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PATIENTS’ OPINIONS ABOUT PET/CT SCANS, EVALUATED BEFORE AND AFTER ONCOLOGICAL IMAGING

Year 2021, Volume: 11 Issue: 4, 879 - 888, 27.12.2021

Huri Tilla İlçe Sezen Elhan Vargöl Hatice Halis Esra Yazıcı

https://doi.org/10.31832/smj.929085

Abstract

Objective: Positron emission tomography/computed tomography (PET/CT) imaging is used for many purposes such as diagnosis and staging of cancer patients and there may be different worries and opinions about this method. It is known patients may be anxious before PET/CT scan, but it is not well known whether their opinions continue after scanning. The aim of this study was to evaluate pre- and post-imaging worries and opinions of oncological patients referred to the Nuclear Medicine Clinic for PET/CT imaging.
Materials and Methods: Sociodemographic data form, STAI-I state, STAI-II trait anxiety forms, pre-test and post-test forms evaluating confidence-knowledge-worry about PET/CT procedure which is prepared by study team were applied to cancer patients referred to Nuclear Medicine Clinic.
Results: Confidence and worry were associated with gender, living place, well informed and being knowledgeable about the illness (p<0.05). In pre-test, it is observed that men relied PET/CT imaging more than women. However, there was no significant difference in post-test confidence scores. Before scanning, women were more worried than men. The worry scores of the patients living in rural areas both before PET/CT and after PET/CT procedure were higher than those living in urban areas and it was inversely correlated with knowledge and confidence.
Conclusion: PET/CT procedure can be an alarming experience for patients. In this process, well informed and being knowledgeable is associated with lower worry and higher confidence. Making this process more reassuring can contribute to decreased worry.

Keywords

PET/CT Cancer Confidence Worry

References

  • References: 1. Kitajima K, Doi H, Kanda T, Yamane T, Tsujikawa T, Kaida H, et al. Present and future roles of FDG-PET/CT imaging in the management of lung cancer. Japanese journal of radiology. 2016 Jun;34(6):387-99. PubMed PMID: 27121156.
  • 2. Grilo A, Vieira L, Carolino E, Oliveira C, Pacheco C, Castro M, et al. Anxiety in cancer patients during 18F-FDG PET/CT low dose: a comparison of anxiety levels before and after imaging studies. Nursing research and practice. 2017;2017.
  • 3. Abreu C, Grilo A, Lucena F, Carolino E. Oncological Patient Anxiety in Imaging Studies: the PET/CT Example. Journal of cancer education : the official journal of the American Association for Cancer Education. 2017 Dec;32(4):820-6. PubMed PMID: 27370917. Pubmed Central PMCID: 5670194. 4. Dean E. Anxiety. Nursing standard. 2016 Jul 13;30(46):15. PubMed PMID: 27406490.
  • 5. Schuyler D. Anxiety. The primary care companion for CNS disorders. 2016 Oct 13;18(5). PubMed PMID: 27835726.
  • 6. Turkcapar H. Bilişsel Davranışçı Terapi-Temel İlkeler ve Uygulama Epsilon Yayınevi; 2018.
  • 7. Grilo A, Vieira L, Carolino E, Oliveira C, Pacheco C, Castro M, et al. Anxiety in Cancer Patients during (18)F-FDG PET/CT Low Dose: A Comparison of Anxiety Levels before and after Imaging Studies. Nursing research and practice. 2017;2017:3057495. PubMed PMID: 28392942. Pubmed Central PMCID: 5369372 publication of this paper.
  • 8. Pifarre P, Simo M, Gispert JD, Pallares MD, Plaza P, Martinez-Miralles E. [Diagnostic imaging studies: do they create anxiety?]. Revista espanola de medicina nuclear. 2011 Nov-Dec;30(6):346-50. PubMed PMID: 21764482. Pruebas de diagnostico por la imagen: inverted question markgeneran ansiedad?
  • 9. Liu Y. Fluorodeoxyglucose uptake in absence of CT abnormality on PET-CT: What is it? World journal of radiology. 2013 Dec 28;5(12):460-7. PubMed PMID: 24379932. Pubmed Central PMCID: 3874502.
  • 10. Spielberger CD GR, Lushene RE. Test manual for the State Trait Anxiety Inventory. 1 st ed. ed. California: Consulting Psychologists Press; 1970.
  • 11. Öner N LCA. Süreksiz durumluk /sürekli kaygı envanteri el kitabı. 1. Baskı ed. İstanbul Boğaziçi Üniversitesi Yayını; 1983 1-26 p.
  • 12. McIsaac HK, Thordarson DS, Shafran R, Rachman S, Poole G. Claustrophobia and the magnetic resonance imaging procedure. Journal of behavioral medicine. 1998 Jun;21(3):255-68. PubMed PMID: 9642571.
  • 13. Frenzer A, Binek J, Hammer B. [Physician-patient relations and stress caused by coloscopy in patients with chronic inflammatory bowel disease]. Schweizerische medizinische Wochenschrift Supplementum. 1996;79:94S-6S. PubMed PMID: 8701272. Arzt-Patienten-Beziehung und Belastung durch Koloskopien bei Patienten mit chronisch entzundlicher Darmerkrankung.
  • 14. Kutluturkan S, Gorgulu U, Fesci H, Karavelioglu A. The effects of providing pre-gastrointestinal endoscopy written educational material on patients' anxiety: a randomised controlled trial. International journal of nursing studies. 2010 Sep;47(9):1066-73. PubMed PMID: 20181334.
  • 15. Carneiro AF, Mathias LA, Rassi Junior A, Morais NS, Gozzani JL, Miranda AP. [Evaluation of preoperative anxiety and depression in patients undergoing invasive cardiac procedures]. Revista brasileira de anestesiologia. 2009 Jul-Aug;59(4):431-8. PubMed PMID: 19669017. Avaliacao da ansiedade e depressao no periodo pre-operatorio em pacientes submetidos a procedimentos cardiacos invasivos.
  • 16. Thomas F. The role of natural environments within women's everyday health and wellbeing in Copenhagen, Denmark. Health & place. 2015 Sep;35:187-95. PubMed PMID: 25435057.
  • 17. Elboga U EG, Can C, Sahin E, Karaoglan H, Kalender E, et al. . Assessment of procedure related anxiety and depression in oncologic patients before F-18 FDG PET-CT imaging. J Psychiatry. 2015 (18):2013-6.
  • 18. Zender R, Olshansky E. Women's mental health: depression and anxiety. The Nursing clinics of North America. 2009 Sep;44(3):355-64. PubMed PMID: 19683096.
  • 19. Luck A, Pearson S, Maddern G, Hewett P. Effects of video information on precolonoscopy anxiety and knowledge: a randomised trial. Lancet. 1999 Dec 11;354(9195):2032-5. PubMed PMID: 10636368.
  • 20. Dantendorfer K, Amering M, Bankier A, Helbich T, Prayer D, Youssefzadeh S, et al. A study of the effects of patient anxiety, perceptions and equipment on motion artifacts in magnetic resonance imaging. Magnetic resonance imaging. 1997;15(3):301-6. PubMed PMID: 9201677.
  • 21. Nightingale JM, Murphy FJ, Blakeley C. 'I thought it was just an x-ray': a qualitative investigation of patient experiences in cardiac SPECT-CT imaging. Nuclear medicine communications. 2012 Mar;33(3):246-54. PubMed PMID: 22186908.
  • 22. Tornqvist E, Mansson A, Larsson EM, Hallstrom I. Impact of extended written information on patient anxiety and image motion artifacts during magnetic resonance imaging. Acta radiologica. 2006 Jun;47(5):474-80. PubMed PMID: 16796309.
  • 23. Lledo R, Herver P, Garcia A, Guell J, Setoain J, Asenjo MA. Information as a fundamental attribute among outpatients attending the nuclear medicine service of a university hospital. Nuclear medicine communications. 1995 Feb;16(2):76-83. PubMed PMID: 7731621.
  • 24. Vogel WV, Valdes Olmos RA, Tijs TJ, 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. Journal of nuclear medicine technology. 2012 Jun;40(2):92-8. PubMed PMID: 22570325.
  • 25. Sun Y, Sun Y, Qin Y, Zhang Y, Yuan H, Yang Z. ‘Virtual experience’as an intervention before a positron emission tomography/CT scan may ease patients’ anxiety and improve image quality. Journal of Medical Imaging and Radiation Oncology. 2020;64(5):641-8.
  • 26. Grilo AM, Vieira L, Carolino E, Costa M, Galaio S, Melo I, et al. Cancer Patient Experience in a Nuclear Medicine Department: Comparison between Bone Scintigraphy and 18F-FDG PET/CT. Journal of nuclear medicine technology. 2020:jnmt. 119.239285.
  • 27. Groves AM, Kayani I, Syed R, Gacinovic S, Nagabushan N, Ell PJ. Myocardial perfusion scintigraphy: patients' perception of benefit and risk. Nuclear medicine communications. 2004 Dec;25(12):1219-22. PubMed PMID: 15640782.
  • 28. Domenech A, Notta P, Benitez A, Ramal D, Rodriguez-Bel L, Massuet C, et al. [Evaluation of the anxiety state in patients receiving radioiodine treatment or who undergo a sentinel lymph node examination in the Nuclear Medicine Department]. Revista espanola de medicina nuclear. 2010 Mar-Apr;29(2):63-72. PubMed PMID: 20167394. Valoracion del estado de ansiedad de los pacientes que reciben un tratamiento con radioyodo o son sometidos a una exploracion de ganglio centinela en el servicio de Medicina Nuclear.
  • 29. Ollivier L, Apiou F, Leclere J, Sevellec M, Asselain B, Bredart A, et al. Patient experiences and preferences: development of practice guidelines in a cancer imaging department. Cancer imaging : the official publication of the International Cancer Imaging Society. 2009 Oct 2;9 Spec No A:S92-7. PubMed PMID: 19965300. Pubmed Central PMCID: 2797468.

Pet/Bt Görüntüleme Öncesi ve Sonrasında Onkoloji Hastalarının Pet Bt Çekimi İle İlgili Kanaatleri

Year 2021, Volume: 11 Issue: 4, 879 - 888, 27.12.2021

Huri Tilla İlçe Sezen Elhan Vargöl Hatice Halis Esra Yazıcı

https://doi.org/10.31832/smj.929085

Abstract

Amaç: Pozitron emisyon tomografi/bilgisayarlı tomografi (PET/BT) görüntüleme kanser hastalarının tanı ve evrelemesi gibi birçok amaçla kullanılmakta olup, bu tetkik ile ilgili farklı kaygı ve kanaatler olabilmektedir. Hastaların PET/BT çekimi öncesi kaygılı olabildikleri bilinmektedir ancak çekim sonrasında görüşlerinin devam edip etmediği iyi bilinmemektedir. Bu çalışmanın amacı PET/BT görüntüleme için Nükleer Tıp Kliniği’ne yönlendirilen onkolojik hastalarda görüntüleme öncesi ve sonrası çekimle ilgili kaygı ve görüşlerinin değerlendirilmesidir.
Gereç ve Yöntemler: Bu çalışmada Nükleer Tıp Kliniği’ne başvuran kanser hastalarına sosyodemografik veri formu, State Trate Anxiety Inventory I (STAI-I) durumluluk ve State Trate Anxiety Inventory II (STAI-II) süreklilik formları ile çalışma ekibi tarafından oluşturulan PET/BT öncesi ve sonrası, ön test ve son test ile PET CT prosedürüne dair güven-bilgi ve endişe formları uygulandı.
Bulgular: Bu çalışmada güven ve endişe; cinsiyet, yaşanılan yer ve hastalık konusunda bilgilendirilmiş ve bilgili olmak ile ilişkili bulunmuştur (p<0.05). Ön testte erkeklerin yapılacak görüntülemeye, kadınlardan daha fazla güvendiği saptanırken, son test güven puanlarında erkekler ve kadınlar arasında anlamlı bir fark saptanmadı. Kadınlar PET-BT çekimi öncesi erkeklere göre daha kaygılıydı. Kırsal kesimde yaşayan hastaların hem PET/BT öncesi, hem de PET/BT sonrası işlemle ilgili kaygı puanları kentsel kesimde yaşayanlara göre daha yüksek bulundu. Hastaların PET/BT çekimi sırasında duyulan endişeleri; bilgi ve güven ile ters korelasyon gösteriyordu.
Sonuç: PET/BT çekimi hastalar için endişe verici bir deneyim olabilmektedir. Bu süreçte hastaların bilgilendirilmesi daha düşük endişe ve daha yüksek güven skorları ile ilişkilidir. Bu sürecin daha güven verici bir hale getirilmesi, bu endişenin azalmasına katkı sağlayabilir.

Keywords

PET/BT Kanser Güven Endişe

References

  • References: 1. Kitajima K, Doi H, Kanda T, Yamane T, Tsujikawa T, Kaida H, et al. Present and future roles of FDG-PET/CT imaging in the management of lung cancer. Japanese journal of radiology. 2016 Jun;34(6):387-99. PubMed PMID: 27121156.
  • 2. Grilo A, Vieira L, Carolino E, Oliveira C, Pacheco C, Castro M, et al. Anxiety in cancer patients during 18F-FDG PET/CT low dose: a comparison of anxiety levels before and after imaging studies. Nursing research and practice. 2017;2017.
  • 3. Abreu C, Grilo A, Lucena F, Carolino E. Oncological Patient Anxiety in Imaging Studies: the PET/CT Example. Journal of cancer education : the official journal of the American Association for Cancer Education. 2017 Dec;32(4):820-6. PubMed PMID: 27370917. Pubmed Central PMCID: 5670194. 4. Dean E. Anxiety. Nursing standard. 2016 Jul 13;30(46):15. PubMed PMID: 27406490.
  • 5. Schuyler D. Anxiety. The primary care companion for CNS disorders. 2016 Oct 13;18(5). PubMed PMID: 27835726.
  • 6. Turkcapar H. Bilişsel Davranışçı Terapi-Temel İlkeler ve Uygulama Epsilon Yayınevi; 2018.
  • 7. Grilo A, Vieira L, Carolino E, Oliveira C, Pacheco C, Castro M, et al. Anxiety in Cancer Patients during (18)F-FDG PET/CT Low Dose: A Comparison of Anxiety Levels before and after Imaging Studies. Nursing research and practice. 2017;2017:3057495. PubMed PMID: 28392942. Pubmed Central PMCID: 5369372 publication of this paper.
  • 8. Pifarre P, Simo M, Gispert JD, Pallares MD, Plaza P, Martinez-Miralles E. [Diagnostic imaging studies: do they create anxiety?]. Revista espanola de medicina nuclear. 2011 Nov-Dec;30(6):346-50. PubMed PMID: 21764482. Pruebas de diagnostico por la imagen: inverted question markgeneran ansiedad?
  • 9. Liu Y. Fluorodeoxyglucose uptake in absence of CT abnormality on PET-CT: What is it? World journal of radiology. 2013 Dec 28;5(12):460-7. PubMed PMID: 24379932. Pubmed Central PMCID: 3874502.
  • 10. Spielberger CD GR, Lushene RE. Test manual for the State Trait Anxiety Inventory. 1 st ed. ed. California: Consulting Psychologists Press; 1970.
  • 11. Öner N LCA. Süreksiz durumluk /sürekli kaygı envanteri el kitabı. 1. Baskı ed. İstanbul Boğaziçi Üniversitesi Yayını; 1983 1-26 p.
  • 12. McIsaac HK, Thordarson DS, Shafran R, Rachman S, Poole G. Claustrophobia and the magnetic resonance imaging procedure. Journal of behavioral medicine. 1998 Jun;21(3):255-68. PubMed PMID: 9642571.
  • 13. Frenzer A, Binek J, Hammer B. [Physician-patient relations and stress caused by coloscopy in patients with chronic inflammatory bowel disease]. Schweizerische medizinische Wochenschrift Supplementum. 1996;79:94S-6S. PubMed PMID: 8701272. Arzt-Patienten-Beziehung und Belastung durch Koloskopien bei Patienten mit chronisch entzundlicher Darmerkrankung.
  • 14. Kutluturkan S, Gorgulu U, Fesci H, Karavelioglu A. The effects of providing pre-gastrointestinal endoscopy written educational material on patients' anxiety: a randomised controlled trial. International journal of nursing studies. 2010 Sep;47(9):1066-73. PubMed PMID: 20181334.
  • 15. Carneiro AF, Mathias LA, Rassi Junior A, Morais NS, Gozzani JL, Miranda AP. [Evaluation of preoperative anxiety and depression in patients undergoing invasive cardiac procedures]. Revista brasileira de anestesiologia. 2009 Jul-Aug;59(4):431-8. PubMed PMID: 19669017. Avaliacao da ansiedade e depressao no periodo pre-operatorio em pacientes submetidos a procedimentos cardiacos invasivos.
  • 16. Thomas F. The role of natural environments within women's everyday health and wellbeing in Copenhagen, Denmark. Health & place. 2015 Sep;35:187-95. PubMed PMID: 25435057.
  • 17. Elboga U EG, Can C, Sahin E, Karaoglan H, Kalender E, et al. . Assessment of procedure related anxiety and depression in oncologic patients before F-18 FDG PET-CT imaging. J Psychiatry. 2015 (18):2013-6.
  • 18. Zender R, Olshansky E. Women's mental health: depression and anxiety. The Nursing clinics of North America. 2009 Sep;44(3):355-64. PubMed PMID: 19683096.
  • 19. Luck A, Pearson S, Maddern G, Hewett P. Effects of video information on precolonoscopy anxiety and knowledge: a randomised trial. Lancet. 1999 Dec 11;354(9195):2032-5. PubMed PMID: 10636368.
  • 20. Dantendorfer K, Amering M, Bankier A, Helbich T, Prayer D, Youssefzadeh S, et al. A study of the effects of patient anxiety, perceptions and equipment on motion artifacts in magnetic resonance imaging. Magnetic resonance imaging. 1997;15(3):301-6. PubMed PMID: 9201677.
  • 21. Nightingale JM, Murphy FJ, Blakeley C. 'I thought it was just an x-ray': a qualitative investigation of patient experiences in cardiac SPECT-CT imaging. Nuclear medicine communications. 2012 Mar;33(3):246-54. PubMed PMID: 22186908.
  • 22. Tornqvist E, Mansson A, Larsson EM, Hallstrom I. Impact of extended written information on patient anxiety and image motion artifacts during magnetic resonance imaging. Acta radiologica. 2006 Jun;47(5):474-80. PubMed PMID: 16796309.
  • 23. Lledo R, Herver P, Garcia A, Guell J, Setoain J, Asenjo MA. Information as a fundamental attribute among outpatients attending the nuclear medicine service of a university hospital. Nuclear medicine communications. 1995 Feb;16(2):76-83. PubMed PMID: 7731621.
  • 24. Vogel WV, Valdes Olmos RA, Tijs TJ, 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. Journal of nuclear medicine technology. 2012 Jun;40(2):92-8. PubMed PMID: 22570325.
  • 25. Sun Y, Sun Y, Qin Y, Zhang Y, Yuan H, Yang Z. ‘Virtual experience’as an intervention before a positron emission tomography/CT scan may ease patients’ anxiety and improve image quality. Journal of Medical Imaging and Radiation Oncology. 2020;64(5):641-8.
  • 26. Grilo AM, Vieira L, Carolino E, Costa M, Galaio S, Melo I, et al. Cancer Patient Experience in a Nuclear Medicine Department: Comparison between Bone Scintigraphy and 18F-FDG PET/CT. Journal of nuclear medicine technology. 2020:jnmt. 119.239285.
  • 27. Groves AM, Kayani I, Syed R, Gacinovic S, Nagabushan N, Ell PJ. Myocardial perfusion scintigraphy: patients' perception of benefit and risk. Nuclear medicine communications. 2004 Dec;25(12):1219-22. PubMed PMID: 15640782.
  • 28. Domenech A, Notta P, Benitez A, Ramal D, Rodriguez-Bel L, Massuet C, et al. [Evaluation of the anxiety state in patients receiving radioiodine treatment or who undergo a sentinel lymph node examination in the Nuclear Medicine Department]. Revista espanola de medicina nuclear. 2010 Mar-Apr;29(2):63-72. PubMed PMID: 20167394. Valoracion del estado de ansiedad de los pacientes que reciben un tratamiento con radioyodo o son sometidos a una exploracion de ganglio centinela en el servicio de Medicina Nuclear.
  • 29. Ollivier L, Apiou F, Leclere J, Sevellec M, Asselain B, Bredart A, et al. Patient experiences and preferences: development of practice guidelines in a cancer imaging department. Cancer imaging : the official publication of the International Cancer Imaging Society. 2009 Oct 2;9 Spec No A:S92-7. PubMed PMID: 19965300. Pubmed Central PMCID: 2797468.
There are 28 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Articles
Authors

Huri Tilla İlçe 0000-0002-8672-707X

Sezen Elhan Vargöl This is me 0000-0001-5731-5992

Hatice Halis 0000-0002-9938-1856

Esra Yazıcı 0000-0002-2575-7398

Publication Date December 27, 2021
Submission Date May 6, 2021
Published in Issue Year 2021 Volume: 11 Issue: 4

Cite

AMA İlçe HT, Elhan Vargöl S, Halis H, Yazıcı E. PATIENTS’ OPINIONS ABOUT PET/CT SCANS, EVALUATED BEFORE AND AFTER ONCOLOGICAL IMAGING. Sakarya Tıp Dergisi. December 2021;11(4):879-888. doi:10.31832/smj.929085

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