diplomsko delo
Alja Čekada (Author), Kaja Kolarič (Author), Valerija Žager (Reviewer), Tina Starc (Mentor)

Abstract

Uvod: Magnetna resonanca (MR) je ena glavnih slikovnih diagnostik poleg računalniške tomografije, ultrazvoka in nuklearne medicine. V radiologiji je v primerjavi z drugimi slikovnimi diagnostikami predvsem boljša v odličnem prikazu mehkih tkiv, v dobri kontrastni in prostorski ločljivosti ter v tem, da lahko slikamo v različnih ravninah. Anksioznost je bolezensko stanje doživljanja tesnobe, kaže se kot telesni odgovor avtonomnega živčnega sistema. Zaradi zgradbe MR tomografa, lahko magnetno resonančne preiskave pri pacientih izzovejo anksioznost. Raziskav na temo anksioznosti med magnetno resonančno preiskavo v slovenskem jeziku nismo zasledili. Namen: Namen diplomskega dela je na podlagi sistematičnega pregleda literature podati predloge, kako lahko v praksi radiološki inženirji zmanjšajo prisotnost anksioznosti pri pacientih pri magnetno resonančnih preiskavah. Metode dela: V diplomskem delu smo uporabili deskriptivno metodo s sistematičnim pregledom literature. Literaturo, ki smo jo sistematično pregledali, predstavljajo znanstveni in strokovni članki, ki smo jih iskali na svetovnem spletu. Literaturo smo zbirali od 6. 10. 2021 do 22. 10. 2021. Literaturo smo začeli iskati v slovenskih bibliografskih bazah Cobbis, Digitalna knjižnica Univerze v Ljubljani, Digitalna knjižnica Slovenije in Repozitorij Univerze v Ljubljani. Iskanje smo nadaljevali v svetovnih bibliografskih bazah, kot so Science Direct, PubMed, MedLine, Springer link in Google Učenjak. Rezultati: Vsem kriterijem iskanja je ustrezalo 28 člankov. V rezultatih smo v tabelah predstavili ključne ugotovitve znanstvenih in strokovnih člankov vključenih v diplomsko delo. Ugotovili smo, da poznamo več možnih načinov, ki lahko pripomorejo k zmanjšanju prisotnosti anksioznosti pri pacientih med preiskavo. Najprimernejši in dostopen način je izboljšana komunikacija s pacientom, ki se je lahko naučimo z dodatnim usposabljanjem radioloških inženirjev. Pacientu prijazen način so tudi informativne zloženke, v katerih je opisan celoten postopek MR preiskave. Poleg informacijskih zloženk, si pacienti v čakalnici lahko ogledajo tudi predstavitveni video o poteku preiskave. Preprost način je tudi aromaterapija. Poznamo tudi bolj kompleksne načine za zmanjšanje anksioznosti. Prilagojen magnetno resonančni tomograf predstavlja dodaten strošek za bolnišnico, sedacija lahko ima negativne stranske učinke na pacienta, hipnoza pa zahteva dodatno osebje, čas in več sodelovanja s strani pacienta. Ugotovili smo tudi, da ni vsak način primeren za vsakega pacienta, saj je vsak zgodba zase. Razprava in zaključek: V diplomskem delu smo na podlagi sistematičnega pregleda literature podali predloge, kako lahko v praksi radiološki inženirji zmanjšajo prisotnost anksioznosti pri pacientih pri magnetno resonančnih preiskavah. Obstaja več lažjih in dostopnih načinov za zmanjšanje anksioznosti med preiskavami, kot so: izboljšana komunikacija, informativne zloženke ali predstavitveni video v čakalnici in aromaterapija. Poznamo pa tudi več kompleksnih načinov, ki zahtevajo čas, denar in dodatno osebje. Ti so hipnoza, dodatno usposabljanje radioloških inženirjev, prilagojen magnetno resonančni tomograf in sedacija.

Keywords

diplomska dela;radiološka tehnologija;magnetna resonanca;anksioznost;vzroki za pojav anksioznosti;načini za zmanjšanje anksioznosti;

Data

Language: Slovenian
Year of publishing:
Typology: 2.11 - Undergraduate Thesis
Organization: UL ZF - University College of Health Studies
Publisher: [A. Čekada
UDC: 616-07
COBISS: 120347139 Link will open in a new window
Views: 30
Downloads: 11
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Other data

Secondary language: English
Secondary title: Anxiety in magnetic resonance imaging
Secondary abstract: Introduction: Magnetic resonance imaging is one of the main imaging diagnostics besides computed tomography, ultrasound, and nuclear medicine. Because of its better contrast and spatial resolution, it is excellent in the display of soft tissues compared to the other imaging modalities. It also enables us to take images in different planes. Anxiety is a medical condition of experiencing nervousness, manifested as a bodily response of the autonomic nervous system. Because of the structure of the MR tomograph, MR examinations can provoke anxiety in patients. We have found no research on anxiety during MRI in the Slovenian language. Purpose: The purpose of this thesis is to provide suggestions, based on a systematic review of the literature, on how radiological engineers can reduce anxiety in patients during MRI examinations. Methods: In the diploma work, we used a descriptive method with a systematic review of the literature. Scientific and professional articles that we found on world wide web represent the literature that we have systematically reviewed. We collected literature from 6th of October 2021 to 22th of October 2021. We started searching for literature in the Slovenian bibliographic databases Cobbis, the Digital Library of the University of Ljubljana, the Digital Library of Slovenia, and the Repository of the University of Ljubljana. We continued our search in global bibliographic databases such as Science Direct, PubMed, MedLine, Springer link, and Google Scholar. Results: We found 28 articles, which fitted all criteria. In the results, we presented in tables the key findings of the scientific and professional articles included in the thesis. We found that we know several ways that can help to reduce anxiety in patients during examinations. The most accessible way is improved communication with the patient, which can be learned through additional training of radiological engineers. Patient-friendly information leaflets describing the whole MR examination procedure are also a useful way to make the procedure more patient-friendly. Besides the information leaflets, patients can also watch a demonstration video on the procedure in the waiting room. Aromatherapy is also a convenient way. There are also more complex ways to reduce anxiety. An adapted MRI scanner is an option, but it presents additional costs for the hospital. Sedation can have negative side effects on the patient, and hypnosis requires additional staff, time, and more cooperation from the patient. We have also found that not every modality is suitable for every patient. Discussion and conclusion: There are several easier and accessible ways, such as improved communication, information leaflets or a demonstration video in the waiting room and aromatherapy. But there are also more complex ways that require time, money and additional staff. These include hypnosis, additional training for radiology engineers, an adapted MRI scanner, and sedation.
Secondary keywords: diploma theses;radiological technology;magnetic resonance imaging;anxiety;causes of anxiety;ways to reduce anxiety;
Type (COBISS): Bachelor thesis/paper
Study programme: 0
Embargo end date (OpenAIRE): 1970-01-01
Thesis comment: Univ. v Ljubljani, Zdravstvena fak., Oddelek za radiološko tehnologijo
Pages: 41 str.
ID: 16363404