc, Hoboken. 1999. 9.\tSkapinakis P. Spielberger State-Trait Anxiety Inventory. In: Michalos AC (eds) Encyclopidia of Quality of life and well-being research Springer Dordrecht 2014. Available in https://doi.org 10.1007/978-94-007-0753-5_2825. 10.\tLaura JJ. Measures of Anxiety State-Trait Anxiety Inventory (STAI), Beck Anxiety Inventory (BAI), and Hospital Anxiety and Depression Scale-Anxiety (HADS-A) Arthritis Care & Research 2011; 63 (S11): S467S472 11.\tTaylor JA. A personality scale of manifest anxiety. J Abnorm Psychol 1953; 48:285290. 12.\tCattell RB, Sheier IH. Handbook for the IPAT Anxiety Scale questionnaire 2nd Ed. Champaign; Institute for Personality and Ability Testing. 1963. 13.\tErcan I, Hafizoglu S, Ozkaya G, Kirli S, Akay EY. Examining cut-off values for the state-trait anxiety inventory. Revista Argentina de Clinica Psicologica 2015; 24. 143-148 14.\tCubuk R, Tasali N, Yilmazer S, Gokalp P, Celik L, Dagdeviren B, Guney S. Effect of an oral anxiolytic medication and heart rate variability on image quality of 64-slice mdct coronary angiography. La radiologia medica 2011; 116(1): 47-55 15.\tFaul LA, Jim HS, Williams C, Loftus L, Jacobsen PB. Relationship of stress management skill to psychological distress and quality of life in adults with cancer. Psycho‐Oncology 2010; 19(1):102-109. 16.\tShree MKR. Factors influencing patients' fear during hospital visit. Journal of Contemporary Issues in Business and Government 2020; 26(2):782-788 17.\tWani AL, Ara A, Bhat T. Blood injury and injection phobia: The neglected one. Journal of Behavioural Neurology, Hindawi Open Access Vol 2014. Article ID 471340 Available at https://doi.org/10.1155/2014/471340. 18.\tAmerican Psychiatric Association. Diagnostic and statistical manual of mental disorders: Washington D C. American Psychiatric Press. 1994 19.\tKatz RC, Wilson L, Frazer T. Anxiety and its determinants in patients undergoing magnetic resonance imaging. Journal of Behaviour Therapy and Experimental Psychiatry 1994; 25(2): 131-134. 20.\tWilliams AC, Craig KD. Updating the definition of pain. Pain 2016; 157(11): 2420-2423. 21.\tAhacic K, Kåreholt I. Prevalence of musculoskeletal pain in the general swedish population from 1968 to 2002: Age, period, and cohort patterns. Pain 2010; 151(1): 206-214. 22.\tChenaf C, Delorme J, Delage N, Ardid D, Eschalier A, Authier N. Prevalence of chronic pain with or without neuropathic characteristics in france using the capturerecapture method: A population-based study. Pain 2018; 159(11): 2394-2402. 23.\tNahin RL, Sayer B, Stussman BJ, Feinberg TM. Eighteen-year trends in the prevalence of, and health care use for, noncancer pain in the United states: Data from the medical expenditure panel survey. The Journal of Pain 2019; 20(7): 796-809. 24.\tHarris LM, Cumming SR, Menzies RG. Predicting anxiety in magnetic resonance imaging scans. International Journal of Behavioural Medicine 2004; 11(1): 1-7. 25.\tStrine TW, Chapman DP, Ahluwalia IB. Menstrual-related problems and psychological distress among women in the United States. Journal of women's health 2005; 14(4): 316-323. 26.\tPeteet JR, Stomper PC, Ross DM, Cotton V, Truesdell P, Moczynski W. Emotional support for patients with cancer who are undergoing ct: Semistructured interviews of patients at a cancer institute. Radiology 1992; 182(1): 99-102. 27.\tDe Souza VL, Turrini RNT, Cerullo JASB. An analysis of nursing diagnoses for patients undergoing procedures in a Brazilian interventional radiology suite. AORN Journal 2010; 91(5): 544-557. 28.\tCarley A. Non-radiology nurses' experiences with interventional radiology 2020. Available in http://hdl.handle.net/10791/326. 29.\tMartin ML, Lennox PH, Buckley BT. Pain and anxiety: Two problems, two solutions. Journal of Vascular and Interventional Radiology 2005; 12(16): 1581-1584. 30.\tKrantz DS, Kop WJ, Santiago HT, Gottdiener JS. Mental stress as a trigger of myocardial ischemia and infarction. Cardiology Clinics 1996; 14(2): 271-287."]}
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